COO & CFO - Behavioral Health Operations Leader (Remote)

Backpack Healthcare; Richmond (VA); Hybrid; USD 225,000 - 250,000; Full time

Benefits offered by this job

Performance bonus

Equity package

Medical, dental, and vision coverage

401(k)

Job summary

Backpack Healthcare is seeking a Chief Operating & Financial Officer to build and run the operating and financial engine of the company. You will own the numbers, set strategic direction, and lead PMO, process improvement, SOP development, and revenue-cycle optimization across multiple states.

Join a Medicaid-first, venture-backed behavioral health company committed to expanding access to high-quality care for children, families, and young adults.

Qualifications

• Experience leading operations and finance for scale, preferably in healthcare.
• Proven ability to run P&L, budgeting, and cost optimization.
• Track record of implementing Lean Six Sigma or process improvement methodologies.

Responsibilities

• Lead PMO, process improvement, and SOP development with clear ownership and budgets.
• Ensure end-to-end operations from referrals to revenue are cohesive and efficient.
• Set and review KPIs weekly and monthly with function leaders.
• Drive capacity planning, hiring, credentialing, and scheduling to scale with contracts.
• Oversee revenue cycle operations, cost per session, and margin optimization.
• Build scalable processes across states with minimal headcount growth.
• Partner with technology to align roadmap with operational needs.
• Create an environment focused on profitability and patient access in behavioral health.

Skills

Strategic leadership

Operations management

Financial acumen

KPIs & dashboards

Education

Bachelor's degree in Business Administration/Operations/Engineering/Finance

MBA or related advanced degree preferred

Tools

Excel/Google Sheets

SQL

Tableau/Power BI/Looker

Jira/Asana/Smartsheet

Job description

Backpack Healthcare is seeking a Chief Operating & Financial Officer to build and run the operating and financial engine of the company. You will own the numbers, set strategic direction, and lead PMO, process improvement, SOP development, and revenue-cycle optimization across multiple states.

Join a Medicaid-first, venture-backed behavioral health company committed to expanding access to high-quality care for children, families, and young adults.