Executive Director

StevenDouglas; San Francisco (CA); On-site; USD 260,000 - 450,000; Full time

Job summary

StevenDouglas, based in the San Francisco Bay Area, seeks an experienced operating executive to lead a Management Services Organization supporting two behavioral health practices. This role oversees non-clinical functions—finance, RCM, HR, administration, marketing/admissions, and real estate/facilities—and partners with clinical leadership to ensure alignment with each practice's mission.

Reporting to the ownership group and Board, you will drive strategic and operational planning, budgeting,

Qualifications

• Healthcare operations leadership experience, ideally in behavioral health or multi-site clinician-led settings.
• Experience running a multi-functional shared-services org (finance, HR, RCM, marketing).
• Strong financial acumen—budgeting, reporting, translating data into accountability.
• Experience with private equity-backed organizations (board reporting, value creation, investor relations).
• Proven ability to lead teams through growth, scaling, or transition.
• Track record building collaborative relationships with clinical leaders/physicians.
• Excellent communication; comfortable leading through influence over authority.
• Bachelor's degree required; MBA strongly preferred.
• Based in the Bay Area, CA with willingness to travel regularly across sites.

Responsibilities

• Lead and develop functional leaders across finance, RCM, HR, admin, marketing/admissions, and real estate/facilities.
• Set priorities, performance expectations, and accountability across the shared-services organization.
• Serve as liaison between administrative and clinical leadership at both practices.
• Build trust-based relationships with physicians, therapists, and program directors.
• Partner with ownership and the Board on strategic planning, growth initiatives, and new locations.
• Own financial planning & budgeting, and growth modeling.
• Present operating and financial updates to leadership and the Board.
• Represent the organization in key external relationships (payors, vendors, community partners).

Skills

Healthcare ops leadership

Multi-site leadership

Financial acumen

Investor relations (PE)

Leadership through influence

Education

Bachelor's degree

MBA preferred

Job description

We're seeking an experienced operating executive to lead a Management Services Organization (MSO) supporting two behavioral health practices serving children, adolescents, adults, and families. This is a pivotal leadership role overseeing all non-clinical functions — finance, revenue cycle management, HR, administration, marketing/admissions, and real estate/facilities — while partnering closely with clinical leadership to ensure the administrative organization runs efficiently and stays aligned with each practice's mission. The role reports to the ownership group and Board and plays a central role in strategic and operational planning.

Key Responsibilities

• Lead and develop functional leaders across finance, RCM, HR, admin, marketing/admissions, and real estate/facilities
• Set priorities, performance expectations, and accountability across the shared-services organization
• Serve as the primary liaison between administrative and clinical leadership at both practices
• Build trust-based relationships with physicians, therapists, and program directors
• Partner with ownership and the Board on strategic planning, growth initiatives, and new locations
• Own financial planning & analysis, budgeting, and growth modeling
• Present operating and financial updates to leadership and the Board
• Represent the organization in key external relationships (payors, vendors, community partners)

Qualifications

• Healthcare operations leadership experience, ideally in behavioral health or a multi-site, clinician-led environment
• Experience running a multi-functional shared-services organization (finance, HR, RCM, marketing, etc.)
• Strong financial acumen — budgeting, reporting, and translating data into accountability
• Experience with private equity-backed organizations (board reporting, value creation planning, investor relations)
• Proven ability to lead teams through growth, scaling, or transition
• Track record building collaborative relationships with clinical leaders/physicians
• Excellent communication skills; comfortable leading through influence rather than authority
• Bachelor's degree required; MBA strongly preferred
• Based in the Bay Area, CA, with willingness to travel regularly across sites