Fractional Chief Operating Officer

Go Fractional; Colorado; Hybrid; USD 60,000 - 120,000; Part time

Benefits offered by this job

Flexible schedule

Job summary

Go Fractional is seeking an experienced Chief Operating Officer to lead operations for a virtual behavioral health platform. The role covers scaling systems, workflows, and team structures for multi-state expansion with a strong emphasis on licensing, accreditation, and payer partnerships.

You will own the optimization of our EMR/technology stack, implement KPI reporting, ensure regulatory compliance, and help guide hiring and budgeting as the company grows in a remote, US-wide setting.

Qualifications

• Minimum 7+ years leading operations in behavioral health.
• Experience with licensing, accreditation surveys and payer contracting.
• Hands-on in a fast-growing startup environment is preferred.

Responsibilities

• Build scalable operations across intake, scheduling, clinical delivery, documentation and discharge.
• Lead multi-state expansion with licensing, accreditation, and launch playbooks.
• Oversee revenue cycle activities with the billing vendor.
• Optimize the EMR/tech stack for a fully virtual care model.
• Develop KPIs for census, admissions, utilization and outcomes.
• Ensure HIPAA, 42 CFR Part 2 and state regulatory compliance.
• Support hiring, onboarding and staffing as the clinical team grows.
• Manage budgets and collaborate with the founder on strategy.

Skills

Operations leadership

Behavioral health

Multi-state growth

Licensing knowledge

Payer contracting

HIPAA compliance

Telehealth/virtual care

Startup / builder mindset

Tools

EMR system

Job description

Job title: Chief Operating Officer (Fractional or Full-Time) – Virtual Behavioral Health

Location: Remote (U.S.)

Job type: Fractional/part-time contract, with a path to full-time

The role

You’ll be our operations partner: building the systems, workflows and team structure that let us grow state by state. This role suits someone who has scaled a behavioral health program before and wants real ownership in an early-stage company.

What you’ll do

• Build and streamline day-to-day operations across intake, scheduling, clinical delivery, documentation and discharge
• Lead multi-state expansion: state licensing, accreditation (Joint Commission/CARF) and a repeatable launch playbook for each new market
• Oversee payer contracting, credentialing and revenue cycle in partnership with our billing vendor
• Optimize our EMR and technology stack for a fully virtual care model
• Build KPIs and reporting for census, admissions, utilization, collections and outcomes
• Own compliance operations, including HIPAA, 42 CFR Part 2 and state regulations
• Support hiring, onboarding and staffing models as the clinical team grows
• Manage budgets and partner with the founder on strategy and growth

What we’re looking for

• 7+ years of operations leadership in behavioral health, ideally substance use and mental health
• Experience with IOP and outpatient levels of care
• Hands‑on experience with state licensing, accreditation surveys and payer contracting
• Virtual or telehealth behavioral health experience is a big plus
• Multi‑state or multi‑site growth experience
• A builder’s mindset: comfortable in a startup, hands‑on, organized and data‑driven

Nice to have

• Experience with gambling or process addiction programs
• Medicaid contracting experience
• Clinical licensure or a clinical background

Compensation and work arrangement

Pay: $60,000.00 - $120,000.00 per year

Benefits:

• Flexible schedule

Work Location: Remote