Vice President of Operations – ACTT Services

Pyramid Healthcare

Asheville (NC)

Hybrid

USD 130,000 - 140,000

Full time

11 days ago

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Benefits offered by this job

Medical, Dental, Vision Insurance

401(k) with company match

Tuition Reimbursement

Paid Time Off

Life Insurance

Employee Recognition Programs

Referral Bonus opportunities

Flexible Spending Accounts

Job summary

Pyramid Healthcare seeks an accomplished executive to serve as Vice President of Operations – ACTT Services. You will provide strategic, operational leadership across ACTT programs, ensuring fidelity to the ACTT model and alignment with regulatory and payer requirements.

The role focuses on improving outcomes, finances, and workforce development. Responsibilities include leading program performance, staffing optimization, and collaboration with clinical leadership to deliver recovery-oriented,

Qualifications

Master’s degree required in Business Management, Psychology, Social Work or related field.
3–5 years of management experience in behavioral health or human services.
Experience leading ACTT or similar community-based behavioral health services.

Responsibilities

Provide executive leadership across ACTT programs and locations.
Monitor performance metrics: referrals, admissions, census, visits, and productivity.
Oversee budgets, staffing, reimbursement, and revenue-cycle considerations.
Develop leaders, succession planning, and workforce development.
Ensure regulatory compliance, quality improvement, and risk management.
Drive program development and strategic growth across ACTT services.

Skills

Leadership

Strategic planning

Financial management

Regulatory compliance

Operational leadership

Education

Master’s degree in Business Management or related field

Job description

Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities.

Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc. – that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.

Vice President of Operations – ACTT Services

Salary: $130,000-$140,000 per year
Schedule: Full-Time | Hybrid
Department: Operations | Behavioral Healthcare

Lead ACTT Operations. Develop Teams. Transform Community-Based Care.

Pyramid Healthcare is seeking an experienced and strategic Vice President of Operations – ACTT Services to provide executive-level operational leadership and oversight for our Assertive Community Treatment Team (ACTT) programs.

This role is responsible for ensuring operational excellence, financial performance, regulatory compliance, staffing effectiveness, program growth, and quality service delivery across assigned ACTT programs and locations. The Vice President of Operations will partner closely with executive leadership, clinical and psychiatric leadership, Executive Directors, ACTT Team Leaders, and organizational support departments to ensure programs operate effectively, meet applicable service requirements, and deliver recovery-oriented, community-based behavioral healthcare.

The ideal candidate brings extensive experience leading behavioral healthcare operations across multiple locations, a strong understanding of intensive community-based services, demonstrated financial and operational management skills, and the ability to develop leaders and drive measurable performance improvements.

Essential Duties and Responsibilities

ACTT Operational Leadership and Model Fidelity

Provide strategic and operational oversight of assigned ACTT programs to ensure consistent implementation of the ACTT model and adherence to applicable service definitions, multidisciplinary staffing requirements, shared caseload practices, and community-based service delivery expectations.

Ensure programs maintain recovery-oriented treatment principles and deliver services aligned with client needs, program requirements, and applicable payer standards.

Oversee ACTT model-fidelity reviews, including TMACT assessments where applicable, payer audits, documentation compliance, and the implementation of corrective action plans.

Partner with clinical and psychiatric leadership to support appropriate assessments, treatment planning, crisis-response coverage, psychiatric backup, care coordination, and continuity of services.

Program Performance and Operational Accountability

Monitor ACTT operational performance and key performance indicators, including referrals, admissions, census, staffed capacity, service frequency, completed visits, productivity, documentation timeliness, and client engagement.

Evaluate operational and financial impacts associated with staffing vacancies, incomplete visits, service authorizations, reimbursement, and underutilized program capacity.

Establish clear performance expectations, communicate operational priorities, and develop action plans to address performance gaps and improve program outcomes.

Collaborate with Executive Directors, ACTT Team Leaders, and other designated leaders to ensure operational consistency, accountability, and achievement of established organizational objectives.

Financial Management and Budget Oversight

Collaborate with Executive Directors and senior leadership to develop annual budgets and monitor financial performance across assigned programs.

Oversee resource allocation, cost-containment initiatives, staffing expenses, and operational expenditures to support financial sustainability.

Analyze financial statements, operational reports, reimbursement factors, and program performance data to identify risks, address performance concerns, and implement appropriate improvements.

Monitor billed units, full-time equivalent (FTE) staffing, payer mix, service utilization, and other applicable operational and financial targets.

Partner with Revenue Cycle and other internal departments to address claims submission, collections, service authorization, reimbursement, and related revenue cycle concerns.

Leadership Development and Workforce Management

Provide leadership and operational oversight to assigned ACTT service-line and program leaders, including Team Leaders and other designated management staff.

Support recruitment, selection, onboarding, development, and performance management of program leadership and other assigned personnel.

Partner with Human Resources, Recruitment, and ACTT leadership to address specialized staffing requirements, workforce development, employee retention, and leadership succession planning.

Support appropriate staffing levels, multidisciplinary team composition, shared caseload practices, and workforce accountability in accordance with applicable ACTT service requirements.

Develop and support leaders in establishing clear expectations, strengthening team performance, and maintaining compliance with organizational policies, procedures, and performance standards.

Regulatory Compliance, Quality, and Risk Management

Ensure assigned ACTT programs comply with applicable federal and state behavioral healthcare regulations, licensing requirements, service definitions, payer requirements, and accreditation standards.

Collaborate with Quality, Compliance, Clinical, Psychiatric, and Revenue Cycle teams to address regulatory concerns, service delivery issues, client safety risks, and opportunities for performance improvement.

Support timely completion of required training, documentation, audits, and corrective action plans.

Promote continuous quality improvement, ethical decision-making, confidentiality, and consistent application of organizational policies and procedures.

Program Development and Strategic Growth

Support ACTT program development and expansion based on community needs, referral demand, required staffing structures, and available service capacity.

Evaluate operational readiness, staffing requirements, program performance, and resource needs associated with growth and changes in service delivery.

Partner with executive leadership, facility leadership, referral sources, and internal support departments to strengthen service coordination, maintain operational consistency, and support organizational objectives.

Identify opportunities to improve efficiency, increase appropriate service utilization, strengthen referral relationships, and enhance the effectiveness of community-based care.

Required Qualifications

Education

Master’s degree from an accredited college or university in Business Management, Chemical Dependency, Psychology, Social Work, Counseling, Nursing with a clinical specialty in the human services field, or a related field.

Experience

Three to five years of management experience in the substance use disorder or mental health field.

Three to five years of experience in a human services agency, including supervision, direct service, and program planning.

Extensive experience overseeing behavioral healthcare programs and operations, including clinical treatment services, program management, and service delivery.

Experience managing multiple facilities.

Thorough knowledge of substance use disorder and mental health systems, treatment modalities, and service delivery models.

Preferred Qualifications

Experience overseeing ACT, ACTT, community mental health, or other intensive community-based behavioral healthcare services.

Experience managing multidisciplinary behavioral healthcare teams or programs across multiple geographic locations.

Experience with Medicaid managed care, service authorizations, reimbursement requirements, and payer audits.

Knowledge of ACTT service definitions, multidisciplinary staffing requirements, community-based treatment, crisis-response expectations, and model-fidelity standards.

Familiarity with TMACT or comparable ACT fidelity-review processes.

Knowledge, Skills, and Abilities

Strong knowledge of applicable federal and state behavioral healthcare regulations, licensing requirements, payer requirements, and accreditation standards, including HIPAA and CARF.

Demonstrated financial management skills, including budgeting, fiscal oversight, cost containment, and resource allocation.

Ability to analyze and interpret financial statements, operational reports, statistical data, and program performance metrics.

Strong executive leadership, interpersonal, and relationship-building skills, with the ability to develop and support program leaders across multiple locations.

Knowledge of continuous quality improvement principles and operational improvement techniques.

Ability to evaluate ACTT-specific operational and financial performance indicators and implement effective corrective actions.

Strong organizational, time-management, analytical, problem-solving, and decision-making skills.

Excellent oral and written communication skills, sound professional judgment, and the ability to manage competing priorities across multiple programs.

Ability to remain calm, professional, and decisive in crisis or high-pressure situations while maintaining confidentiality and effective working relationships with internal and external stakeholders.

Knowledge of claims submission, collections, and related revenue cycle processes.

Supervisory Responsibilities

Provides operational leadership and oversight to assigned ACTT service-line and program leaders, including Team Leaders and other designated management staff.

Responsibilities include leadership development, recruitment and selection support, performance management, staffing oversight, operational accountability, workforce planning, and adherence to ACTT service requirements and organizational expectations.

Works collaboratively with Human Resources and executive leadership to address staffing, leadership, and operational concerns across assigned programs.

Work Environment and Schedule

This is a full-time hybrid executive leadership position involving a combination of remote work, professional office responsibilities, and regular travel to assigned ACTT programs and community-based service locations.

The role requires frequent collaboration with executive leadership, program management, clinical and psychiatric leadership, and internal support departments. Travel and work schedules may vary based on operational needs, and the position requires availability to address urgent operational or crisis-response concerns as needed.

Make an Impact with Pyramid Healthcare

At Pyramid Healthcare, we are committed to providing quality behavioral healthcare services that support recovery and strengthen communities. As Vice President of Operations – ACTT Services, you will play a key role in supporting the teams, systems, and operational practices that make effective community-based treatment possible.

Pyramid Healthcare is an equal opportunity employer.

Pyramid CORE Values:

We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors, and standards. We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent, and ethical when dealing with clients, staff, and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily. COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling, and relentless desire to improve lives and support Pyramid Healthcare’s mission.

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