VP of Operations

Reports to: CEO

Position Overview

The Vice President of Operations will be responsible for designing, scaling, and leading the operational infrastructure of a growing ABA therapy organization

This leader will own the performance, consistency, and scalability of clinic operations, ensuring high-quality clinical care, strong client outcomes, and an exceptional experience for both families and staff.

The role requires a balance of strategic thinking and hands-on execution, with a strong emphasis on building systems that enable sustainable growth.

Why Propel

• Quality-first clinical model built around outcomes, not volume
• Intentional investment in leadership development and mentorship
• Early learner focused, in-clinic care model
• Opportunity to help shape the future operating model of a rapidly scaling organization
• High ownership environment with meaningful influence on company direction

• Multi-Site Operations & Scaling
• Develop and implement an operating model to support scalable growth
• Standardize processes, workflows, and performance expectations across all locations
• Lead new clinic openings, including operational readiness, staffing models, and ramp plans
• Ensure consistency in execution while allowing for local flexibility where appropriate
• Clinic Performance Management
• Own and manage key operational metrics, including:
• Clinic revenue and EBITDA performance
• Authorized hour utilization and dosage delivery
• Staff productivity and labor efficiency
• Client retention and attendance
• Intake conversion and speed-to-services
• Recruiting funnel conversion and staffing capacity
• Clinic ramp performance for new locations
• Establish a regular operating cadence (weekly/monthly reviews) with Operation Manager(s), Recruitment Managers, Clinic Directors and the Senior Leadership team
• Identify performance gaps and implement corrective actions
• Client Journey Ownership
• Optimize the end-to-end client experience:
• Intake and admissions
• Assessment and treatment initiation
• Ongoing care delivery
• Transition / discharge
• Reduce time from inquiry to first therapy session
• Improve client engagement, retention, and outcomes
• Partner with clinical leadership to ensure care quality aligns with operational efficiency
• Driving new lead generation: Developing new referral channels, accelerating growth of leads
• New business / revenue development e.g. home-based services
• Staff Journey & Workforce Management
• Build scalable systems for hiring, onboarding, performance management, leadership development, and retention across clinic and corporate teams.
• Develop Operations Managers & Recruitment Managers into high-performing leaders capable of scaling new locations and developing future leaders.
• Support team with staff performance management process
• Clinical Quality & Compliance Partnership
• Partner closely with clinical leadership to ensure:
• High-quality therapy services
• Adherence to clinical standards and best practices
• Compliance with payer and regulatory requirements
• Support implementation of quality assurance processes and audits
• Clinic-Level Leadership Model Optimization
• Work with the Senior Leadership team to refine the clinic & operations leadership structure
• Clarify roles, responsibilities, and decision rights
• Create a culture of accountability and delivering clinical and operational results
• Ensure effective collaboration between clinical and administrative leadership
• Process Improvement & Infrastructure
• Identify operational inefficiencies and implement process improvements
• Introduce systems, tools, and technology to support scale
• Build playbooks and SOPs for all core operational functions
• Represent company at ABA events to help build a strong reputation in the industry

Required

• 8–15+ years of operations leadership experience, preferably in healthcare or multi-site service environments
• Proven track record of scaling operations across multiple locations
• Strong experience managing KPIs and driving performance improvement in fast-paced, high-accountability environments. Comfortable operating both strategically and tactically.
• Demonstrated ability to build systems, processes, and teams from early-stage growth to scale
• Experience leading and developing managers
• Minimum 2 days a week onsite, full time onsite preferred

• Experience in ABA therapy, behavioral health, or pediatric healthcare
• Familiarity with payer-driven environments (authorization, billing, compliance)
• Experience working alongside clinical leadership (e.g., BCBAs, therapists)

• Operator-builder mindset (can create structure where none exists)
• Data-driven decision making
• People leadership and coaching
• Execution discipline
• Ability to balance growth with quality
• Cross-functional collaboration (especially clinical partnership)

• Lead with high accountability and low ego
• Operate with urgency and ownership
• Build strong partnerships across clinical and operational teams
• Develop leaders, not just manage outcomes
• Create clarity, structure, and consistency in ambiguous environments
• Protect clinical quality while driving operational excellence

• Successful scaling from 3 to 8+ clinics with consistent performance
• Achieve company revenue and EBITDA targets
• Improve dosage delivery and utilization metrics across all clinics
• Reduce time from inquiry to service start
• Improve staff retention and leadership bench strength
• Implement standardized operating playbooks across all locations within 12 months

Starting at: $130,000 USD - $140,000 USD