VP of Operations

Vice President of Operations

Reports to: CEO 

Position Overview 

Base salary starting at $130,000+ plus bonus

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 

 

Compensation 

Starting at $130,000 + Bonus

 

Key Responsibilities 

1) 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  

  

2) 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  

  

3) 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 

  

4) 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 

  

5) 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  

  

6) 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  

  

7) 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 

  

Qualifications 

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 

  

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)  

  

Key Competencies 

• 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)  

 

Leadership expectations  

• 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 

 

Success Metrics (First 12–24 Months) 

• 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