This is a remote position.
Role Overview
We are hiring a senior expansion leader to own the execution of multi-state growth for a rapidly scaling behavioral health organization.
This is not a coordination role. This is not a strategy-only role. This role exists to ensure that expansion translates into real timely collectible revenueand that it does so without creating downstream chaos in billing credentialing clinical operations or cash flow.
Expansion in our business spans licensure contracting credentialing recruiting marketing front desk readiness and billing. The Head of Expansion Execution is accountable for orchestrating all of these elements in the correct sequence and has full authority to delay pause or accelerate launches based on operational readiness.
If you have not personally lived through the consequences of poorly sequenced healthcare expansion this role will not be a fit.
What Success Looks Like (Non-Negotiable Outcomes)
Within the first 612 months this role will have delivered:
Expansion states launching only when fully ready not almost ready
Faster time from state launch to first clean collectible claim
Fewer last-minute escalations and fire drills
Clear standardized expansion processes that leadership trusts
Early visibility into risks tradeoffs and constraintsbefore they become problems
This role will be judged on outcomes not effort.
Core Responsibilities
End-to-End Expansion Ownership
Own expansion timelines from pre-launch through early revenue realization
Define enforce and continuously improve readiness criteria for:
Licensure
Group contracting
Credentialing
Recruiting alignment
Marketing launch
Front desk readiness
Billing setup
Make final go / no-go decisions for all state launches
Cross-Functional Leadership
Serve as the operational lead for expansion across:
Clinical leadership
Credentialing
Marketing
Front desk
Billing and finance
Department heads retain functional ownership but report into this role for all expansion-related work
Run weekly expansion reviews with clear milestones risks and decisions
Sequencing Risk and Tradeoff Management
Identify dependencies and bottlenecks early
Enforce sequencing discipline (what must happen before what)
Escalate issues with clear options recommendations and consequences
Prevent premature launches that create AR drag compliance risk or clinician frustration
Systems Process and Tooling
Build and maintain standardized expansion checklists timelines and trackers
Improve or replace existing tools (Asana spreadsheets etc.) where justified by execution gains and cost-effectiveness
Create a repeatable expansion playbook that improves with each launch
Executive Communication
Provide concise decision-ready updates to leadership
Maintain real-time visibility into:
Status by state
Risks and blockers
Upcoming decision points
Eliminate surprises
Authority & Accountability
This role has the authority to:
Delay or cancel expansion launches
Require additional readiness work before proceeding
Re-sequence expansion priorities based on capacity and risk
This role is accountable for:
Expansion timelines
Speed to revenue
Reduction in expansion-driven operational issues
Quality of cross-department coordination
Required Experience
7 years in senior program operations or expansion leadership roles
Direct experience leading multi-state expansion in healthcare
Telehealth behavioral health outpatient clinics or similarly regulated environments
Hands-on experience spanning:
Licensure
Contracting
Credentialing
Recruiting
Marketing
Billing
Proven ability to lead senior stakeholders without formal line authority
Strong judgment under ambiguity and pressure
Strongly Preferred
Experience expanding services across multiple U.S. states
Experience in behavioral health or outpatient care
Experience in growth-stage organizations ($3M$20M revenue)
Comfort saying no when readiness is not there
Track record of turning expansion into predictable revenue not just footprint
What This Role Is Not
Not a junior project manager role
Not a meeting scheduler or note-taker
Not an advisory-only position
This role requires ownership decisiveness and credibility.
Why This Role Matters
The company is entering a phase where execution quality matters more than speed alone. Expansion is one of our most powerful growth leversbut only if it is done with discipline. This role exists to protect the business from scaling mistakes while enabling sustained growth toward middle-market status over the next 1824 months.
Core Responsibilities: End-to-End Expansion Ownership Own expansion timelines from pre-launch through early revenue realization Define enforce and continuously improve readiness criteria for: Licensure Group contracting Credentialing Recruiting alignment Marketing launch Front desk readiness Billing setup Make final go / no-go decisions for all state launches Cross-Functional Leadership Serve as the operational lead for expansion across: Clinical leadership Credentialing Marketing Front desk Billing and finance Department heads retain functional ownership but report into this role for all expansion-related work Run weekly expansion reviews with clear milestones risks and decisions Sequencing Risk and Tradeoff Management Identify dependencies and bottlenecks early Enforce sequencing discipline (what must happen before what) Escalate issues with clear options recommendations and consequences Prevent premature launches that create AR drag compliance risk or clinician frustration Systems Process and Tooling Build and maintain standardized expansion checklists timelines and trackers Improve or replace existing tools (Asana spreadsheets etc.) where justified by execution gains and cost-effectiveness Create a repeatable expansion playbook that improves with each launch Executive Communication Provide concise decision-ready updates to leadership Maintain real-time visibility into: Status by state Risks and blockers Upcoming decision points Eliminate surprises