Chief Operating Officer (Mental Health)

About Us

Trusted Results Therapy Group (TRTG) is a growing mental health practice dedicated to delivering compassionate, evidence-based care to individuals and families. We provide therapeutic services to children, adolescents, adults, couples, and families across South Carolina, with a focus on quality care, collaboration, clinical growth, and an exceptional client experience.

Position Overview

Reporting to the Chief Executive Officer, the Chief Operating Officer leads the organization-wide execution of strategy, operational performance, revenue cycle and billing operations, financial discipline, and scalable service delivery across all locations and programs. The COO is accountable for converting strategic priorities into measurable results, improving operating margin while safeguarding care quality and compliance, and developing directors who own clear performance outcomes. The COO partners closely with clinical leadership, finance, HR, and compliance; licensed clinical decision-making remains with designated clinical leaders.

Essential Responsibilities

Enterprise Strategy & Operational Execution

• Translate CEO priorities into annual and quarterly operating plans, budgets, accountable owners, milestones, and executive scorecards.
• Lead operating cadence, cross-functional decision-making, capacity planning, process standardization, and timely resolution of operational barriers.
• Assess new sites, programs, and expansion opportunities for operational readiness, staffing capacity, sustainable demand, and financial viability.
  
  

Financial Performance & Profitability

• Own operating performance and margin improvement across sites and programs, including expense discipline, staffing models, productivity, utilization, and resource allocation.
• Partner with finance on annual budgets, monthly forecasts, site-level profit-and-loss reviews, variance analysis, and corrective action plans.
• Present concise performance reporting and recommendations to the CEO; escalate material financial, service, and compliance risks promptly.
  
  

Billing & Revenue Cycle Leadership

• Oversee end-to-end billing operations, including charge capture, timely claim submission, coding and documentation handoffs, denials, appeals, collections, and accounts receivable follow-up.
• Establish controls, reporting, and accountability for clean-claim rate, denial rate, days in A/R, aging, collections, write-offs, and revenue leakage.
• Coordinate with clinical, credentialing, payer contracting, and finance teams to resolve reimbursement barriers while maintaining accurate, compliant billing.
  
  

Multi-Site & Program Operations

• Direct consistent workflows, scheduling, access, intake, staffing coverage, patient experience, and administrative support across locations.
• Review site and program scorecards; identify performance gaps and lead practical, time-bound improvement plans.
• Support clinical directors in operationalizing quality initiatives without superseding clinical judgment or licensure responsibilities.
  
  

Executive Leadership & Talent Development

• Lead, coach, and evaluate operational directors and managers with documented objectives, regular reviews, succession planning, and clear decision rights.
• Partner with HR on workforce planning, recruiting priorities, retention, employee relations escalations, and consistent people-management practices.
• Build a culture of ownership, ethical conduct, collaboration, service, and continuous improvement.
  
  

Compliance, Risk & Quality Partnership

• Partner with clinical and compliance leadership to support CARF standards, payer requirements, HIPAA/privacy and security safeguards, documentation standards, and regulatory readiness.
• Ensure operational follow-through on audits, corrective action plans, training, incident escalation, and internal controls; coordinate with appropriate subject-matter owners.
• Balance financial goals with patient safety, access, clinical quality, staff sustainability, and legal obligations.
  
  

Growth, Technology & Systems

• Improve reporting, billing systems, HRIS/operational tools, workflows, and data quality to support growth and reduce manual work.
• Collaborate on referral growth, market expansion, payer relationships, and new-program launches with clear return-on-investment and capacity measures.
  
  

Measures of Success

Performance will be reviewed against a CEO-approved quarterly scorecard, including operating margin and budget performance; net collections and revenue cycle health; denial and A/R trends; site and program productivity; access and operational reliability; director accountability; compliance action completion; and sustainable growth. Targets, data sources, and metric owners will be documented in advance.

Qualifications

• Bachelor’s degree in healthcare administration, business, finance, or related field required; master’s degree preferred.
• Seven or more years of progressive healthcare or behavioral health operations leadership, including multi-site and senior-team oversight; equivalent experience considered.
• Demonstrated accountability for budgets, operating margin, revenue cycle/billing, process improvement, and cross-functional performance.
• Working knowledge of outpatient behavioral health operations, payer reimbursement, HIPAA, regulatory requirements, and accreditation expectations.
• Strong analytical, executive communication, change leadership, coaching, and sound judgment skills. Clinical license is not required; clinical decisions remain with licensed leaders.