Clinical Operating Director, Behavioral Health

PM Pediatrics•New York, NY

1d•$150,000 - $190,000•Hybrid

About The Position

Lead a state-based mental health practice serving thousands of children and adolescents. Own clinical operations, drive utilization, and build a high-performing team of therapists and psychiatrists while maintaining your clinical roots. As a Clinical Operating Director, you will own the day-to-day clinical operations for a state-based mental health pod serving thousands of patients annually. You'll drive utilization, patient access, intake workflows, and operational performance while maintaining your clinical credibility as a licensed supervisor and mentor to your team. This is a hands-on role for a senior clinician who wants to scale impact beyond the therapy room without abandoning clinical practice or supervision. This role reports to VP – Behavioral Health.

Requirements

Active clinical license (LCSW, or PhD/PsyD) with board-approved supervisor designation in your state of practice and Medicaid enrollment in the state (s) of practice
5+ years of post-licensure clinical experience in mental health or behavioral health settings
3+ years of leadership experience in clinical operations, practice management, or team leadership
Experience in pediatric or adolescent mental health settings (outpatient clinics, school-based programs, integrated care)
Proven ability to drive utilization, scheduling, and operational performance in healthcare settings
Strong business acumen: Demonstrated proficiency in data management and analytics including creating reports, spreadsheets and presentations, reading and comprehending P&L statements, making data-driven decisions
Clinical credibility: therapists and psychiatrists respect you as a clinician, supervisor, and mentor
Comfort with technology: proficiency with EMRs, telehealth platforms, scheduling systems, and analytics dashboards

Nice To Haves

Multi-state licensure (especially for virtual care leadership)
Direct experience with value-based care, payer contracting, or population health management
Track record scaling clinical operations (growing teams, launching new programs, entering new markets)
Specialty expertise in trauma, DBT, perinatal mental health, or other high-need populations
Prior experience in urgent care, retail healthcare, or high-volume outpatient settings

Responsibilities

Lead a state-based pod of 30–50 clinical FTEs (therapists, psychiatrists, psychiatric NPs)
Provide board-approved clinical supervision to pre-licensed and newly licensed clinicians per state requirements
Coach and develop therapists and psychiatrists; build a culture of clinical excellence, peer learning, and evidence-based practice
Hire, onboard, train, mentor staff therapists
Monitor clinical outcomes, functional assessments and drive continuous improvement
Own provider utilization and scheduling efficiency—drive billable time to 75–90% while protecting clinician wellbeing
Oversee patient intake, triage, and therapist-patient matching to optimize clinical fit and reduce no-shows
Manage referral flow from PM Pediatrics urgent care, pediatricians, schools, and third-party platforms
Drive visit volume growth and revenue per FTE targets while maintaining clinical quality
Work with mental health leadership team to develop and implement innovate programs across the service line
Scale & Impact: Lead a pod—exponentially greater impact than individual clinical practice
Build a high-performing team of 30–50 clinicians delivering evidence-based care to children and families in high-need markets
Help PM Pediatrics scale nationally over the next 24 months
Clinical + Operational Leadership: Own P&L contribution, utilization targets, and revenue growth while maintaining clinical credibility and supervision responsibilities.
Autonomy & Ownership: Own your pod's performance: hiring, scheduling, utilization, patient experience, and quality outcomes
Freedom to pilot innovations, launch specialty programs, and shape clinical operations within your market
Growth Trajectory: High performers will have opportunities to take on multi-state leadership, enterprise functional roles, or new market launches.
Direct exposure to executive leadership, board members, and strategic decision-making