Multi-State ABA Operations Manager

Finni Health • ,

3d • $90,000 - $120,000

About The Position

Finni Health is a healthcare technology company that partners with independent ABA practice owners to help them build, operate, and scale sustainable practices. The Multi-State ABA Operations Manager works directly with practice owners across multiple states as a trusted operational and strategic partner. The role develops an understanding of each practice’s business, identifies opportunities to improve performance, and helps owners address operational, financial, and strategic challenges.

This collaborative, provider-facing position combines healthcare operations, business strategy, and relationship management. It supports a diverse portfolio of practices and accounts for differences in state-level operational considerations, payer environments, regulatory requirements, and market dynamics. The manager partners with providers to improve financial and operational performance, solve business challenges, and pursue sustainable growth, while collaborating with Finni’s internal teams to address provider needs and improve processes and resources.

The role is suited to an experienced ABA operator who has supported practices across multiple states, can build trusted relationships with independent owners, analyze business performance, navigate state-specific complexities, and turn challenges into practical solutions.

Requirements

• At least 5 years of experience in ABA or behavioral health, with significant experience operating, managing, or supporting ABA practices.
• Strong understanding of ABA practice operations, including clinical operations, staffing, utilization, scheduling, patient growth and retention, compliance, RCM, payer relationships, and reimbursement.
• Experience partnering directly with BCBAs, clinical leaders, practice owners, or other healthcare providers.
• Understanding of the relationship between clinical quality, provider capacity, operational performance, and financial outcomes.
• Strong understanding of the financial drivers of an ABA practice and how to build a healthy, sustainable business.
• Ability to analyze financial statements, budgets, revenue, expenses, staffing costs, utilization, margins, and other business drivers.
• Ability to translate financial and operational data into clear, actionable recommendations.
• Understanding of how payer mix, reimbursement, patient volume, staffing, utilization, and retention affect practice profitability.
• Ability to identify operational challenges, determine root causes, and develop practical solutions.
• Strong understanding of operational KPIs and how to use data to improve practice performance.
• Experience setting and managing performance targets related to growth, retention, utilization, patient access, provider productivity, and profitability.
• Strong analytical and critical-thinking skills, including the ability to navigate complex and ambiguous problems.
• Ability to identify underlying operational and business drivers and develop actionable growth plans with stakeholders.
• Experience building operational processes, systems, and infrastructure in growing or evolving organizations.
• Resourcefulness, adaptability, and willingness to roll up your sleeves to get things done.
• Exceptional communication and relationship-building skills.
• Ability to build trust with independent practice owners and act as a credible thought partner on operational, financial, and business decisions.
• Ability to influence and collaborate with providers without direct authority.
• Ability to explain complex operational and financial concepts clearly and make recommendations without being overly prescriptive.
• Genuine interest in helping independent healthcare business owners build successful practices.

Nice To Haves

• Experience supporting practices, clinics, or healthcare operations across multiple states.
• Familiarity with state-specific ABA regulations, payer requirements, Medicaid programs, credentialing processes, and reimbursement environments.
• Experience owning or contributing to the financial performance, P&L, or budget of a practice, multiple practices, or a region.
• Experience supporting new practice launches, entering new markets, and preparing operations for sustainable growth.
• Experience developing or optimizing staffing models, operational workflows, and accountability structures.

Responsibilities

• Build trusted relationships with independent ABA practice owners across multiple states.
• Understand each practice’s business model, goals, operational challenges, financial performance, and growth opportunities.
• Advise practice owners on operational, financial, and expansion decisions.
• Identify opportunities to improve practice performance and address challenges proactively.
• Translate provider goals into actionable business and operational plans and work with owners to execute them.
• Support launches of new ABA practices and expansion into additional states and markets.
• Help providers navigate the operational requirements of establishing and scaling practices across states.
• Identify expansion roadblocks and coordinate with internal teams to resolve them.
• Develop scalable approaches for sustainable growth across multiple locations and markets.
• Support providers throughout their partnership with Finni, including after initial launch.
• Analyze practice-level financial and operational performance and identify opportunities for growth, efficiency, and profitability.
• Partner with providers on strategies to improve patient volume, provider utilization, staffing, retention, revenue, and margins.
• Develop and track KPIs to monitor practice health and progress.
• Create regular business reviews and presentation decks communicating performance, opportunities, and recommended actions.
• Help providers understand the financial and operational implications of business decisions.
• Identify recurring operational challenges and collaborate across functions on scalable solutions.
• Improve workflows, processes, tools, and systems that help providers operate and grow practices.
• Use data to identify trends, diagnose issues, and measure the impact of operational improvements.
• Help establish SLAs, KPIs, and accountability structures across the provider experience.
• Identify ways to improve Finni’s support for practices expanding across markets.
• Collaborate with RCM, credentialing, product, operations, and leadership teams.
• Connect provider needs with internal teams, help prioritize and resolve cross-functional issues, and partner with leadership on strategic initiatives.
• Become an expert on Finni’s products, services, and operating model.
• Ensure providers have the information, resources, and support needed to operate successful practices.
• Improve provider-facing resources, training, documentation, and self-service tools.
• Identify ways to make the provider experience more proactive, scalable, and effective.

Benefits

• Competitive compensation
• 401(k)
• Medical, dental, and vision insurance
• Flexible work schedule
• Paid time off
• Paid holidays
• Opportunity to have a meaningful impact on the growth of a rapidly scaling healthcare company
• Work directly with ABA practice owners and Finni leadership to shape the future of the provider experience

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed