OTP Clinic Administrator - Hope and Healing Clinic

Hope and Healing Clinic•Tumwater, WA

5d•Hybrid

About The Position

Hope and Healing Clinic is seeking an experienced, people-first leader to serve as OTP Clinic Administrator. This role is the operational and cultural anchor of our Medication for Opioid Use Disorder (MOUD) program — responsible for the day-to-day performance of our brick-and-mortar clinic and associated satellite and mobile medication unit locations. The right candidate brings both the regulatory expertise to run a highly compliant OTP program and the leadership presence to build a team that delivers excellent, dignified care. You will partner closely with the Medical Director on clinical oversight and report directly to the Care Community Leader to advance the clinic’s strategic goals.

Requirements

Bachelor’s degree in Healthcare Administration, Public Health, Business, Nursing, Behavioral Health, or related field (experience may substitute year-for-year).
8-10 years of progressive healthcare leadership, including 5+ years in a supervisory or operations management role.
Demonstrated knowledge of 42 CFR Part 8, 42 CFR Part 2, HIPAA, DEA requirements, WA DOH, and WA HCA Medicaid billing standards.
Experience with DEA inspections, state licensing reviews, federal/state audits, or WA State/CARF/Joint Commission accreditation.
Proven track record managing multidisciplinary teams with a coaching-oriented, accountable leadership style.
Strong financial literacy: budget oversight, reporting, and KPI analysis.
Proficiency across tech platforms and applications, as well as in EHR systems and Microsoft Office Suite.
Ability to pass required background checks; no evidence of alcohol or drug misuse within 3 years prior to employment.

Nice To Haves

Master’s degree (MHA, MPA, MPH, MBA, or related).
3+ years of direct experience in an OTP, MAT, or Substance Use Disorder treatment setting
Active Washington State licensure (RN, LMHC, LICSW, SUDP, or equivalent).
Experience in a Washington State licensed OTP or tribally operated healthcare system.
Experience managing mobile medication units or satellite dosing sites.
Experience leading QAPI programs and RCM processes in a regulated healthcare setting.
Knowledge of third-party payer enrollment (Medicaid, Medicare, commercial insurance) and CAQH maintenance.
Lean, Six Sigma, or other process improvement certification.

Responsibilities

Directly supervise a multidisciplinary team — including dosing nurses, counselors, peer support specialists, drivers, safety, and front office staff — ensuring clear expectations, accountability, and reliable day-to-day operations.
Lead recruitment, onboarding, performance management, and corrective action with consistency and care, resolving issues early through coaching, feedback, and barrier removal.
Build structured onboarding and competency-based training programs that set staff up for success from day one.
Establish clear expectations and align individual and team goals with clinic priorities, creating a shared understanding of what success looks like.
Address conflict and performance challenges directly and compassionately, protecting both team cohesion and patient safety.
Model and reinforce a culture of trauma-informed, culturally responsive, harm reduction-focused care while upholding high standards of accountability and professionalism.
Build collaborative relationships across clinical, operational, and administrative teams to ensure aligned decision-making and seamless delivery of care.
Lead teams through organizational change with transparency and clear communication, helping staff navigate evolving priorities while maintaining stability and trust.
Coach supervisors and emerging leaders, investing in the long-term depth and readiness of the team.
Develop and support leaders to independently manage operations, staff, and day-to-day challenges while fostering accountability and ownership.
Identify and develop emerging leaders, building internal talent pipelines and creating opportunities for growth, cross-training, and career advancement.
Build strong pathways for staff development, growth, and succession planning across the team.
Maintain a consistent leadership presence through coaching, regular one-on-ones, and proactive communication that strengthens engagement and connection.
Cultivate an engaged workplace culture by recognizing contributions, encouraging collaboration, and creating opportunities for meaningful staff involvement and feedback.
Foster psychological safety, giving leaders and staff the confidence to grow, take ownership, and raise challenges early.
Oversee end-to-end clinic operations: dosing, intake, counseling coordination, case management workflow, and patient flow.
Monitor and act on KPIs including census, average daily census (ADC), retention rates, no-show rates, and dosing throughput.
Develop and maintain SOPs and operational playbooks aligned with tribal, federal, and state requirements.
Lead continuous improvement initiatives to enhance patient experience and operational efficiency.
Ensure full compliance with 42 CFR Part 8, 42 CFR Part 2, HIPAA, DEA, Washington DOH/HCA, and tribal governance standards.
Maintain audit and inspection readiness at all times; oversee documentation integrity and controlled substance security.
Serve as the clinic’s Privacy Officer and lead the Quality Assurance/Performance Improvement (QAPI) program.
Oversee diversion prevention, adverse event monitoring, chart audits, and corrective action plans.
Oversee front-of-house RCM processes including registration, eligibility verification, and insurance verification.
Manage clinic operating costs within approved budgets and provide data-driven recommendations to leadership.
Support program expansion including mobile units, satellite sites, and behavioral health integration.
Ensure services reflect tribal sovereignty, community values, and culturally grounded healing practices.
Participate in community reporting and tribal health initiatives as applicable.