Regional Director

AOC Outreach Services•Houston, TX

1d•Onsite

About The Position

The Regional Director leads and is accountable for the growth, finances, billing, prior authorizations, compliance, and results of an assigned AOC Outreach Services region. The role ensures regional services generate enough funding to cover payroll and overhead and contribute profit to the company. The Regional Director leads the region rather than managing day-to-day service delivery, which is owned by the Program Director. The position reports to the Chief Executive Officer and oversees the region’s Program Director(s), through whom the administrative, QMHP-CS, and Clinical Service Teams report. The role works with Finance, Billing, HR, the VP of Compliance, Clinical Director, Crisis Clinical Director, and Lead Administrator. The location is the assigned AOC region, with travel across regional sites and to Houston Headquarters for executive meetings. AOC Outreach Services’ mission is to provide special needs children and adults, and their families, the opportunity to succeed through innovative and effective programs and quality mental health services. Its vision is to provide life-changing services across Texas, expand mental health resources, and help eradicate stigma around mental health. The Regional Director grows the client base through referrals, outreach, marketing, and partnerships; maintains partner-agency MOUs for CEO signature; and drives crisis-first growth, targeting at least 20 new crisis clients per month. The role owns the regional budget review, monitors collections, payroll, expenses, and profit, and explains monthly invoice variances. It monitors claims, billing issues, prior authorizations, documentation approvals, and denials, and is responsible for timely responses and resolution. The Regional Director ensures scorecard and KPI requirements are met, submits and presents the Monthly Regional Report, proactively brings performance misses and corrective plans to executive meetings, and owns regional audit results and corrective actions. The role upholds applicable Texas Medicaid, HIPAA, and AOC policies; holds Program Directors accountable for service delivery; coordinates with HR on staffing matters; ensures required onboarding and training are completed; maintains adequate clinician and QMHP staffing; and develops future regional leadership. The Regional Director also models AOC’s Humble, Hungry, Smart leadership values, signs the Leadership Pledge as required, shares AOC’s founding story and purpose, and leads regional launches using the Regional Launch Playbook. The role does not own day-to-day service delivery, clinical or crisis decisions, hiring and HR administration, building the P&L, MOU signatures, company policy, or regional baselines; these are assigned to the Program Director, Clinical leadership, HR, Finance, or CEO as specified in the job description. Performance standards include at least $20,000 monthly profit per site, at least 104 clients in skills training plus case management per region, at least 20 new crisis clients per month, 8–10 QMHPs per clinician, achievement of the regional scorecard baseline, a quarterly compliance audit score of at least 80% with corrective action completed, monthly reporting by the 2nd, leadership values averaging at least 3.0, and responses to emails and calls within 24 hours. Two consecutive months below the regional baseline result in automatic escalation to the CEO and a Performance Improvement Plan.

Requirements

Bachelor’s degree in business, health administration, social work, psychology, or a related field, or equivalent leadership experience.
Experience leading teams and owning results for a program, location, or business.
Comfort reading financial reports and managing a budget.
Strong relationship-building, communication, and organizational skills.
Valid driver’s license, reliable transportation, and ability to travel within the region.

Nice To Haves

Experience in Medicaid-funded behavioral health or children’s services.
Knowledge of Medicaid billing, prior authorizations, and documentation requirements.
Experience with Lauris Online, HubSpot, and BambooHR, or similar systems.
Existing relationships with child-serving agencies, CPAs, schools, or DFPS in the region.

Responsibilities

Grow the regional client base through referral sources, community outreach, marketing, and partnerships.
Develop and maintain MOUs with partner agencies, prepare them for CEO signature, and keep them in good standing.
Drive crisis-first growth, targeting at least 20 new crisis clients per month, and represent AOC at approved community events.
Own the regional budget and review overhead with Finance; monitor collections, payroll, expenses, and profit, and explain monthly invoice variances.
Ensure regional services generate adequate funding to cover payroll and overhead and deliver profit to AOC; follow spending policies, including event pre-approval and responsibility for extra marketing materials.
Monitor regional claims and ensure they are paid; respond to Billing within 24 hours and ensure billing issues and corrections are resolved.
Monitor prior authorizations, including incomplete requests, peer-to-peer reviews, and expiring authorizations; ensure documentation is approved within 24 hours so services can be billed.
Understand regional denials, their causes, and how they were resolved.
Ensure monthly scorecard and KPI requirements are met; submit the Monthly Regional Report by the 2nd of each month and present it at the Monthly Executive Meeting.
Proactively report regional performance misses at the Monthly Executive Meeting and bring plans to address them.
Own regional audit results, including the quarterly compliance audit, and complete corrective actions.
Know and uphold applicable Texas Medicaid, HIPAA, and AOC policies.
Hold the Program Director accountable for day-to-day service delivery.
Work with HR on staffing needs, hiring, onboarding, and discipline; ensure regional staff complete BambooHR onboarding and AOC Staff Academy.
Ensure the region has enough clinicians and QMHPs for its client base, maintaining 8–10 QMHPs per clinician.
Develop the next leader in the region.
Lead according to AOC’s Leadership Standard and Humble, Hungry, Smart values; sign the Leadership Pledge at onboarding, annually, and upon role or region changes.
Share AOC’s founding story and Our Why at new-hire orientation and regional launches, and lead the region through the Regional Launch Playbook.
Travel across assigned regional sites and to Houston Headquarters for executive meetings.