Vice President of Operations – ACTT Services

Pyramid Healthcare•Williamston, NC

15d•$130,000 - $140,000•Hybrid

About The Position

Pyramid Healthcare is seeking a Vice President of Operations to provide executive-level operational leadership and oversight for assigned Assertive Community Treatment Team (ACTT) programs and locations. The role is accountable for operational excellence, financial performance, regulatory compliance, staffing effectiveness, program growth, and quality service delivery. The Vice President partners with executive, clinical and psychiatric leadership, Executive Directors, ACTT Team Leaders, and organizational support departments to ensure programs operate effectively and deliver recovery-oriented, community-based behavioral healthcare. The position oversees ACTT model fidelity and program performance, including operational and financial indicators, staffing, service delivery, documentation, audits, and corrective action plans. It collaborates on budgets and resource allocation, develops program leaders, supports workforce planning, ensures regulatory and payer compliance, and helps guide program development and expansion. This is a full-time hybrid executive leadership role combining remote work, office responsibilities, and regular travel to assigned ACTT programs and community-based service locations. Travel and schedules may vary with operational needs, and availability to address urgent operational or crisis-response concerns is required.

Requirements

Master’s degree from an accredited college or university in Business Management, Chemical Dependency, Psychology, Social Work, Counseling, Nursing with a clinical specialty in the human services field, or a related field.
Three to five years of management experience in the substance use disorder or mental health field.
Three to five years of experience in a human services agency, including supervision, direct service, and program planning.
Extensive experience overseeing behavioral healthcare programs and operations, including clinical treatment services, program management, and service delivery.
Experience managing multiple facilities.
Thorough knowledge of substance use disorder and mental health systems, treatment modalities, and service delivery models.
Strong knowledge of applicable federal and state behavioral healthcare regulations, licensing requirements, payer requirements, and accreditation standards, including HIPAA and CARF.
Demonstrated financial management skills, including budgeting, fiscal oversight, cost containment, and resource allocation.
Ability to analyze and interpret financial statements, operational reports, statistical data, and program performance metrics.
Strong executive leadership, interpersonal, and relationship-building skills, including the ability to develop and support program leaders across multiple locations.
Knowledge of continuous quality improvement principles and operational improvement techniques.
Ability to evaluate ACTT-specific operational and financial performance indicators and implement effective corrective actions.
Strong organizational, time-management, analytical, problem-solving, and decision-making skills.
Excellent oral and written communication skills, sound professional judgment, and ability to manage competing priorities across multiple programs.
Ability to remain calm, professional, and decisive in crisis or high-pressure situations while maintaining confidentiality and effective working relationships with stakeholders.
Knowledge of claims submission, collections, and related revenue cycle processes.
Ability to travel regularly to assigned ACTT programs and community-based service locations and to address urgent operational or crisis-response concerns as needed.

Nice To Haves

Experience overseeing ACT, ACTT, community mental health, or other intensive community-based behavioral healthcare services.
Experience managing multidisciplinary behavioral healthcare teams or programs across multiple geographic locations.
Experience with Medicaid managed care, service authorizations, reimbursement requirements, and payer audits.
Knowledge of ACTT service definitions, multidisciplinary staffing requirements, community-based treatment, crisis-response expectations, and model-fidelity standards.
Familiarity with TMACT or comparable ACT fidelity-review processes.

Responsibilities

Provide strategic and operational oversight of assigned ACTT programs, supporting consistent ACTT model implementation and applicable service requirements.
Ensure recovery-oriented services align with client needs, program requirements, and payer standards.
Oversee model-fidelity reviews, including TMACT assessments where applicable, payer audits, documentation compliance, and corrective action plans.
Partner with clinical and psychiatric leadership on assessments, treatment planning, crisis-response coverage, psychiatric backup, care coordination, and continuity of services.
Monitor ACTT performance indicators such as referrals, admissions, census, staffed capacity, service frequency, completed visits, productivity, documentation timeliness, and client engagement.
Evaluate operational and financial impacts related to staffing vacancies, incomplete visits, authorizations, reimbursement, and underused capacity; establish expectations and action plans to address gaps.
Collaborate with Executive Directors, ACTT Team Leaders, and other leaders to promote operational consistency, accountability, and organizational objectives.
Collaborate on annual budgets and monitor financial performance across assigned programs.
Oversee resource allocation, cost containment, staffing expenses, and operational expenditures; analyze financial and program data to identify risks and improvements.
Monitor billed units, FTE staffing, payer mix, service utilization, and other operational and financial targets.
Partner with Revenue Cycle and internal departments on claims, collections, authorizations, reimbursement, and related concerns.
Provide operational leadership to ACTT service-line and program leaders, including Team Leaders and designated management staff.
Support recruitment, selection, onboarding, development, and performance management; partner with HR and Recruitment on staffing, retention, workforce development, and succession planning.
Support appropriate staffing levels, multidisciplinary team composition, shared caseload practices, and workforce accountability.
Ensure compliance with applicable regulations, licensing requirements, service definitions, payer requirements, and accreditation standards.
Collaborate with Quality, Compliance, Clinical, Psychiatric, and Revenue Cycle teams on regulatory concerns, service delivery, client safety, and performance improvement.
Support timely training, documentation, audits, and corrective action plans; promote continuous quality improvement, ethical decision-making, confidentiality, and policy compliance.
Support ACTT program development and expansion based on community needs, referral demand, staffing structures, and service capacity.
Evaluate readiness, staffing, performance, and resources for growth or changes in service delivery.
Work with executive and facility leadership, referral sources, and internal departments to strengthen coordination and operational consistency.
Identify opportunities to improve efficiency, appropriate service utilization, referral relationships, and community-based care.
Work collaboratively with Human Resources and executive leadership to address staffing, leadership, and operational concerns across assigned programs.