General Manager
Added
2/12/2026
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This Role is Closed
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Note: We've kept the name of the company private. If you'd like to know the company before requesting an intro, just email us at hello [at] fractionaljobs.io
About Us
We acquire and operate behavioral health clinics (specifically ABA), and then focus on improving clinical operations and financial performance.
We've acquired one clinic so far in Florida ($3MM revenue), are about to acquire a second ($5MM revenue), and have a strong pipeline for future acquisitions this year.
About the Work
As we acquire clinics, we want to instill stronger operational oversight. We're looking for a Fractional General Manager to manage clinic performance, support growth (including new acquisitions), and drive operational excellence across the portfolio.
Specifically, you'll:
- Oversee day-to-day operations across one (soon to be two+) clinics, improving KPIs like utilization, cancellation rates, staffing levels, and authorization adherence
- Work directly with on-site clinic leaders (who have clinical backgrounds), to help strengthen their business discipline
- Review monthly P&Ls for each entity and drive progress toward margin goals
- Build a shared operating playbook across all clinics
- Support hiring strategy for the clinics to meet growth targets
- Advise on payer contracting and reimbursement strategy, including rate negotiations
- Help with diligence and integration of new clinic acquisitions
- Travel to clinic sites as needed to build relationships and reinforce expectations
Though this could be a full-time role, especially as we grow, we're looking for a fractional exec to immediately hit the ground running on the above goals. It can either transition into a full-time role or you'll help us find the right full-time replacement.
About You
You MUST have:
- Led multi-site operations as a COO, VP, Regional Director, etc. for any of the following types of clinics
- ABA
- Behavioral health
- Outpatient therapy (PT/OT/speech)
- Home health
- A strong clinical background, either as a clinician, or as an operator with significant experience leading clinical teams
- Experience monitoring and driving KPIs such as cancellation rates, utilization, and margin improvement
- Strong familiarity with fee-for-service reimbursement models and payer relations, including payer contracting and rate negotiation
- Based anywhere in the USA, and open to traveling to clinics as needed
Some nice-to-haves:
- BCBA credentials
- Have supported diligence for clinic acquisitions
How to Get in Touch
Hit that "Request Intro" button below. Include any relevant links so we can get to know you better.
Your brief intro note should clearly address:
- The multi-site clinics you've led Operations for, and what the scale and growth looked like
- Your clinical and care delivery experience, either directly or as a supervisor
- An example of margin-focused operational improvement you've driven
- Your expertise with fee-for-service reimbursement models and payer rate negotiations
If we think there's a fit, we'll reach out to schedule an intro call. Looking forward!
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