Chief Operating & Financial Officer (COFO)

The role

The Chief Operating & Financial Officer will run the operating and financial engine of Backpack Healthcare. This person will lead the PMO, drive the operating system, manage budgets, and oversee capacity and workforce planning.

What you will do

• Run the portfolio of company initiatives with clear owners, milestones, budgets, and status
• Apply Lean Six Sigma methods to map processes, cut waste, and reduce variation
• Lead SOP development across the company
• Drive performance across the full patient funnel
• Lead business operations and the PMO
• Manage the operating Budget for the functions you lead
• Partner with the CEO on the annual Budget and monthly reforecasts
• Build the capacity model that connects demand, hiring, credentialing, and scheduled sessions
• Partner with compliance and clinical leaders to meet Medicaid and state regulations
• Provide executive oversight of HR, including talent, compensation, benefits, and workforce planning

Required qualifications

• 10+ years of progressive operations leadership
• 5 years in healthcare
• Experience managing an operating Budget or P&L
• Hands on experience running credentialing, scheduling, care coordination, or the operational inputs to revenue cycle
• Multistate healthcare operations experience
• Demonstrated success helping a growth stage or venture backed company move toward profitability
• Track record of redesigning processes end to end and documenting them in SOPs and policies
• Experience presenting to boards and investors alongside a CEO
• Bachelor's degree in Business Administration, Operations Management, Industrial or Systems Engineering, Healthcare Administration, Finance, or a related field
• SOP development and policy writing
• Workflow and process design
• Financial modeling and unit economics

Nice to have

• Behavioral health, Medicaid, or managed care experience
• Advanced degree: MBA, MHA, MPH, or MS in Operations Management, Industrial Engineering, or Engineering Management
• Lean Six Sigma: Black Belt preferred; Green Belt at minimum
• Project Management Professional (PMP) or Program Management Professional (PgMP)
• PMI Agile Certified Practitioner (PMI ACP), Certified ScrumMaster (CSM), or SAFe certification
• Lean certification (such as SME Lean Bronze or Silver, or a Certified Lean Practitioner credential)
• ASQ Certified Manager of Quality/Organizational Excellence (CMQ/OE)
• Certified Professional in Healthcare Quality (CPHQ) or Fellow of the American College of Healthcare Executives (FACHE)
• HFMA Certified Healthcare Financial Professional (CHFP) or Certified Revenue Cycle Representative (CRCR)
• Master Black Belt

Benefits

• Medical, dental, and vision coverage
• 401(k)
• Exceptional equity package

About the company

Backpack Healthcare is a Medicaid-first, venture-backed behavioral health company delivering whole-family telehealth care across Maryland, Virginia, Georgia, Michigan, and Illinois.