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Chief Operating Officer at Accanto Health. . Location: 1295 Bandana Boulevard West Suite 210 St. Paul, MN 55108. Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That’s why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care. . Position Overview. . The Chief Operating Officer (COO) is a mission-critical executive responsible for driving operational excellence, consistency, and enterprise value across a multi-state behavioral health organization specializing in eating disorders. Reporting to the CEO and serving on the Executive Leadership Team, the COO leads the design and execution of strategies that optimize the operating model—ensuring high-quality patient care, strong financial performance, and reliable execution across all locations.. . This leader oversees clinical operations, service delivery, staffing performance, and infrastructure across multiple levels of care. The ideal candidate brings deep healthcare operations experience, with a proven ability to standardize and improve performance in complex, multi-site environments while balancing mission and financial discipline.. . Location & Travel. . . Remote, US based role ( must be able to work for any employer in the US unrestricted). . . . Travel 25–40% across multiple states. . . . Compensation:  . . Typical Range is $250,000-$350,000 plus incentive pay. . Final Compensation offered will be within pay range based on qualifications/experience met for the position.. . . How COOs Empower Recovery. . . . Operational Strategy & Performance. . Develop and execute strategies to optimize operations, improve consistency, and drive performance across all sites. . Standardize workflows, staffing models, and performance metrics. . Implement dashboards and KPIs for real-time visibility and decision-making. . Identify operational gaps and lead performance improvement initiatives. . Clinical Operations & Quality. . Oversee operations across all levels of care (inpatient, residential, PHP, IOP, outpatient). . Partner with clinical leadership to improve patient outcomes, safety, and experience. . Optimize length of stay, throughput, and capacity utilization. . Ensure compliance with Joint Commission, CARF, state, and payer requirements. . Financial Performance & Efficiency. . Partner with Finance to drive P&L accountability and margin improvement. . Lead cost management, staffing efficiency, and productivity initiatives. . Oversee forecasting, resource allocation, and site-level performance. . Scale best practices across locations to improve outcomes and EBITDA. . Systems, Infrastructure & Integration. . Strengthen and standardize systems, processes, and operational infrastructure. . Partner with technology leadership to enable real-time, data-driven decisions. . Oversee vendor management, facilities, and supply chain efficiency. . People & Leadership. . Build and lead a high-performing, mission-aligned operations team. . Optimize staffing models to align with patient demand and financial goals. . Foster a culture of accountability, transparency, and data-driven performance. . Governance, Risk & Compliance. . Ensure compliance with healthcare regulations, accreditation, and HIPAA. . Maintain audit readiness and lead risk mitigation efforts. . Oversee patient safety, incident response, and quality improvement programs. . Executive & Stakeholder Partnership. . Provide data-driven insights to the CEO and Board on operational performance. . Collaborate cross-functionally to align operations with strategic priorities. . Represent the organization with payers, regulators, and external partners. . . . Qualifications. . Education. . . Bachelor’s degree in Healthcare Administration, Business, or related field required. . Master’s degree (MHA, MBA, or similar) preferred. . . Experience. . . 15+ years of healthcare operations leadership, including multi-site environments. . Experience in behavioral health and/or private equity–backed organizations preferred. . Proven track record improving operational efficiency, clinical outcomes, and EBITDA. . Experience standardizing systems and scaling performance across locations. . Strong knowledge of behavioral health regulations, accreditation, and payer dynamics. . Demonstrated success leading large, geographically dispersed teams. . . Personal Attributes. . . Strategic, analytical, and results-driven. . Strong operational judgment with a hands-on leadership style. . Transparent, credible, and accountable. . Effective communicator with executive and Board presence. . Mission-driven with a commitment to patient outcomes and organizational growth. . . Work Environment & Travel. . . Primarily office-based with extended computer use. . Travel 25–40% across multiple states. . .  . .  . What we offer: . . Employee Benefits:. We understand the importance of a well-rounded benefits package. That’s why we’re dedicated to providing a range of plans to meet your needs.  . . For full-time employees, we offer: . . . HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield) . . Dental insurance (Delta Dental). . Vision insurance (EyeMed) . . Short-term and long-term disability insurance . . Company-paid life insurance . . 401(k) plan available two months after start date. . Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation . . . Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO. . .