Chief Operating Officer

Responsibilities

• A. Executive & Strategic Leadership
• Serve as a strategic partner to the CEO and executive team
• Lead growth execution of the agency's strategic plan across all service lines by Operationalizing New program launches, Site expansions, &Service line scaling
• Ensure operational alignment with mission, values, and growth strategy
• Provide oversight of organizational performance and accountability
• Helps support alignment between: Clinical, Compliance, Finance, HR, & IT
• B. Operational Excellence & Performance Management
• Oversee operational effectiveness and consistency across all programs and locations
• Drive continuous improvement through data-informed decision-making (PDCA, MDI, etc.) including data integrity and performance transparency
• Develop and monitor KPIs tied to access, quality, engagement, and financial sustainability
• Standardize workflows, staffing models, and service delivery
• Identify and implement scalable operational efficiencies
• Oversight of clinical operations performance in partnership with CMO/Clinical Leadership
• Responsible for execution of strategic priorities through operational leadership
• C. Financial & Value-Based Performance
• Partner with finance and value-based care teams to monitor performance Drive initiatives to improve payor outcomes and total cost of care
• Oversee performance improvement plans aligned with payor expectations
• Utilize data analytics to inform service line and operational decisions
• Accountability for: Operational budgets by service line, Staffing models tied to financial performance & Cost containment initiatives
• D. Workforce Strategy & Leadership Development
• Build and lead a high-performing leadership team
• Ensure effective staff allocation and utilization across service lines
• Develop scalable leadership structures to support growth
• Foster a culture of accountability, engagement, and continuous improvement
• Oversight of: Staff safety initiatives, Retention, burnout mitigation, Productivity vs. compliance balance
• E. Community & Market Engagement
• Maintain strong relationships with payors (Wellpoint, BlueCare, UHC, etc.) and community partners across Tennessee
• Represent MHC in external meetings and initiatives in the CEO's absence
• Ensure services align with community needs and state priorities
• Leverage relationships to support growth and partnerships
• F. Compliance, Quality & Regulatory Oversight
• Partnership with Compliance/Risk to drive organization-wide risk reduction
• Oversee quality assurance and performance improvement efforts
• Maintain adherence to Corporate Compliance standards
• Promote a culture of safety and regulatory excellence
• Oversight of enterprise risk management framework
• Oversight of Crisis Management, Emergency Preparedness, & business continuity planning
• Drive staff and patient safety initiatives, including workplace violence prevention
• Experience & Qualifications
• Required
• Executive leadership experience in healthcare or behavioral health operations (COO, VP, or equivalent)
• Strong knowledge of Medicaid, value-based care, and regulatory environment
• Deep understanding of Tennessee behavioral health landscape and market
• Proven experience leading multi-site, multi-service line operations
• Demonstrated abilit

Benefits

Additional Information

Ranked one of Tennessee's top places to work, MHC is a rare and special place where outstanding company culture is intentional. Where clients and associates are treated the same, as equals. Mental Health Cooperative, Inc. (MHC) was formed in 1993 to serve individuals with severe and persistent mental illness. Since then, we have expanded our services to children and adolescents with severe emotional disorders across Middle and East Tennessee. Our sole purpose is to support and treat those challenged with serious mental illness and poverty. Although based out of Nashville, we serve several communities across middle and East Tennessee with satellite offices in Antioch, Gallatin, Dickson, Columbia, Cleveland, Murfreesboro, Clarksville, Cookeville, Chattanooga, and Memphis. If you are interested in joining a team that is caring, collaborative, innovative and energizing this might be a great place for you! Job Summary The Chief Operating Officer (COO) is responsible for the overall operational effectiveness, consistency, and performance across all Mental Health Cooperative (MHC) locations and lines of business. As a key member of the executive leadership team, the COO ensures alignment of operations with MHC's mission, vision, and strategic priorities while driving high-quality, accessible behavioral health services across the organization. This role provides strategic and operational leadership to optimize performance, enhance care delivery, and achieve key outcomes related to quality, access, and total cost of care. The COO will lead scalable operational structures, foster a high-performing leadership culture, and ensure MHC remains responsive to the evolving TennCare Medicaid landscape and community needs.

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