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Job description
InSight Recovery & Wellness is a growing, physician-led behavioral healthcare organization providing psychiatry, addiction medicine, MAT, counseling, medical directorships, and facility-based clinical services across Tennessee.
We have built a strong clinical foundation and grown steadily over the past several years. Our model works. Our next challenge is scale.
We are seeking a Chief Operating Officer / Integrator to partner directly with our Founder & CEO and serve as the primary operational executive of the company.
This is not a maintenance role. We are looking for a builder who can help transform a founder-led growth company into a more scalable healthcare organization with stronger systems, clearer accountability, better financial visibility, and expanded capacity for growth.
The Role
Chief Operating Officer / Integrator
Franklin, Tennessee
An Opportunity
InSight Recovery & Wellness is a growing, physician-led behavioral healthcare organization providing psychiatry, addiction medicine, MAT, counseling, medical directorships, and facility-based clinical services across Tennessee.
We have built a strong clinical foundation and grown steadily over the past several years. Our model works. Our next challenge is scale.
We are seeking a Chief Operating Officer / Integrator to partner directly with our Founder & CEO and serve as the primary operational executive of the company.
This is not a maintenance role. We are looking for a builder who can help transform a founder-led growth company into a more scalable healthcare organization with stronger systems, clearer accountability, better financial visibility, and expanded capacity for growth.
The Role
The COO / Integrator will take ownership of the internal operating engine of InSight, including:
Day-to-day business operations
Financial operations, budgeting, forecasting, and performance reporting
Revenue cycle oversight and optimization
Leadership accountability and execution
Clinic and facility operations
Provider productivity and operational efficiency
Staffing and organizational planning
Systems and process improvement
Execution of strategic growth initiatives
The COO will also play an important role in InSight's next phase of growth, including additional clinic locations, hospital partnerships, and expansion of facility-based services .
The successful candidate will combine operational discipline with entrepreneurial judgment and naturally look for opportunities to improve both patient care and business performance.
What Success Looks Like
During the first year, we expect this leader to help:
Grow InSight's annualized revenue run rate by 1.5x
Strengthen revenue cycle performance and financial visibility
Build reliable dashboards and operating metrics
Improve provider utilization and operational efficiency
Establish clear accountability across departments
Strengthen clinic and facility operations
Reduce dependence on the Founder for day-to-day management
Build scalable systems capable of supporting continued growth
Ideal Candidate
We are looking for a proven healthcare operator, ideally with 8+ years of progressive healthcare leadership experience and meaningful exposure to the broad mechanics of running a healthcare business.
Strong candidates may have experience in physician practices, multi-site outpatient organizations, MSOs, specialty healthcare companies, or other small to mid-sized healthcare businesses.
Experience should include several of the following:
Healthcare operations
P&L or significant financial responsibility
Revenue cycle management
Healthcare finance and reporting
Provider productivity and staffing models
Payer contracting or reimbursement
Multi-site operations
Organizational growth and scaling
Developing and leading high-performing teams
Behavioral health experience is welcome but not required . We value broad healthcare operating experience, judgment, and leadership ability more than specialty-specific experience.
Who Will Thrive Here
The right person is:
A servant leader with low ego and high accountability
Financially and commercially minded
Comfortable working in an entrepreneurial environment
Resourceful when resources are limited
Direct, thoughtful, and willing to address difficult issues
Organized without being bureaucratic
Able to challenge a physician founder constructively
Passionate about developing leaders rather than controlling every decision
Energized by building organizations rather than simply maintaining them
We are particularly interested in executives who have worked close enough to the business to understand how healthcare actually operates - not only leaders whose careers have been confined to narrow functions within large corporate systems.
Our Culture
Our core values guide how we care for patients, work with partners, and lead one another:
Dedicated to Excellence
Led by Compassion
Rooted in Humility
Remarkably Flexible
Highly Collaborative
The COO / Integrator will be expected to protect these values while helping build the structure and accountability required for a larger organization.
Compensation
InSight will offer an executive-level compensation package designed to align the COO with the long-term success of the company, including:
Competitive base compensation
Performance-based bonus tied to growth and profitability
Comprehensive benefits
Potential long-term incentive opportunity for the right candidate
We are looking for more than an executive employee. We are looking for a long-term operating partner who wants to roll up their sleeves with us and help build the next stage of InSight.
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Worksite address
nashville, TN, 37247, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.