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Job description
WHO WE ARE
We are a pediatric speech therapy provider serving families across northwest metro Atlanta for the past twenty-eight years. Across three clinics in Lawrenceville, Loganville, and Peachtree Corners, our speech-language pathologists work with children and their families on the communication skills that shape a child's confidence, education, and independence.
Our Mission
To help every child thrive by providing compassionate, high-quality care, supporting families throughout their journey, and creating an environment where children feel understood, supported, and empowered.
Our Core Values
Child First — We put each child’s needs, progress, and potential at the heart of every decision.
Families as Partners — We listen, communicate openly, and work alongside families throughout their child’s journey.
Excellence in Care — We provide compassionate, high-quality care and continually strive to improve how we serve children and families.
Stronger Together — We support one another and collaborate as a team, because the best outcomes happen when families, therapists, and care teams work together.
We are looking for someone who genuinely connects with our mission and values, because that alignment matters more in this role than in almost any other on our team.
JOB DESCRIPTION
Our team is seeking an experienced Clinical Operations Director to serve as the operational center of a multi-site pediatric therapy practice entering its next chapter of growth. This is a role for an operator who has run a clinical practice before and will bring proven systems rather than learn them here.
The practice was acquired ten months ago and now operates under an investor-backed growth plan led by executives with strong financial and strategic backgrounds. That plan calls for expansion to ten locations along with the addition of occupational therapy, physical therapy, and ABA services. Reaching that scale depends first on stabilizing what exists today. The application code word is EMPOWER. Your work will be to build the operational foundation, clinician retention, and documented systems that make multi-site expansion achievable rather than aspirational.
You will be the bridge between executive ownership and a long-tenured clinical and administrative team. Ownership thinks in financial metrics, billable utilization, and acquisition timelines. The clinical team thinks in patient outcomes, family relationships, and therapist wellbeing. Both perspectives are valid, and this practice needs someone who can translate fluently in both directions while holding the line on what clinical quality actually requires.
This is a full-time, on-site position based across our three metro Atlanta clinics. Given how critical this role is to the business, we host a rigorous four-part application process.
WHAT MAKES THIS ROLE UNIQUE
You are stepping into a practice that has real problems and real assets in equal measure, with significant challenges and equally strong assets.
A rigid salary-and-quota model contributed to nineteen speech-language pathologists leaving in nine months, creating waitlists of 250+ children and straining referral relationships. The sole Therapist Manager spends roughly ninety percent of her time treating patients, leaving little capacity for onboarding or mentoring. The Office Manager owns credentialing, patient relations, purchasing, and payroll while handling HR matters outside her training. Frontline coordinators manage Medicaid authorization holds and difficult parent conversations without documented procedures.
The foundation is strong. The practice has twenty-eight years of community reputation, and the administrative team averages more than a decade of tenure. Systems talent already exists internally, including a former process improvement manager currently doing manual collections work. Ownership is committed to investing in a stronger operating model.
Success comes down to one primary outcome: stabilize clinician retention and build documented systems that reduce ownership's daily involvement.
This requires diplomacy and firmness. You will earn trust, translate growth goals into sustainable workflows, establish communication through managers, and gradually free ownership to focus on future acquisitions.
RESPONSIBILITIES (TASKS ASSOCIATED WITH THE ROLE)
Own therapist retention and improve compensation and utilization models to support clinician success
Restore psychological safety so clinical and admin teams raise quality and compliance concerns early
Strengthen onboarding and mentorship so clinicians reach productivity with proper support
Rebuild referral relationships with universities, pediatricians, and training programs
Define roles and responsibilities across administrative and clinical leadership
Restructure the Therapist Manager role to protect time for onboarding, mentoring, and quality
Remove HR-related scope creep from the Office Manager role
Establish weekly leadership and communication cadences through managers
Systems, SOPs & Technology
Document SOPs for scheduling, intake, credentialing, authorizations, and billing
Optimize the EMR, including automating physician Plan of Care signatures
Implement task management for clear ownership and accountability
Build an operational playbook for future clinic locations
Revenue Cycle & Compliance
Restructure billing, including transition toward in-house operations
Maintain Georgia Medicaid compliance across documentation, authorizations, and billing changes
Reduce authorization-related revenue delays through better processes
Report clinic performance metrics to ownership consistently
Working With Ownership
Turn growth targets into sustainable operational plans
Push back with evidence when decisions create clinical, compliance, or retention risk
Give ownership visibility without requiring daily intervention
Prepare systems for new locations and services
REQUIREMENTS (EXPECTED PROFICIENCIES)
Experience Requirements (Non-Negotiable)
3+ years leading pediatric therapy operations across speech, OT, PT, or ABA, with knowledge of clinical workflows and therapist utilization
Strong knowledge of Georgia Medicaid, including Plan of Care signatures, authorizations, and billing codes
Experience building SOPs from scratch as an Integrator, Practice Administrator, Operations Director, or similar
Experience optimizing EMR/practice management systems; Qualifacts InSync or similar preferred
Experience implementing task management tools such as ClickUp or Monday.com
Core Competencies
Proven ability to improve clinician retention, compensation structures, and culture
Systems thinking that reduces owner dependency
Outcome-based management focused on results
Revenue cycle knowledge across authorizations, claims, collections, and payers
Change management that brings stability during disruption
Critical Soft Skills (Deal-Breakers)
High emotional intelligence and ability to rebuild trust with veteran staff
Strong boundaries that protect teams from role creep
Diplomatic assertiveness when challenging ownership
Comfortable leading performance and accountability conversations
Calm and resilient under pressure
Technical Requirements
Strong organization, time management, and attention to detail
Able to work on-site across three northwest metro Atlanta clinics on Eastern Time
Comfortable with clinical documentation, payroll, and reporting systems
Mindset & Cultural Fit
Sees operational challenges as opportunities to build durable systems
Maintains high standards and stability through obstacles
Supports growth while protecting clinical quality
Believes operations should enable excellent patient care
Motivated by developing people and improving performance
WHAT SUCCESS LOOKS LIKE
First 30 Days
Meet clinical and administrative leaders, clarify roles, remove HR disputes from the Office Manager, and diagnose clinician turnover
Days 30 to 60
Protect Therapist Manager time for mentoring, establish leadership cadence, automate Plan of Care signatures, and reduce authorization holds
Days 60 to 90
Restructure billing, document core SOPs, stabilize clinician retention, and hire through an improved onboarding process
Days 90 to 180
Achieve measurable retention stability, reduce waitlists, establish consistent owner reporting, reduce daily owner involvement, and complete the expansion playbook
BENEFITS
Compensation: Base salary of $85,000 to $115,000, commensurate with experience, plus a performance bonus. On-target earnings (OTE) of up to $130,000. Bonus is tied to clinician retention, margin stabilization, and multi-site expansion milestones.
Employment type: Full-time W2 position with health, dental, and vision benefits.
Time off: Two weeks of PTO, accrued over the course of the year, plus five paid holidays (New Year's Day, Martin Luther King Jr. Day, Independence Day, Thanksgiving Day, and Christmas Day).
Professional development: This role is supported by an external operations program that includes ops mentorship, a peer community, and live coaching.
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Worksite address
lawrenceville, GA, 30243, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.