Operations Manager, ABA / Practice Manager, ABA

Job Description

Job Description

About Hand Over Hand LLC

At Hand Over Hand, we believe every child deserves the opportunity to thrive. As a leading provider of Applied Behavior Analysis (ABA) therapy, we partner with families to empower children with autism and developmental disabilities. Our work is deeply mission-driven: we’re here to make a difference in the lives of children and their communities.

Our culture is collaborative, supportive, and purpose-filled. We celebrate the growth of our team, of our families, and of ourselves. If you’re passionate about early childhood development and want to do meaningful, hands-on work that truly changes lives, you’ll feel right at home here.

Why This Role Matters

This isn’t just an operations role; it’s the engine behind clinical excellence!

As our ABA Operations Manager (or Director for the right candidate), you will lead and optimize the systems that ensure clients receive timely, high-quality services. From reducing waitlists and accelerating intake conversion to optimizing staffing models and tracking performance metrics, your work directly impacts access to care and client outcomes.

You will partner closely with Clinical Leadership to ensure operational strategy supports treatment integrity, regulatory compliance, financial performance, and an exceptional client and family experience. If you love solving complex operational puzzles, translating data into action, and building scalable systems that drive measurable results, this role was built for you!

How You’ll Make an Impact

• Transform the intake experience: Streamline and accelerate patient intake from inquiry to assessment to service start.
• Reduce client waitlists: Design and implement systems that increase capacity while maintaining quality standards.
• Optimize staffing & scheduling: Align workforce planning with caseload demand to maximize therapist utilization and reduce service gaps.
• Drive KPI performance: Monitor operational dashboards, including intake conversion, retention, productivity, revenue per site, and utilization metrics.
• Strengthen family engagement: Ensure operational systems support a seamless, responsive, client-centered experience.
• Improve financial performance: Manage budgets, monitor productivity ratios, and identify margin optimization opportunities.
• Lead continuous improvement: Identify workflow inefficiencies and implement structured, data-driven solutions.
• Serve as an escalation leader: Resolve complex operational challenges with professionalism and composure.

What You’ll Own & Elevate

• End-to-end operational performance across ABA center and home programs
• Patient intake workflows and conversion systems
• Waitlist reduction strategy and capacity planning
• Staffing forecasts and scheduling optimization
• Utilization ratios and therapist productivity tracking
• Budget oversight and operational financial reporting
• Revenue per center, classroom, and county performance
• Client retention and satisfaction metrics
• Bi-weekly operational reporting to executive leadership
• Cross-functional alignment between Clinical, Talent, Finance, and Operations teams

Who You Are

• A strategic thinker who sees the connections between intake, staffing, scheduling, financial performance, and client outcomes
• A decisive leader who thrives in fast-paced, mission-driven healthcare environments
• Data-driven and comfortable interpreting dashboards, KPIs, and operational reports
• Skilled at balancing financial accountability with client-centered care
• Calm under pressure and effective at resolving escalations
• Passionate about building high-accountability, high-performance teams
• A systems builder who loves optimizing workflows and driving measurable improvement

What You Bring

• Bachelor’s degree in Healthcare Administration, Business, Operations Management, Public Health, or related field (required)
• 3–5+ years of operational leadership experience in healthcare, behavioral health, education, or clinic-based environments
• Strong experience in staffing models, scheduling systems, and capacity planning
• Demonstrated success improving operational KPIs and workflows
• Financial acumen, including budget management and performance reporting
• Understanding of ABA service delivery and payer authorization processes (strongly preferred)
• Experience leading change initiatives and performance improvement strategies

Why You’ll Love Working Here

• Competitive compensation: Annual salary plus performance incentives
• Valued career experiences: Level and title (Manager or Director) based on experience and scope
• Comprehensive benefits package: Medical, dental, vision, 401(k), PTO, sick time, and more
• Executive visibility: Direct collaboration with senior leadership and clinical executives
• Growth-focused culture: We invest in leadership development and succession planning
• Mission-driven work: Your operational leadership expands access to life-changing services
• High-impact role: Your systems, strategies, and decisions directly influence clinical outcomes and financial performance
• Hybrid flexibility: Blend of office, site visits, and strategic planning time
• Mission-driven work: Support meaningful change for individuals across the lifespan
• Purpose & pride: Be part of a team committed to quality without compromise

Ready to lead operations that change lives? Join Hand Over Hand LLC and help us build the systems that ensure every child receives timely, high-quality care.

Hand Over Hand LLC is an EEO Employer: All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, sex, religious creed, disability, or any other category protected under law.