Partner with COO to implement operational strategies. Oversee day-to-day operations across multiple states, ensuring compliance. Develop and monitor KPIs across clinical, administrative, and financial operations. Provide direct supervision to regional directors, clinical operations leads, and administrative managers. Collaborate with COO and CFO to oversee budgets, forecast growth, and track profitability. Evaluate and implement operational systems and technologies. Maintain full compliance with Medicaid, insurance, and behavioral health regulatory requirements. Assist with opening new service areas, licensing, and payer contracting.