# Chief Operating & Financial Officer (COFO) at Backpack Healthcare > Remote · region unclear · Director+ · Other · open. Source: https://alderhq.app/jobs/greenhouse%3Ahellobackpack%3A4748908005 (read 2026-11-09). ## Facts (observed) - Company: [Backpack Healthcare](https://alderhq.app/companies/backpack-healthcare) - Location text: Corporate - Remote; Corporate - Remote - Where it can be done from (inferred): Remote · region unclear (evidence: "Location: Corporate - Remote; Corporate - Remote") - Posted: 2026-10-29 (11 days ago) - First seen by alder: 2026-11-07 · last verified: 2026-11-08 - Reposted: 0 times · edited: 0 times - Apply on the employer's site: https://job-boards.greenhouse.io/hellobackpack/jobs/4748908005 ## Pay and sponsorship - Posted pay: not posted ## Description (the employer's text) ### Chief Operating & Financial Officer (COFO) ### Backpack Healthcare \| Hybrid/Remote \| Preferred: MD, GA, IL, MI, or VA ### Build the Operating and Financial Engine Behind the Future of Behavioral Healthcare Backpack Healthcare is on a mission to make high-quality mental healthcare more accessible to children, adolescents, young adults, and families who have historically been left out of the system. We are a Medicaid-first, venture-backed behavioral health company delivering whole-family telehealth care across Maryland, Virginia, Georgia, Michigan, and Illinois. With 170+ clinicians, 219 employees, and more than 100 payer relationships, we are growing quickly while building a clear path to profitability. We are looking for a Chief Operating & Financial Officer (COFO) who is ready to help build what comes next. This is not a role for someone who wants to sit on the sidelines, analyze what happened, and prepare reports. You will run the operating and financial engine of Backpack Healthcare. You will own the numbers, own the outcomes, and lead the teams responsible for delivering both. You will work directly with our CEO and leadership team to turn data into decisions, decisions into execution, and execution into measurable results. If you are energized by complexity, move quickly, love solving hard problems, and want to have a direct impact on the trajectory of a growing healthcare company, this could be the opportunity for you. ### What You'll Do ### Lead the PMO, Process Improvement, and SOP Development - Run the portfolio of company initiatives with clear owners, milestones, budgets, and status. - Apply Lean Six Sigma methods to map processes, cut waste, and reduce variation. - Lead SOP development across the company: standard work, playbooks, and launch checklists for new markets and new contracts. - Write and maintain operational policies, and keep SOPs current, version controlled, and easy for frontline staff to follow. - Make sure every major project has a measurable outcome and a defined finish line. ### Drive the Operating System You will make sure referrals, intake, hiring, credentialing, scheduling, care delivery, and billing work as one connected system. - Drive performance across the full patient funnel: referrals → intakes → sessions → revenue, partnering with each area's leader to set clear conversion targets at every stage. - Lead business operations and the PMO, and serve as the operations partner to care coordination, credentialing, and scheduling so each area hits its goals. - Build a workflow driven, process driven operation: documented SOPs, clear handoffs, and a named owner at every step. - Set KPIs with each function's leader and review them on a weekly and monthly cadence. - Find bottlenecks at the system level and remove them for good. - Build processes that scale across states without adding headcount at the same rate. ### Run Operations by the Numbers You will manage operations with every workflow tied to cost, margin, and cash. - Manage the operating Budget for the functions you lead and deliver against it. - Track cost per session, clinician utilization, and contribution margin by state, payer, and contract. - Partner with the CEO on the annual Budget, monthly reforecasts, and the path to profitability. - Build the business case, with dollar impact and payback period, before any major operational investment. - Translate financial results into operating actions your leaders can execute this week. ### Drive Capacity and Workforce Planning You will make sure we have the right clinicians, credentialed with the right payers, in the right places, at the right time. - Build the capacity model that connects demand, hiring, credentialing timelines, and scheduled sessions. - Cut time from offer to first billable session. - Drive clinician utilization and schedule fill rates toward target. - Align hiring plans with signed contracts and referral volume. ### Drive Operational Compliance and Risk Management - Partner with compliance and clinical leaders so operations meet Medicaid requirements, state regulations, accreditation standards, and HIPAA. --- Data: alder (https://alderhq.app). Cite https://alderhq.app/jobs/greenhouse%3Ahellobackpack%3A4748908005 and the date you read it. Observed facts come from the employer's own listing; location reach, level, family and skills are inferences.