Multi-State ABA Operations Manager

About Us

Finni Health is a rapidly growing healthcare technology company transforming the way ABA practices are built, operated, and scaled. We partner with independent ABA practice owners to help them build thriving, sustainable businesses while delivering exceptional care to the families they serve.

We've grown 400% and are approaching profitability, with the backing of General Catalyst and Y Combinator. As we continue expanding our footprint, we're looking for experienced ABA operators who understand what it takes to build and scale successful practices across multiple states.

About the Role

As a Multi-State ABA Operations Manager, you'll work directly with independent ABA practice owners across multiple states, helping them build, operate, and grow successful, sustainable practices. You'll serve as a trusted operational and strategic partner, developing a deep understanding of each practice's business, identifying opportunities to improve performance, and helping owners navigate the operational, financial, and strategic challenges of running an ABA practice.

This is a highly collaborative, provider-facing role that combines hands-on healthcare operations, business strategy, and relationship management. You'll support a diverse portfolio of practices across different states, bringing an understanding of the operational considerations, payer environments, regulatory requirements, and market dynamics that can vary by location.

You'll work alongside practice owners to improve financial and operational performance, solve complex business challenges, and identify opportunities for sustainable growth. You'll also collaborate closely with Finni's internal teams to address provider needs, improve operational processes, and ensure our partners have the resources and infrastructure to run successful practices.

The ideal candidate has firsthand experience operating or supporting ABA practices across multiple states and understands that successful practice operations require more than a one-size-fits-all approach. You're comfortable building trusted relationships with independent practice owners, analyzing business performance, navigating state-specific operational complexities, and translating challenges into practical solutions.

What We're Looking For

Multi-State ABA Operations Experience

• 5+ years of experience in ABA or behavioral health, with significant experience operating, managing, or supporting ABA practices.

• Experience supporting practices, clinics, or healthcare operations across multiple states is strongly preferred.

• Familiarity with state-specific ABA regulations, payer requirements, Medicaid programs, credentialing processes, and reimbursement environments is highly valued.

• Strong understanding of the operational realities of running an ABA practice, including clinical operations, staffing, utilization, scheduling, patient growth, retention, compliance, RCM, payer relationships, and reimbursement.

• Experience partnering directly with BCBAs, clinical leaders, practice owners, or other healthcare providers.

• Understanding of the relationship between clinical quality, provider capacity, operational performance, and financial outcomes.

Business & Financial Acumen

• Strong understanding of the financial drivers of an ABA practice and what it takes to build a healthy, sustainable business.

• Comfortable analyzing financial statements, budgets, revenue, expenses, staffing costs, utilization, margins, and other key business drivers.

• Experience owning or contributing to the financial performance, P&L, or budget of a practice, multiple practices, or a region preferred.

• Ability to translate financial and operational data into clear, actionable recommendations.

• Understanding of how payer mix, reimbursement, patient volume, staffing, utilization, and retention impact practice profitability.

Operational Execution & Growth

• Proven ability to identify operational challenges, determine root causes, and develop practical solutions.

• Experience supporting new practice launches, entering new markets, and preparing operations for sustainable growth.

• Experience developing or optimizing staffing models, operational workflows, and accountability structures.

• Strong understanding of operational KPIs and how to use data to improve practice performance.

• Experience setting and managing performance targets related to growth, retention, utilization, patient access, provider productivity, and profitability.

• Comfortable balancing immediate operational needs with longer-term growth and expansion priorities.

Strategic Problem Solving

• Strong analytical and critical-thinking skills with the ability to navigate complex, ambiguous problems.

• Able to look beyond immediate challenges to identify underlying operational and business drivers.

• Comfortable developing actionable growth plans and working alongside stakeholders to execute them.

• Experience building operational processes, systems, and infrastructure in growing or evolving organizations.

• Highly resourceful, adaptable, and willing to roll up your sleeves to get things done.

Provider Partnership & Communication

• Exceptional communication and relationship-building skills.

• Ability to build trust with independent practice owners and become a credible thought partner on operational, financial, and business decisions.

• Comfortable influencing and collaborating with providers without direct authority.

• Able to communicate complex operational and financial concepts clearly and make recommendations without being overly prescriptive.

• Genuine interest in helping independent healthcare business owners build successful practices.

What You'll Do

Partner With ABA Practice Owners

• Build strong, trusted relationships with independent ABA practice owners across multiple states.

• Develop a deep understanding of each practice's business model, goals, operational challenges, financial performance, and growth opportunities.

• Act as a strategic thought partner on operational, financial, and expansion decisions.

• Proactively identify opportunities to improve practice performance and address challenges before they become larger issues.

• Translate provider goals into actionable business and operational plans, working alongside owners to execute them.

Drive Multi-State Practice Growth & Expansion

• Support the launch of new ABA practices and expansion into additional states and markets.

• Help providers navigate the operational requirements and complexities of establishing and scaling practices across different states.

• Identify potential roadblocks to expansion and coordinate with internal Finni teams to resolve them.

• Develop scalable operational approaches that allow practices to grow sustainably across multiple locations and markets.

• Continue supporting providers throughout the lifecycle of their partnership with Finni, beyond the initial launch.

Improve Practice Performance

• Analyze practice-level financial and operational performance to identify opportunities for growth, efficiency, and profitability.

• Partner with providers on strategies to improve patient volume, provider utilization, staffing, retention, revenue, and margins.

• Develop and track KPIs that provide visibility into practice health and progress.

• Create regular business reviews and presentation decks that communicate performance, opportunities, and recommended actions.

• Help providers understand the financial and operational implications of key business decisions.

Drive Operational Excellence

• Identify recurring operational challenges and work cross-functionally to develop scalable solutions.

• Improve workflows, processes, tools, and systems that make it easier for providers to operate and grow their practices.

• Use data to identify trends, diagnose issues, and measure the impact of operational improvements.

• Help establish clear SLAs, KPIs, and accountability structures across the provider experience.

• Identify opportunities to improve how Finni supports practices as they expand across markets.

Work Cross-Functionally

• Collaborate closely with Finni teams across RCM, credentialing, product, operations, and leadership.

• Serve as the bridge between provider needs and internal teams, ensuring operational challenges are understood and addressed.

• Help prioritize and resolve issues requiring cross-functional coordination.

• Partner with Finni leadership on strategic initiatives that improve the provider experience and strengthen our operating model.

Build a Best-in-Class Provider Experience

• Become an expert on Finni's products, services, and operating model.

• Ensure providers have the information, resources, and support they need to operate successful practices.

• Help improve provider-facing resources, training, documentation, and self-service tools.

• Identify opportunities to make the provider experience more proactive, scalable, and effective.

Benefits

• Competitive compensation

• 401(k)

• Medical, dental, and vision insurance

• Flexible work schedule

• Paid time off

• Paid holidays

• Opportunity to have a meaningful impact on the growth of a rapidly scaling healthcare company

• Work directly with ABA practice owners and Finni leadership to shape the future of the provider experience