Backpack Healthcare
Backpack Healthcare
51 – 200 Employees
ConsultingHealthcareInsurance
Backpack Healthcare provides accessible, inclusive mental health care for children, teens, individuals, and families. Its services include therapy, psychiatry, and medication management, with care designed around each patient’s needs. The company focuses on reducing barriers to pediatric and family mental health support, including through in-network coverage with Medicaid and major insurance plans, and on responding promptly to the youth mental health crisis.

Chief Operating and Financial Officer — Remote, United States

Lead finance, revenue cycle, and business operations for a Medicaid-focused behavioral healthcare company. Build scalable systems, strengthen profitability, and support growth across five states.

Description

  • Lead budgeting, forecasting, month-end close, financial reporting, GAAP-compliant operations, operating models, unit economics, and financial planning
  • Convert financial analysis into operating decisions while strengthening discipline, visibility, and accountability
  • Represent the company’s financial position to the board and investors
  • Support the CEO with fundraising, financial models, investor materials, due diligence, and financing negotiations
  • Own billing, collections, revenue cycle results, clean claims, denials, days in A/R, and cash collection across states and payers
  • Assess payer performance, reimbursement patterns, and operational leakage
  • Support Medicaid and MCO pricing, bids, and reimbursement negotiations
  • Model direct-contract economics and margins, define implementation requirements, monitor results, and lead post-launch reviews
  • Lead business operations, the PMO, strategy and operations, credentialing, and care coordination
  • Define KPIs, assess performance, hold leaders accountable, scale multi-state processes, prepare market launches, and remove operational bottlenecks
  • Provide executive oversight of talent, compensation, benefits, and workforce planning
  • Oversee key vendor relationships and commercial contracts
  • Maintain compliance with Medicaid requirements, state regulations, HIPAA, and applicable accounting standards
  • Identify operational and financial risks and develop durable compliance processes
  • Apply AI and technology to analyze information, automate workflows, examine company data, and improve decision-making

Requirements

  • Bachelor’s degree in accounting, finance, business administration, or a related discipline
  • At least 10 years of progressive finance and operations leadership experience, including 5 or more years in healthcare
  • Practical experience with Medicaid reimbursement and revenue cycle management
  • Track record of helping a growth-stage or venture-backed company progress toward profitability
  • Experience presenting financial information directly to boards and investors
  • Experience supporting at least one institutional fundraising round
  • Proven ability to redesign financial and operational processes from end to end
  • Ability to build accountable cultures and consistently deliver measurable results
  • Strong financial modeling, analytical, strategic, and operational capabilities
  • Meaningful commitment to expanding behavioral healthcare access for underserved children and families
  • MBA or CPA strongly preferred
  • Behavioral healthcare experience strongly preferred
  • Multi-state healthcare operations experience preferred

Benefits

  • Performance bonus linked to measurable KPI results
  • Substantial equity package
  • Medical, dental, and vision insurance
  • 401(k) plan
  • Opportunity to shape the growth and direction of a venture-backed healthcare company
  • Opportunity to expand behavioral healthcare access for children and families who need it most

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