Note: The job is a remote job and is open to candidates in USA. Tellos is rebuilding how autism care is delivered by helping BCBAs run independent practices. The Head of Operations owns and scales the operating system from referral through therapy start, improving service reliability, operational metrics, cross-functional execution, and team leadership.

Responsibilities

• You own the full chain:
• Referral → intake → assessment → authorization → staffing → scheduling → therapy start
• Where things slow down, break, or silently fail — you fix them permanently
• You will design workflows for credentialing, authorizations, and RCM that can scale across states
• You will create visibility into where revenue is created, delayed, or lost operationally
• If kids wait too long for therapy, providers struggle to fill schedules, or hours don’t convert into revenue — you will treat that as a solvable system problem
• Turn tribal knowledge into clear processes
• Replace chat-driven execution with structured operating rhythms
• Build SOPs that new hires can run without constant supervision
• You will define and drive the metrics that actually determine company health:
• You won’t just report numbers
• You will explain why they move — and what we do next
• You will work daily with clinical, recruiting, product, finance, and growth
• Make intake-to-treatment timelines predictable
• Reduce churn caused by operational friction
• Partner with Product to automate manual workflows
• Design operating models that support expansion from a handful of states to nationwide scale
• You will identify where software can replace coordination work, reduce rework, and improve data integrity
• You ensure those tools actually work in real operations
• You will lead intake, support, recruiting coordination, and operational program management
• You will set the cadence, raise the bar, and develop future operators

Skills

• Have scaled complex service or marketplace operations
• Are highly analytical but deeply execution-oriented
• Can create clarity in ambiguous, fast-moving environments
• Care about operational quality, not just strategy decks
• Hold people accountable while building trust
• Healthcare or ABA experience helps

Company Overview