Executive Director

Provides strategic, operational, financial, and regulatory leadership for a licensed outpatient substance use disorder (SUD) treatment program in the Commonwealth of Virginia.

Responsibilities

• Regulatory & Compliance Oversight
  • Ensure ongoing compliance with Virginia DBHDS licensing regulations (12VAC35-105 and applicable chapters).
  • Ensure compliance with DMAS ARTS requirements.
  • Oversee Medicaid billing compliance and documentation standards.
  • Maintain compliance with Virginia Medicaid MCO contract requirements, including credentialing, authorization, and reporting expectations.
  • Lead preparation for DBHDS inspections, Medicaid audits, and MCO reviews.
  • Ensure corrective action plans are implemented when necessary.
• Operational Leadership
  • Oversee daily operations of outpatient services, including IOP, OP, and other ARTS levels of care as applicable.
  • Ensure clinical workflows align with DMAS documentation and medical necessity standards.
  • Monitor performance metrics, census, productivity, and service utilization.
  • Develop and enforce policies and procedures consistent with regulatory expectations.
• Financial Management
  • Develop and manage the annual operating budget.
  • Ensure appropriate billing and coding practices are followed.
  • Oversee financial reporting and cost containment strategies.
• Clinical & Program Oversight
  • Ensure implementation of evidence-based substance use treatment services.
  • Oversee Clinical Director and Medical Director functions.
  • Monitor treatment outcomes and quality improvement initiatives.
  • Ensure ARTS multidimensional assessments, treatment planning, and documentation standards are consistently met.
• Staff Leadership & Development
  • Recruit, supervise, and evaluate management and clinical staff.
  • Ensure staff meet credentialing requirements under DMAS and DBHDS.
  • Promote a recovery-oriented and compliance-driven organizational culture.
  • Implement ongoing staff training related to regulatory and payer requirements.
• Community & Payer Relations
  • Maintain relationships with Virginia Medicaid MCO representatives.
  • Coordinate with referral sources, healthcare systems, and community partners in the Greater Richmond area.
  • Represent the organization in regulatory, payer, and stakeholder meetings.

Qualifications

• Master’s degree or higher in healthcare administration, public health, social work, counseling, or related field.
• Minimum five (5) years of leadership experience in substance use treatment.
• Demonstrated experience with Virginia DMAS ARTS services and Medicaid billing.
• Working knowledge of Virginia Medicaid MCO operations and authorization processes.
• Experience with Virginia DBHDS licensing and inspection processes.
• Strong understanding of outpatient substance use disorder service delivery models.
• Proven financial and operational management experience.

Preferred Qualifications

• Licensed behavioral health professional (LPC, LCSW, LMFT, etc.).
• Experience with Joint Commission or CARF accreditation.
• Prior experience opening or scaling an outpatient ARTS program in Virginia.

Benefits

• Health insurance
• Paid time off
• Training & development