Chief of Staff (CXO)

Job Description

Job Description

Ally Behavior is a full-time, center-based, early intervention Applied Behavior Analysis (ABA) therapy program, serving children with autism ranging from 18 months to 6 years of age. Our mission is to deliver the highest quality therapy to help our early learners reach their potential to communicate, improve social skills, and prepare for academic success. The children we serve are at the heart of everything we do and we are passionate about our commitment to having a meaningful impact in the lives of our children and their families.

Please include a cover letter so we can get to know you better and understand why you believe you will be a good fit for our team! Applications submitted without a cover letter will not be considered.

About Ally Behavior Centers:  

Ally Behavior is a fast-growing autism therapy company, built around exceptional clinical quality and an unmatched family experience. We've grown at roughly ~70% CAGR over the last four years and we're building toward our next chapter: 10x'ing our center footprint over the next five years.

Scaling something this important requires more than plans; it requires leaders who can translate strategy into execution, build durable operating systems, and do the hard, unglamorous work to drive outcomes for kids and families.

This company has been built by investing in high-potential people earlier in their career and giving them meaningful responsibility as the business scales. Many of our leaders have grown into their roles by taking ownership of hard problems, delivering impact, and earning expanded scope over time. This role continues that tradition and it is designed for someone who wants to grow quickly by doing real work that matters.

Overall, Ally Behavior is a dynamic, fun, and rewarding place to work that offers superior growth and leadership opportunities in a supportive, engaging environment. We have a unique and collaborative culture that is driven by our diverse team of professionals and our core values of Serving Others , Treatment Excellence , All One Ally , Resourceful in Finding Solutions , and Striving to Grow . We are looking for someone to help us provide the best possible service to our clients!

Role Overview (and why it exists):

We are hiring a Chief of Staff to help lead this growth journey. This is an "outsized role" for a hungry, high-aptitude operator who wants to lead businesses and is eager to earn increasing responsibility quickly.

The Chief of Staff will be staffed on the company's highest-impact initiatives - often ambiguous, cross-functional, and urgent. You will work closely with the executive team and have meaningful exposure to the CEO, while reporting to a key executive sponsor. This role is intentionally designed as a launchpad into senior leadership at Ally. We expect the person in this seat to earn increasing ownership quickly and to grow into a materially larger leadership role as the company scales.

This is not a "watch from the sidelines" job. It is not purely advisory. It is not "strategy decks and analysis only." It is a role for someone with a do-whatever-is-necessary mindset: if the best way to win is to build the tracker, run the analysis, map the workflow, fix the handoff, sit with operators, draft the communications, and drive implementation - you will do that. Ally wants executives that run towards the problems, not away.

Key Responsibilities:

You'll operate as a force multiplier for your executive sponsor and the leadership team. Owning initiatives end-to-end and personally driving deliverables to completion.

1. Lead the highest-impact initiatives (ambiguity included)

You will be "thrown" on to the projects that matter most to the business. Examples include:

• Access to services & time-to-start: intake funnel, handoffs, authorization bottlenecks, client conversions
• Capacity unlock: scheduling utilization, staffing ramps, clinical supervision leverage, standardized work
• Payor / RCM performance: authorization cycle time, denials reduction, process redesign, contract negotiations support
• Market expansion readiness: market sizing, site ramp plans, launch scorecards, go-to-market execution
• Referral growth: partnership strategy, local activation, conversion tied to capacity
• Service line pilots: business case, pilot design, measurement, scale/kill decisions
• Clinical quality & outcomes: strengthen clinical supervision and fidelity, standardize care delivery across centers, define and track outcomes measures, lead initiatives that improve client progress and family experience while we scale

1. Drive execution from decision to delivery

• Turn fuzzy problems into crisp scopes, owners, timelines, and success metrics
• Build and run the working cadence (weekly working sessions, risk logs, escalation paths)
• Relentlessly unblock teams and close loops - your job is outcomes, not activity

1. Get your hands dirty (IC work is expected)

• Build the model, write the one-pager, create the dashboard, map the process, draft the communications
• Spend time in the real operating context (centers, intake, RCM workflows) to learn what's true
• Move quickly with imperfect information while maintaining rigor and integrity

1. Create leverage for the executive team

• Provide clear decision support: options, trade offs, and recommendations
• Uncover potential business problems and propose solutions
• Support leadership operating rhythm: pre-reads, updates, meeting outputs, follow-ups
• Ensure executive decisions translate into aligned execution across functions

What success looks like (6–12 months):

• 2-4 initiatives delivered with measurable business impact (growth, access, quality, economics)
• Faster decision-making and follow-through; fewer cross-functional "dropped balls"
• Clearer dashboards and operating cadence that improves execution discipline
• You become the person leaders trust to drop into any problem area and get to results

Who thrives here:

• You have a high-ownership, low-ego mindset and no task is "below you"
• You're energized by ambiguity and you can create structure from scratch
• You can zoom from strategy to operations to execution without losing momentum
• You're direct, collaborative, persistent and able to influence without authority
• You hold a high bar for ethics and quality in a healthcare setting

Minimum Qualifications:

• 6+ years experience in strategy, operations, consulting, BizOps, finance, or program leadership in a high growth business with a track record of measurable outcomes. 
• Strong analytical ability (Sheets/Excel; dashboards/BI comfort is a plus)
• Excellent written and verbal communication; ability to drive alignment across stakeholders

Preferred Qualifications:

• Experience in multi-site healthcare services (ABA, behavioral health, pediatrics, or adjacent)
• Familiarity with payor dynamics, authorizations, and/or revenue cycle
• Experience supporting rapid expansion and/or building operating cadence (OKRs/QBRs)
• Experience with technology implementation, process automation, or service operations improvement initiatives strongly preferred
• Proven ability to adapt to various levels of responsibilities with ability to quickly pivot from executive leadership to tactical partnership and support of different business functions / front line staff
• Strong management skills with the ability to lead multiple high-priority projects simultaneously across different vertical teams (e.g. experience in consulting or investment banking)

Growth & development (the "leadership track" part):

We hire this role for people who want and whom we expect to grow into bigger leadership roles. We will invest in your development through:

• Direct sponsorship and mentorship from senior leaders
• Exposure to CEO and executive team decision-making
• Real ownership of initiatives that shape the company's trajectory
• Increasing scope as you demonstrate impact

The goal is simple: accelerate your growth curve by placing you in an outsized role with meaningful responsibility and help you earn a path into broader leadership at Ally.

What We Offer When Joining Our Team:

• Total compensation potential of OTE between $175,000 and $225,000 depending on experience
• Quarterly bonuses based on individual and company performance
• Participating in company equity program 
• Guaranteed semi-monthly paycheck (24)
• Company-sponsored DashPass
• 18 days of paid time off
• 9 paid holidays (5 set days + 4 "floating" holidays)
• Professional development opportunities
• Medical +HSA, Dental, and Vision coverage through Cigna
• Up to $9,000 in post-maternity childcare assistance
• 401(k) plan with company match.
• Employee Assistance Program
• Short-Term Disability, Term-Life/AD&D Insurance, Critical Illness with Cancer Insurance, Accident Insurance, Hospital Confinement Insurance, and Pet Insurance

Pay Range

$175,000—$225,000 USD

Note: This position is NOT eligible for Visa sponsorship.

Ally Behavior is an equal opportunity employer. In compliance with Federal and State Equal Opportunity Laws, qualified applicants are considered for all positions applied for without regard to race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, veteran status or any other legally protected status. Your personal information will be used for recruitment purposes only and handled in accordance with applicable privacy laws.