Chief Clinical Officer

Job DetailsJob Location: Higgins - San Antonio, TX 78217Position Type: Full TimeEducation Level: Bachelor'sTravel Percentage: 21%-30%Job Shift: Varies, M-F 8a-5p, Some nights/weekendsJob Category: Nonprofit - Social Services 

Chief Clinical Officer 

Reports to: Chief Executive Officer 
Location: San Antonio, TX 
Status: Full-Time, Exempt 

GENERAL DESCRIPTION OF POSITION 

The Chief Clinical Officer is responsible for the direct leadership and oversight for Brighton Center’s pediatric therapy service lines, including Outpatient Therapy and Early Childhood Intervention (ECI) operations. This role is accountable for operational performance, clinical excellence, financial sustainability and long-term growth across all therapy discipline services and early intervention programming. 

The Chief Clinical Officer ensures the delivery of high-quality, mission-driven therapy services, and alignment with Brighton Center’s values and culture. This includes strengthening operational performance, and strategic growth of Brighton Center’s pediatric therapy service lines. This position ensures high-quality therapy services, strengthens operational systems and infrastructure, and maintaining full compliance with state contracts, Medicaid and private insurance and pay requirements; improving access and service capacity and optimizing financial performance. The role builds scalable systems that support sustainability and prepares the organization for thoughtful expansion, including the development of additional therapy service offerings when conditions support growth.  All leadership responsibilities are carried out in alignment with the Brighton Center mission, values, and culture, fostering a collaborative, accountable, and service-centered environment.  The Chief Clinical Officer is a member of the Executive Team and works closely with the Chief Executive Officer and all members of the Executive and Leadership team to advance Brighton Center’s short- and long-term strategic priorities.  

ESSENTIAL FUNCTIONS 

This position requires face-to-face interactions with co-workers, families, children, and the general public on a daily basis to accomplish all essential functions of the position. 

OPERATIONAL & DIRECT LEADERSHIP  

Responsible for successfully operating Brighton Center’s Outpatient Therapy and Early Childhood Intervention programs, ensuring clinical excellence, operational effectiveness, financial sustainability, and full alignment with the organization’s mission and core values. Accountable for overall program performance, service quality, access to care, and long-term viability across all therapy lines of service. 

Drives ongoing operational and service excellence by analyzing performance data, industry benchmarks, payer trends, and client outcomes to identify opportunities for continuous improvement. Ensures therapy programs reflect innovative, evidence-based, and best practices within pediatric healthcare and early intervention. 

Provides direct oversight and strategic leadership to Directors of all therapy service lines, ensuring alignment, consistency, and accountability across outpatient, in-home, community, and preschool-based settings. Enhances and monitors standardized workflows for intake, scheduling, evaluations, treatment delivery, documentation, care coordination, and discharge planning to promote reliable, high-quality, and family-centered services. 

Utilizes operational audits, financial analysis, and key performance indicators (KPIs) to monitor and improve metrics related to access, productivity, attendance, revenue integrity, compliance, throughput, and operational reliability. Translates data into actionable strategies and ensures timely reporting to executive leadership. Maintains strong working knowledge of the electronic health record (EHR), documentation standards, billing processes, and regulatory requirements to safeguard compliance and optimize operational performance. 

Ensures clear communication systems and defined expectations across service line revenue cycles, compliance, and external partners. Promotes cross-functional collaboration to reduce silos and strengthen service coordination across organization.   

Provides comprehensive leadership in performance management, workload distribution, staff development, coaching, and accountability. Attracts, develops, mentors, and retains high-performing leaders and clinicians, empowering them to expand their scope, elevate performance, and build internal leadership capacity. Promotes cohesive team communication, psychological safety, and a culture of continuous improvement, resilience, and shared accountability during periods of growth and organizational change. 

QUALITY, COMPLIANCE & PAYER REQUIREMENTS  

Provides oversight to ensure full compliance with Medicaid, private pay, state contract, and regulatory requirements across all pediatric therapy programs. Accountable for maintaining audit readiness and ensuring accurate,