Market Executive Director – Massachusetts

irming, Naturalistic Developmental Behavioral Intervention (NDBI approach). We have multiple centers (5 and growing!) in Massachusetts and are looking for a passionate, experienced operator to help support and lead our growing team.

Position Overview

The Market Executive Director (MED) is the senior operational leader for ANNA’s Massachusetts market. You will own market performance across growth, access, quality, team development, and financial outcomes—leading Clinical Directors, Community Outreach, and our state Clinical Psychologist to ensure consistent, excellent care and sustainable growth.

Success in this role will be measured by growth in client access / referral pipeline, high clinical utilization, strong family satisfaction, team retention and leadership development, and achievement of state-level financial targets.

Ideal Candidate

You are a mission-driven operator who thrives in high-growth healthcare environments. You are a servant-leader who is comfortable (and experienced) leading cross-functional teams, building strong community partnerships, and driving both operational excellence and market growth. You balance data-driven decision making with strong people leadership and are energized by building the team and systems to deliver high-quality care for children and families. You are motivated by an opportunity to build and scale a growing market, including opening new centers, expanding diagnostic capacity, and strengthening community partnerships across Massachusetts.

Key Responsibilities & Deliverables

Market Growth & Strategy
• Own Massachusetts growth strategy and execution, including expanding referral partnerships with community organizations and utilizing data to inform initiatives to increase access to ANNA services
• Lead new center launches and service expansion within the state
• Lead market-level payer relationship management in partnership with Market Clinical Services Director including maintaining regular engagement with key payer partners, supporting contract negotiations, and coordinating responses to payer inquiries, audits, and operational needs

Operations & Financial Leadership
• Own the Massachusetts market P&L, including forecasting capacity and allocating resources to meet targets.
• Partners with Clinical Directors and state clinical Psychologist to improve service delivery for diagnostic services and center-based ABA services (including but not limited to utilization, client access, quality)
• Maintain scalable operational systems aligned with ANNA standard operating procedures across all clinics in the state

Team Leadership & Development
• Lead and develop Clinical Directors, Clinical Psychologist, and Community Engagement Specialists
• Foster a positive, mission driven culture, partner with HR on talent, retention, and development.
• Lead market-level talent and performance management in partnership with HR and direct reports

Family Experience & Quality
• Ensure timely access to care, high quality care delivery, and strong family communication is being delivered across all centers in Massachusetts.
• Track outcomes and satisfaction, address escalations, and identify and implement opportunities to improve.

Compliance & Risk Management
• Ensure adherence to federal/state/payer requirements and ANNA policies and procedures
• Lead audits, incident reporting, and emergency preparedness across clinics.

Qualifications

Required
• Bachelor’s degree (healthcare administration or business preferred).
• 7+ years in healthcare; 5+ years leading site or multisite operations.
• Demonstrated success leading cross functional teams.
• P&L ownership/management experience.
• Strong leadership, organizational, and communication skills.

Preferred
• Experience in behavioral health, autism services, or pediatric care.
• Experience scaling services or opening new locations.
• Background in a high growth or startup environment.

If you don’t meet every preferred qualification, we still encourage you to apply.

Compensation & Benefits
• Base salary: $160,000–$190,000 (based on experience, skills, and internal equity)
• Bonus: Target 20% of base salary
• Equity
• Benefits:

401(k) with company match

Health, dental, and vision insurance

Generous PTO and paid holidays

Professional development and growth opportunities

Supportive leadership and collaborative team culture

Our Commitment to Inclusion

ANNA is an equal opportunity employer. We celebrate diversity and are committed to an inclusive environment where all team members can thrive. We welcome candidates of all backgrounds and experiences.

Learn more about us: https://annaautismcare.com/about-us/

ANNA is an equal opportunity employer. We’re committed to creating a diverse, inclusive, and supportive workplace. If you’re passionate about our mission but don’t meet every qualification listed, we still encourage you to apply. Your unique perspective might be exactly what we need.