Vice President & General Manager, Midwest Region

Job description

Vice President & General Manager, Midwest Region Brightline is redefining what pediatric behavioral health care looks like for families across the country — and we're looking for the operational leader who will execute that vision in Wisconsin. This isn't a role for someone who manages from a distance. You'll be in the clinics, with the teams, solving real problems in real time. You’ll own the region's clinical and financial performance, drive a positive and productive culture, and build the operational foundation for continued expansion. You'll be the connective tissue between Brightline's corporate strategy and how the Brightline team and families experience our services. As the Vice President & General Manager, Midwest Region, you'll own clinical operations across the state, starting with two clinics in Milwaukee. You'll oversee and partner closely with the market clinical leader, manage external relationships, and lead clinic expansion on the ground. This is a full-stack operations role — equal parts operator, strategist, and people leader. Why This Role This role carries accountability for Brightline’s Wisconsin market performance: clinical outcomes, operational execution, financial results, and managing a positive and productive market culture capable of delivering best in class access and outcomes for Brightline families. This role reports to the COO and collaborates closely with Brightline clinical leadership, operations, growth, and marketing teams to execute and iterate on the Brightline care model. You'll sit at the intersection of clinical operations, patient experience, and strategic growth, working closely with both frontline teams and Brightline's shared service and executive leadership. Brightline is growing fast — and Wisconsin will be our second hybrid market leading the way. Responsibilities Market Leadership - Serve as the single accountable leader for all market performance — financial results, clinical quality, operational execution, patient experience, and team management and engagement. - Own the P&L for the Wisconsin market, including budget management, staff and ramp forecasting, and variance management. - Represent the Wisconsin market to Brightline's executive leadership; escalate and resolve issues at the appropriate level with speed and clarity. - Execute market-level strategy in alignment with corporate priorities, and translate that strategy into operational plans the team can execute. Team Leadership, Hiring & Workforce Planning - Lead the market team, with direct management responsibility over manager-level leaders and frontline operations staff, within an org structure that will continue to evolve as the region scales. - Own hiring — building a pipeline and ensuring the team grows with the right people - Oversee provider schedules and ongoing development. - Develop and execute strategies for team retention, culture-building, and professional development across the region. P&L & Financial Ownership - Serve as the strategic owner of clinic- and region-level operational and financial targets across the Wisconsin market. - Manage and forecast staffing and clinical service capacity. - Closely manage regional, clinic, and provider-level reporting to track performance and identify and pursue improvement opportunities. - Partner closely with the market clinical leader to achieve expected results and drive accountability across the region. Data-Driven Operations - Use data-driven insights to diagnose and continually improve performance issues. - Leverage qualitative insights from workflow observation to drive consistent care model execution. - Ensure operational standards and workflows are executed consistently across all clinics. Identify areas for iteration and improvement. Workflow Optimization & Standards - Launch and land new initiatives — centrally or regionally driven — that improve daily operations and patient outcomes. - Lead change management for new workflows, systems, and corporate initiatives, ensuring teams are prepared, supported, and bought inEnsure that operational standards and workflows as designed are being executed consistently across all clinics. - Feed insights back to the shared services team and serve as a bridge between the field and corporate. Patient Experience & Access - Own the patient experience across the region — leveraging feedback, incident reports, and frontline observations to continuously improve how families experience Brightline's care. - Manage patient access, including waitlist management, panel sizing, and intake capacity, to ensure families can access care when they need it. Quality, Compliance & Risk Management - Ensure regional operations meet all applicable regulatory, accreditation, and quality standards relevant to behavioral health care delivery. - Own regional incident management and risk escalation protocols, partnering with clinical leadership to address safety concerns promptly and systematically. - Monitor clinical quality metrics and work cross-functionally to close gaps in care delivery standards. Facilities & Clinic Expansion - Serve as strategic owner of facilities across the region, addressing practical constraints that affect operations. - Lead on-the-ground expansion execution for new clinic openings within the region — currently four clinics with a path to six. Cross-Functional Collaboration & External Partnerships - Build and maintain trust between Brightline senior leadership and regional and clinic-level teams. - In collaboration with the Demand & Partnerships team, manage performance for key regional relationships and take high-impact actions to maintain and deepen those partnerships. Requirements: - 10+ years of professional experience, including at least 5 years in a general management or senior operational leadership role; Prior P&L ownership strongly preferred. - Demonstrated experience leading both operational and clinical (or clinical-adjacent) functions in a multi-site healthcare delivery environment. - Track record of building cohesive, high-performing teams and delivering sustainable market-level business results. - Deep understanding of the behavioral and mental health space, with an innovative mindset for delivering differentiated care experiences. - Strong communicator who builds relationships quickly and thrives in a fast-paced, results-driven environment. - P&L ownership mindset — comfortable with budget management, clinic-level financial forecasting, unit economics, and data-driven decision-making. - Experience with quality standards, regulatory compliance, and risk management in a healthcare setting. - Proven change management skills — comfortable leading teams through organizational change, new systems, and evolving workflows. - Fluency with EHR/EMR systems and operational technology used in clinical environments. - Comfortable operating in ambiguity and building structure in a still-maturing organization. - Willingness to travel to clinics as needed - Experience in a high-growth, venture-backed environment strongly preferred - MBA preferred but not required. Benefits, Perks & Stipends We invest in our people with a comprehensive benefits package designed to support your health, your family, and your life outside of work: - Health coverage: Medical, Dental, and Vision insurance, plus Long-Term Disability, Life Insurance, a Flexible Spending Account, and a 401(k) - Time to recharge: 12 Company Holidays, Floating Holidays, and Paid Time Off — plus a company-wide Holiday Shutdown between Christmas and New Year's, so you can truly unplug knowing your teammates are offline too - Growing your family: Parental Leave to be present for what matters most - Perks & stipends: Health and Wellness Stipend, Home Office Reimbursement, License Maintenance Reimbursement, Commuter Benefits, and Professional Development Reimbursement to support how and where you do your best work At Brightline we have built a total rewards philosophy that includes fair, equitable, competitive, geo-based compensation that is performance and potential based. Our strategy is based on robust market research, including external advisory specializing in national compensation, and thoughtful input from every level of our organization. Depending on the position, total compensation packages are dynamically structured and may include a combination of cash salary, equity, benefits, wellbeing, and professional opportunity. Compensation for this role varies based on geographic location and market data. Final compensation will be determined by factors including location, skills, experience, and internal equity. In compliance with the Equal Pay for Equal Work Act, the annual base salary range is $165,000 to $220,000 plus applicable bonus and equity. OUR COMMITMENT TO BUILDING A DIVERSE, EQUITABLE, AND INCLUSIVE WORKFORCE At Brightline, we believe that Diversity, Equity, Inclusion, and Belonging are essential to the foundation upon which our mission is built. We are committed to: - building a future where all families can access inclusive, high-quality care - creating an environment that encourages our employees to show up authentically, reach their highest potential, and have an equal opportunity to thrive - systematically evaluating and improving our inherent beliefs, observed behaviors, structures, and systems - ensuring that every employee, candidate, client, and family we serve is valued and respected ABOUT BRIGHTLINE Brightline is a therapy and psychiatry practice that delivers expert pediatric, teen, and parental mental health care to families and kids up to age 18. Brightline’s virtual and in-person outpatient services include diagnostic evaluation, therapy, psychiatry services (e.g. medication management), and psychological testing (to assess learning differences, school readiness, executive functioning difficulties [e.g. ADHD], and autism). In addition to Brightline’s generalized support, we offer focused programs including those that support anxiety, obsessive compulsive disorders, ADHD, and disruptive behaviors. Founded in 2019, Brightline has delivered care to tens of thousands of families with industry-leading results http://brightline.com/employers. We’ve been nationally recognized for clinical excellence and innovation for several years — recent awards include the Fast Company 50 Most Innovative Companies (2022) and Behavioral Health Business Companies to Watch Award (2024). Brightline is based in Palo Alto and is backed by investors including Boston Children’s Hospital, Northwell Health, Blue Cross Blue Shield of Massachusetts, Google Ventures, KKR, and Oak HC/FT.