ABOUT ONETOGETHER SOLUTIONS
OneTogether Solutions (OTS) is a majority Native-owned Managed Services Organization headquartered in Boulder, Colorado. We partner with federally recognized tribes to develop, operate, and sustain opioid treatment programs (OTPs) under Tribal 638 self-determination agreements, with clinic sites across California and Washington. Our model is built on the belief that Indigenous communities deserve whole-person, culturally grounded care delivered with excellence — and that the infrastructure supporting that care must be equally strong.
POSITION SUMMARY
The Chief Development Officer (CDO) owns the growth engine of OneTogether Solutions: identifying where the next clinics should be, proving the demand case for it, securing partner and tribal buy-in, and standing up the site, systems, and infrastructure to open and scale it.
Where the field operations side of the business is accountable for running clinics that already exist, this role is accountable for the pipeline — new markets, new partners, new locations, and the expansion of existing sites into fuller service lines, additional clinics, and new services that align to OTS’ mission.
The CDO is also the senior operational relationship owner for development-stage accounts. From first conversation through stabilization, this role is the face of OTS to tribal leadership, health boards, and partner executives — translating between what the Tribes seek, what the regulatory environment allows, and what OTS can profitably deliver. Success in this role requires deep understanding in the opioid treatment program (OTP) landscape and the regulatory complexity that governs it.
This role may oversee direct reports including the Director of Facilities, Director of Information Technology, and VP of Construction, with travel up to 30% to clinic sites, partner communities, and tribal council meetings.
QUALIFICATIONS
- Bachelor's degree in healthcare administration, business administration, public health, or a related field, or an equivalent combination of education and relevant experience (Master's degree preferred)
- Significant progressive leadership experience in healthcare development, healthcare operations, business expansion, or a related field
- Demonstrated experience developing and executing strategic growth plans, including market analysis, feasibility assessments, financial modeling, and business-case development
- Experience leading complex healthcare projects involving site selection, construction or buildout, licensing, regulatory approvals, staffing plans, and operational launch
- Strong working knowledge of the opioid treatment program (OTP) landscape and the regulatory requirements governing OTP development and operations
- Demonstrated ability to develop and maintain executive-level relationships with external partners, including experience presenting to senior leadership, boards, or governing bodies
- Experience managing budgets, capital requirements, financial projections, and operational performance measures
- Demonstrated ability to lead cross-functional teams, manage competing priorities, and hold leaders accountable for results
- Excellent written, verbal, presentation, negotiation, and relationship-management skills
- Ability to travel as needed (up to 30%) to support site development, partner relationships, and clinic expansion
- Direct experience developing, opening, or expanding opioid treatment programs or other regulated behavioral healthcare services preferred
- Experience working with Tribal Nations, Tribal governments, Tribal healthcare organizations, or other sovereign entities preferred
- Familiarity with Tribal sovereignty, Indian Health Service (IHS) programs, self-governance funding structures, and Tribal approval processes preferred
- Experience overseeing healthcare construction, facilities development, information technology readiness, and multi-site expansion initiatives preferred
- Experience negotiating healthcare service agreements, developing long-term strategic partnerships, and leading healthcare organizations through new-site launches, census ramp-up, and transition to ongoing operations preferred
KEY RESPONSIBILITIES
Clinic Growth, Development & Expansion
- Own the end-to-end development pipeline: opportunity identification, feasibility, partner negotiation, site selection, buildout, licensure, staffing structure, and opening
- Develop and maintain a multi-year expansion roadmap tied to OTS strategic priorities and partner readiness, reviewed with the CEO on a defined cadence
- Lead expansion of existing clinics — added service lines, extended capacity, satellite and medication units, and mobile or telehealth extensions where regulation permits
- Build the launch playbook: standardized project plans, milestone gates, staffing and org-structure templates, and go-live criteria that make each subsequent opening faster and more predictable than the last
- Own the development P&L: pro formas, capital requirements, ramp assumptions, and the break-even case presented to the CEO, CFO, and partner leadership
Market Analysis & Demand Planning
- Direct market and demand analysis for every prospective site: population need, prevalence and treatment-gap estimates, competitor and incumbent OTP census, payer mix, referral pathways, and realistic census ramp curves
- Maintain a competitive and landscape view of OTPs and adjacent providers in target geographies, including capacity constraints and service gaps OTS is positioned to fill
- Partner with Finance to connect demand forecasts to staffing models, capital plans, and revenue projections
Client & Tribal Partner Development Updates
- Serve as the senior OTS voice to tribal councils, health boards, and partner executive teams on all development and expansion matters
- Own the development reporting rhythm: monthly and quarterly partner updates covering pipeline status, project milestones, census and ramp performance at new sites, risks, and decisions required
- Prepare and deliver board- and council-level presentations, ensuring materials are accurate, consistent with the approved OTS template, and calibrated to the audience
Development Account Management
- Run structured account reviews and growth-focused meetings covering development performance, open issues, contract obligations, and expansion opportunities
- Serve as the escalation point for partner-level operational concerns, coordinating internally across clinical, compliance, finance, and field operations to resolve them
- Identify and develop organic growth within existing accounts — additional sites, expanded scope of services, and renewed or extended agreements
- Ensure a clean handoff from development to Field Operations, with defined criteria for when a site transitions and who owns it afterward
Regulatory & OTP Landscape Leadership
- Maintain expert working knowledge of the regulatory framework governing opioid treatment: 42 CFR Part 8, SAMHSA certification, DEA registration, state opioid treatment authority requirements, accreditation bodies (CARF, Joint Commission), 42 CFR Part 2 confidentiality, and applicable state licensure
- Understand and navigate the tribal health context, including sovereignty, IHS and self-governance funding structures, and tribal approval and consultation processes
- Monitor policy and reimbursement changes that create or close expansion opportunities, and brief the executive team on implications
Functional Leadership — Development, Facilities & IT
- Lead, coach, and hold accountable the direct reports including: VP of Construction and Development, Director of Facilities, and Director of Information Technology
- Drive key performance indicators and outcomes including on-schedule site openings, timeline from executed agreement to first patient served, census ramp accuracy against forecast, pipeline conversion rate, regulatory compliance, partner satisfaction, and go-live readiness milestones
$250,000 - $275,000 a year
Physical Demands and Work Environment
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this classification. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this classification, the employee is frequently required to stand, walk, sit, stoop, kneel, bend, use hands to keyboard or type, handle materials used in performing the essential functions of the classification, and reach with hands and arms.The employee will be asked to perform repetitive behaviors (e.g., typing and data entry).The employee must occasionally lift and/or move up to 25 pounds (think boxes of paper).
Specific vision abilities required by this classification include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
Sufficient clarity of speech and hearing abilities required by this classification includes those which permit the employee to discern verbal instructions and communicate effectively in person, by telephone. While performing the duties of this classification, the employee works in an office setting where the noise level in the work environment is usually moderate. The employee must also analyze and evaluate situations and adopt effective courses of action.
Why Work for Us?
We are a team with each person vital to our mission. Our team members are forward-thinking and passionate about creating change. We foster a culture of autonomy and ownership made possible by the trustworthiness and honesty of our team members. In a field that can sometimes leave staff feeling numb or powerless, we support active teamwork by responding with engagement, participation, and empathy. We treat patients with respect. And we believe that being curious and positive makes a difference.
OTS offers Tribes the ability to address the public health emergency of the opioid epidemic within their Tribal nations and in their surrounding communities. Our clinics offer cutting-edge medical treatment, compassionate care, and culturally responsive services. The OTS model applies an individualized approach to patients that is sensitive to beliefs, medical problems, spirituality, and social situation. Our purpose is to inspire hope and save lives–healing individuals, families, and communities along the way.
Please visit www.ots.health for more information.
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