Chief of Staff (CXO)
Company: Ally Behavior Centers
Location: Mc Lean
Posted on: February 13, 2026
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Job Description:
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. 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 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 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 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: 3 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 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.
Keywords: Ally Behavior Centers, Rockville , Chief of Staff (CXO), Accounting, Auditing , Mc Lean, Maryland