Chief Operating Officer

About Us

Chatterboxes is a clinician-built, clinician-led pediatric speech-language pathology practice on a mission to improve the lives of children and to transform what it means to be an SLP. We’re a close-knit, rapidly growing team of experts and innovators, and we’re seeking an exceptional leader, integrator, and builder to help us shape the future of our organization.

We value long-term commitment, deep collaboration, and strong relationships. Our team is fully remote administratively, with SLPs delivering exceptional in-person services within our loving patient’s homes and our proud school partners in Massachusetts. We’re expanding quickly into new geographies, and we are seeking an exceptional person who is energized by growth, evolution, and the opportunity to architect scalable operations alongside a talented group of Superwomen 🦸dedicated to elevating the profession.

A Practice Built by SLPs, for SLPs 🌱

Chatterboxes isn’t just a workplace, it’s a thriving community of Speech-Language Pathologists working to redefine what a sustainable, fulfilling SLP career looks like. Our Sanctuary Model was designed intentionally to combat burnout and promote clinical excellence, creating an environment where clinicians can flourish at every stage of their journey.  As we expand, we remain committed to nurturing clinicians’ growth, well-being, and sense of belonging because when SLPs thrive, kids do too.

Why Our Culture Is Different

☀️ Never Alone: SLP’s are part of a built-in network of colleagues, not a one-off placement. Sanctuary Leaders, SLP Liaisons, and the clinical team stay connected daily virtually and meet in person for regular coffee chats, sanctuary activities and quarterly in person team gatherings at restaurants, coffee shops and the like.

🌱 Continuous Growth: We are a team of lifelong learners never satisfied with the status quo.  We have high ambition for our professional development not only through typical CEU support but also mentorship tailored to every stage of practice and leadership.

💡 Upward Mobility: Career paths extend far beyond direct therapy.  We offer a variety of leadership roles, in-services, x-factors aligned with SLP’s passions, mentorship opportunities, community outreach work, and special projects.

🎉 Vibrant Culture: We celebrate “workiversaries,” host Sanctuary dinners, run Round Robin sessions, and bring in guest speakers to our weekly virtual team meetings to enrich our learning and connection.

🧘 Prioritizing Well-Being: Founded and owned by an SLP, we place clinician well-being at the center of everything. Our Sanctuary Model protects time, energy, and balance to support longevity in the profession.

The Role

The Chief Operating Officer is the CEO’s execution engine.  She is the integrator responsible for converting strategy into operational reality across a high-growth, (soon to be) multi-region pediatric SLP practice.

This role ensures that systems, processes, and people can scale as the CEO challenges us to expand into new geographies through new school partnerships and novel SLP recruiting methods.

This is the ideal role for someone who thrives in a build-and-scale environment, is tech-forward, has a systems mindset, exceptional project management and execution skills, a magnetic and engaging personality, enjoys creating clarity from complexity, is a doer and a builder, and cares deeply about supporting clinicians so they can perform their best work.

Key Responsibilities

1. Strategy Execution & Leadership

• Serve as the CEO’s integrator. Translate vision and decisions into operating plans, accountability structures, and measurable outcomes.  Roll up your sleeves and do the work alongside team members.  You are a builder first and are not afraid to get your hands dirty in the work.
• Elevate our existing operating cadence including our leadership meetings, dashboards, issue tracking, and cross-team communication.
• Support the CEO’s growth efforts in the areas of new school partnerships in new geographies, and recruiting by ensuring operational readiness and capacity.
• Lead cross-functional initiatives that improve efficiency, quality, and scalability.

2. Clinical Operations

• Oversee all day-to-day service delivery across home visits and school-based placements.
  Partner with multiple SLP Managers to ensure:
• Caseload balance and productivity
• Efficient geographic routing
• Quality and timeliness of documentation
• Smooth onboarding, supervision, and clinician support
• Elevate existing workflows for Private Client Services, which includes: Intake Forms, evaluations, therapy, treatment planning, school coordination, and family communication.
• Build automated systems that reduce administrative burdens and allow SLPs to focus on clinical care.

3. People Leadership & HR

• Own all HR functions directly: onboarding, compliance, performance management, and employee relations.
• Coach and develop managers; create leadership capacity across the team.
• Foster a cohesive and accountable culture within a meritocracy framework

4. Finance, Payroll & Invoicing

• Oversee the Payroll & Invoicing Administrator to ensure accurate, timely payroll and invoicing for private-pay and school contract services.  Offer solutions that scale to ensure automation as we scale.
• Continuous focus on improving margin through operational efficiency, automation, smart systems, and artificial intelligence.

5. Technology, Data & Systems

• Be a digital native who evaluates, adopts, and optimizes new software tools across the organization.
• Collaborate with our Business Intelligence contractor to convert data into insights, dashboards, and decision-making frameworks.
• Ensure that the tech stack supports multi-region growth (EHR, scheduling, routing, communication tools).
• Lead implementation and rollout of new systems and tools.

6. Marketing & External Partnership Support

• Oversee the Marketing Associate to ensure effective marketing to families, school partners, referral sources and prospective SLPs.
• Support operational execution for new school partnerships, ensuring strong “go-live” performance and ongoing partner satisfaction.

7. Compliance & Risk Management

• Maintain compliance with state licensure requirements, school partner expectations, supervision rules, and documentation standards.
• Manage background checks and onboarding compliance.
• Maintain and periodically update operational policies, procedures, contracts and documents with the support of an operations consultant.

8. Project Management & Scaling

• Lead high-impact projects such as launching new geographies, implementing new software, or redesigning workflows.
• Build repeatable playbooks for new school onboarding and clinician support structures.
• Drive clear communication during organizational changes.

Key Metrics

• Geographic routing efficiency
• Time from referral to scheduling
• Employee retention & time-to-fill roles
• Contract satisfaction (schools, families)
• Operational readiness for new geographies
• Margin per SLP / operational efficiency
• Payroll & invoicing accuracy

Requirements

Required

• 8+ years of progressive operations leadership, ideally in healthcare, education services, therapy services, or related fields.
• Experience directly managing managers and teams of 20–50+.
• Strong project management skills and a track record of running complex initiatives.
• High technical aptitude; comfortable implementing and optimizing software tools. AI curious.
• Ability to interpret data and turn insights into action (with BI support).
• Knowledge of the pediatric SLP landscape; previous experience in pediatric therapy or related services is strongly preferred.
• Thrives in a high-growth, change-heavy environment.
  

Preferred

• Former SLP or clinical background
• Experience launching or scaling multi-state or multi-region service operations.
• MBA, MHA, MPH, or related graduate degree.

Important Attributes

• Systems thinker who brings clarity and structure.
• Data-driven, operationally disciplined, and detail-oriented.
• Direct, concise communicator with strong judgment.
• Low ego; high accountability.
• Energized by building, improving, and scaling.
• An Empath with a high EQ

Benefits

At Chatterboxes, we prioritize team member's professional and personal well-being:

• 401(k) with 50% company match
• Financial literacy resources with a dedicated advisor
• Health, dental & vision insurance (BCBS HMO, with 80% of the single-plan premium covered by Chatterboxes for direct employee)
• CEU or related professional development  reimbursement up to $1,200/year
• Full reimbursement for ASHA or related professional organization dues
• PTO
• Flexible paid holidays
• Long-term relationship mindset. We're looking for a partner who can serve the company for many years to come.
• Embrace the flexibility of remote work, allowing you to achieve a healthy work-life balance while playing a key leadership role in our team's success.
• Sleep well at night and be proud of your work by being a part of a team in a mission driven company changing the pediatric speech language pathology industry.

We are a neurodiversity affirming organization and proud to be an equal opportunity employer that believes in health, equity, equality, and prosperity for all so we can succeed in changing the way the pediatric speech language pathology industry works for both therapists and patients.