[Remote] Fractional Integrator – Operational Accountability & Business Strategy

Note: The job is a remote job and is open to candidates in USA. Virtual Peace of Mind is seeking a Fractional Integrator to strengthen organizational accountability and operational execution across departments. The role assesses leadership performance, tracks follow-through, recommends corrective action and operational improvements, and advises the CEO on organizational performance, risks, and growth priorities.

Responsibilities

• Conduct structured weekly accountability meetings with each assigned department leader, including program operations, clinical services, administration, human resources, and other functions as designated by the CEO
• Review weekly commitments, measurable outcomes, deadlines, staffing performance, and unresolved issues; document owners and next steps
• Track whether leaders complete agreed-upon actions and follow up on overdue or incomplete commitments
• Evaluate patterns of missed expectations, recurring errors, and ineffective management practices; distinguish individual performance concerns from systemic barriers
• Review departmental dashboards, operational trackers, quality indicators, and performance reports for accuracy, trends, and exceptions
• Recommend targeted improvement plans, reassignment, additional training, or formal performance action when supported by documented findings
• Coordinate with the responsible manager and HR on corrective action processes while respecting established policies and approval authority
• Escalate significant operational, compliance, client-service, or personnel risks promptly to the CEO and appropriate designated leaders
• Identify gaps in workflows, ownership, communication, and standard operating procedures that cause repeated failures or inefficiency
• Recommend practical solutions and verify that approved improvements are implemented and sustained
• Ensure department leaders maintain usable accountability trackers, measurable deliverables, and documented follow-up
• Serve as a trusted business thought partner to the CEO on organizational design, operational efficiency, staffing capacity, leadership performance, and growth readiness
• Provide a weekly executive briefing summarizing departmental performance, emerging risks, overdue commitments, and specific decisions requiring CEO action
• Assess operational implications of new programs, partnerships, and expansion initiatives; recommend realistic execution priorities
• Offer independent, evidence-based perspectives and constructively challenge assumptions when appropriate

Skills

• Minimum 10 years of progressive business operations, executive management, or organizational leadership experience, including direct responsibility for accountability, performance management, and cross-functional execution
• Prior experience in one or more comparable roles: Chief Operating Officer (COO), Fractional COO, Vice President of Operations, Executive Director, Chief Administrative Officer, Director of Operations, General Manager, Chief of Staff with operational authority, or senior business/operations consultant with documented accountability leadership
• Demonstrated success managing or evaluating department heads, setting performance expectations, implementing corrective plans, and improving operational results
• Strong financial and business acumen, including the ability to interpret budgets, staffing models, productivity measures, and operational trade-offs
• Excellent executive communication, sound judgment, discretion with sensitive employee information, and ability to deliver candid recommendations
• Ability to work independently, maintain consistent weekly availability, and deliver clear written accountability reports
• Experience supporting a founder-led, multi-department, growth-stage organization
• Background in healthcare, behavioral health, professional services, education services, or another regulated service environment
• Experience with fractional executive engagements, operational turnarounds, scaling organizations, and leadership coaching
• Familiarity with HR performance-management processes and cross-functional KPI reporting

Benefits

• Mission-driven work strengthening the systems behind accessible, high-quality mental health services for students, families, and communities.
• Meaningful executive impact on organizational accountability and sustainable growth.
• Flexible fractional structure: a focused 12–15-hour weekly commitment.
• Work directly with the CEO and collaborate with established department leaders.
• Potential to be considered for expanded fractional operations leadership, including a future FCOO role, based on organizational need and performance.

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