Program Manager/Director – Outpatient SUD Treatment

At Steadfast Health, we're on a mission to deliver hope, healing, and long-term health to those experiencing substance use disorder, through best-in-class addiction treatment and an unwavering belief that lasting recovery comes from partnering with our patients as respected equals in their care journey. We're a passionate team striving to raise the standard of compassionate care for our patients, and we know that to do that, we must care for our people first.

Location: Steadfast in opening a location at 1493 New Walkertown Rd, Winston-Salem, NC 27101

Level & Compensation: This role will be hired at either the Manager or Director level, depending on the candidate's experience and scope of prior responsibility. We encourage candidates across this experience range to apply — we'll determine the right level together during the interview process.

• Manager: Base salary $90,000 - $110,000, with a 10% performance-based bonus program
  • Typically 2+ years managing outpatient behavioral health/SUD clinic operations, with direct oversight of daily staffing, scheduling, and clinical workflow
• Director: Base salary $110,000 - $130,000, with a 10% performance-based bonus program
  • Typically 5+ years in outpatient behavioral health/SUD clinic leadership, including direct P&L ownership and experience building or scaling a clinical team from the ground up

Is This You?

This role is built for a hands-on leader who has run an outpatient behavioral health, mental health, or substance use disorder treatment clinic or program, and who is energized by helping it grow. You know what it means to lead where clinical caseloads, harm reduction philosophy, and patient census directly shape daily operations.

You’ll have Steadfast’s operational playbook, clinical standards, and a dedicated Business Development partner, and an entrepreneurial spirit is encouraged here. You’ll have real ability to shape the clinic’s culture, try new approaches to community partnership, and build something that’s yours.

Whether you’re an experienced manager ready for a bigger growth challenge, or a director looking to get closer to patients, teams, and community, this role is built for you.

Why This Role Exists

Steadfast has successfully launched three clinics across Ohio and Tennessee, and is expanding to North Carolina with three additional clinics, with our location in Winston-Salem opening next. We need a leader to develop that team, strengthen operations, and build the community relationships that expand access to care.

Responsibilities

• Lead the team
  • Mentor and develop a clinical and operational team through regular 1:1s, clear goals, and accountability, handling hard conversations directly and with care
  • Own hiring, onboarding, and development as the clinic grows with support from our Human Resources team and our VP of Learning and Development
• Help grow the clinic
  • Partner with Business Development to build referral relationships with hospitals, health providers, recovery organizations, and community groups, and represent Steadfast in the Shaker-area community
  • Make the path to care easy, using census, referral, and access data to guide outreach priorities
• Run the clinic
  • Oversee daily operations, quality, compliance, and the clinic environment’s health and safety standards
  • Own or share accountability for the budget and key metrics: census, retention, no-show rates, access times, and productivity
• Deliver harm reduction-aligned care
  • Champion patient-first, low-barrier, non-punitive, evidence-based care in close partnership with clinical leadership, and collaborate with other Steadfast leaders across the organization

What You Bring

• Hands-on leadership of an outpatient behavioral health, mental health, or SUD clinic, program, or multi-team operation, including staffing, scheduling, and clinical workflow
• Direct SUD treatment experience (such as MAT/MOUD or OTP) or comparable outpatient behavioral health experience, within a harm reduction, non-punitive care model you can speak to in day-to-day decisions
• Experience building or growing something new, such as a program, team, partnership, or referral network, and the ability to tell us what you did and what resulted
• A track record of quantified results you personally drove, using EHR reports, dashboards, and Excel to track KPIs
• Experience leading therapists, case managers, peer support staff, and APPs, and familiarity with behavioral health regulatory and accreditation requirements (e.g., CARF, state SUD licensure)
• Experience managing or contributing to budgets, revenue, and cost control
• A natural relationship-builder with community ties
• Comfort with conflict, energy for change and variety, and careful attention to detail

Schedule: Monday - Friday, 8:30a - 5:00p ET. This may evolve as Steadfast grows, including occasional community events outside regular hours.

Benefits

• Healthcare Coverage: Medical, dental, and vision insurance
• Time Off: Flexible time off with generous PTO, floating paid holidays, and paid volunteer days
• Re-Fuel Days: 4 additional paid days off per year for mental health, rest, or continuing education (CEU) activities
• Continuing Education: Annual CEU support & ongoing paid training
• Employee Assistance Program (EAP): Free, confidential access to therapist sessions, legal guidance, financial resources, health coaching, and more
• 401K Match up to 5%
• 100% employer-paid short-term and long-term disability and employer-sponsored life insurance
• SoFi student loan interest rate discount, Rightway Health Concierge, 1 year free pet Telehealth through Pawp, and Perkspot Discount Marketplace
• An opportunity to get in at the ground level and shape how we grow!

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Prolonged periods of sitting at a desk and working on a computer
• Ability to operate standard office equipment (e.g., computer, keyboard, phone, printer) as part of regular work duties
• Sufficient visual acuity to read and analyze data on screens and in printed reports
• Manual dexterity sufficient to type, use a mouse, and handle office tools and documents
• Ability to participate in virtual meetings with both audio and visual components (e.g., Zoom, Teams)
• Ability to navigate outpatient clinic spaces, including group therapy rooms, counseling offices, waiting areas, and common areas
• Work may involve exposure to high-stress situations, including patient de-escalation, requiring emotional resilience, professionalism, and trauma-informed skills
• Ability to remain on your feet for extended periods, including walking and standing during clinic operations
• Ability to occasionally lift and carry office supplies or clinic materials weighing up to 20 pounds
• Ability to respond to emergency situations, which may require quick mobility and/or providing assistance to ensure patient or staff safety
• Ability to manage and oversee the physical environment of the clinic to ensure it is maintained in accordance with health and safety standards

Investors & Partners

Steadfast Health is proudly funded by Google Ventures (GV) and launched out of Triple Aim Partners, which builds healthcare organizations around the Triple Aim (better patient experience, better population health, and lower costs) with strong, front-line-focused cultures.