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The Sycamore Group

Chief Executive Officer

The Sycamore Group, Columbia, South Carolina, United States

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Chief Executive Officer – Behavioral Health Platform Location: Greenville, SC or Charlotte, NC

We are partnering with a rapidly growing behavioral health organization to identify a Chief Executive Officer who will shape, build, and scale a multi‑location platform delivering ketamine therapy, medication management, counseling, and FDA‑approved Spravato services. This is a rare opportunity for an experienced multi‑site operator to take a high‑demand, high‑growth clinical model and lead it into its next stage of expansion.

About the Opportunity The organization began as a ketamine clinic and quickly expanded into broader behavioral health due to overwhelming patient demand. With three locations (one fully operational, one early‑stage, and one ready to scale), the business has strong financial performance, a hybrid cash/insurance revenue model, and extremely low‑cost clinic build‑outs that enable fast expansion.

Leadership is seeking a CEO to replace the founder in day‑to‑day operations, build a scalable operating system, and drive market expansion across the Southeast.

What You’ll Lead Operational Infrastructure & Standardization (First 6–12 Months)

Build a scalable clinic playbook, SOPs, and repeatable workflows

Strengthen operational systems around ketamine, counseling, medication management, and Spravato

Improve scheduling, patient flow, financial visibility, and KPI management

Streamline revenue‑cycle processes, credentialing workflows, and insurance‑driven operations

Centralize call center operations to support multiple markets

Partner closely with the Director of Operations (recently hired from a major health system)

Platform Build & Multi‑Site Growth

Scale the Anderson clinic into full‑time operations

Launch and expand the Charlotte location (space already secured)

Identify new markets and drive strategic expansion

Create staffing models and training programs to support a multi‑location footprint

Ensure providers, nurses, and NPs are efficiently onboarded, credentialed, and retained

Build the organizational structure needed for 5–10+ locations over time

Ideal Candidate Profile

Proven success leading and scaling multi‑site healthcare or behavioral health operations

Deep understanding of insurance‑based care, credentialing, authorizations, and RCM

Experience in hybrid models (cash pay + insurance) strongly preferred

Strong operational discipline with the ability to build systems and processes from scratch

Thrives in high‑demand, fast‑moving environments with operational complexity

Demonstrated ability to launch new clinics and create replicable playbooks

Leadership experience in behavioral health, ketamine/Spravato services, outpatient psychiatry, medspa, or other high‑throughput clinical models

A builder who enjoys structure, clarity, and operational excellence

Why This Role?

Take ownership of a fast‑growing platform generating

$2.6M+ from just 1.5 operating clinics

Scale clinics with

low build‑out costs

and strong patient demand

Step into a business with strong early traction and an operational leader already in place

Lead the transformation from a founder‑led organization to a professionally operated platform

Significant autonomy, strategic influence, and long‑term leadership runway as the organization expands

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