Opioid Treatment Program Manager

What You’ll Do

Leadership & Operations

• Provide daily operational oversight to ensure smooth and efficient service delivery.


• Maintain visibility across OTP clinics, including regular on-site presence.


• Oversee staffing, scheduling, workflow design, and resolution of daily operational concerns.


• Respond to urgent needs including staffing shortages, safety concerns, and compliance issues.


• Support expansion strategies as ESPH grows services across new geographic markets.

Compliance & Quality

• Ensure full compliance with all federal and state regulations including SAMHSA, DEA, DHHS, accreditation standards, and MCO requirements.


• Monitor clinical documentation, treatment planning, dosing protocols, and safety processes.


• Ensure timely and accurate submission of required reports to oversight agencies and internal leadership.


• Maintain inventory of medication-related supplies in accordance with DEA/SAMHSA standards.


• Ensure policies and procedures are implemented consistently across sites.

Staff Support & Supervision

• Directly supervise Clinic Supervisors and indirectly support all clinic staff including nurses, counselors, and administrative team members.


• Participate in hiring, onboarding, training, coaching, and evaluation of employees.


• Develop and conduct training related to compliance, documentation, safety, and clinical practice.


• Facilitate regular staff meetings and ensure effective communication across clinic locations.


• Support staffing models, scheduling needs, and long-term workforce planning.

Financial & Administrative Oversight

• Develop, monitor, and manage annual program budgets for OTP locations.


• Track expenditures, revenue, and billing processes in collaboration with Finance.


• Approve routine and non-routine expenses within established guidelines.


• Monitor financial performance and ensure programs align with organizational expectations.

Community & Organizational Engagement

• Represent ESPH OTP programs in meetings with state agencies, MCOs, and regulatory stakeholders.


• Collaborate with HR, Finance, Quality, Compliance, Pharmacy, and other departments.


• Keep organizational leadership informed of operational issues, risks, and opportunities.