We are seeking an experienced and highly strategic Chief Operating Officer (COO) to oversee and optimize all day-to-day operational functions of the organization. This executive role is responsible for driving operational excellence, ensuring efficient service delivery, scaling organizational capabilities, and aligning cross-functional execution with long-term business strategy.
The ideal candidate is a proven executive leader with strong operational expertise, experience managing complex organizations, and a track record of improving performance, efficiency, quality, and profitability across multi-site or enterprise environments.
To support executive leadership collaboration and operational oversight, candidates must currently reside in one of the following metropolitan areas in the United States:
Dallas, Texas
Houston, Texas
Austin, Texas
Atlanta, Georgia
Jacksonville, Florida
Miami, Florida
Nashville, Tennessee
Charlotte, North Carolina
Phoenix, Arizona
Candidates outside of these locations will not be considered.
Lead and oversee all day-to-day business operations across the organization
Develop and execute operational strategies aligned with organizational goals
Ensure efficient, scalable, and high-quality service delivery across all business units
Establish operational standards, frameworks, and performance benchmarks
Drive continuous improvement in organizational processes and systems
Monitor and improve key operational metrics across all departments
Identify inefficiencies and implement process optimization initiatives
Improve productivity, throughput, and service delivery timelines
Ensure operational scalability to support organizational growth
Lead Lean, Six Sigma, or similar process improvement initiatives
Oversee coordination between clinical, financial, administrative, and support services
Ensure alignment between operational execution and strategic objectives
Improve patient care delivery workflows (if in healthcare environment)
Optimize service line performance and resource utilization
Ensure consistent execution across multi-site or enterprise operations
Lead and mentor senior operational leaders including Directors and VPs
Build and scale high-performing operational teams
Drive workforce planning, leadership development, and succession strategies
Foster a culture of accountability, performance, and continuous improvement
Strengthen organizational structure and operational governance
Partner with CFO to ensure operational efficiency and financial performance
Optimize cost structures while maintaining quality and service standards
Oversee budgeting, forecasting, and resource allocation at the operational level
Identify opportunities for cost savings and revenue-enhancing efficiencies
Ensure operational decisions support financial sustainability
Collaborate closely with CEO and executive leadership team on strategic planning
Translate corporate strategy into operational execution plans
Provide data-driven insights to guide executive decision-making
Represent operations in board-level and executive meetings
Drive alignment across all business functions and departments
Lead large-scale operational transformation initiatives
Implement automation and digital solutions to improve efficiency
Drive standardization of processes across all business units
Improve service quality, consistency, and customer/patient experience
Champion innovation in operational design and delivery models
Ensure operational compliance with regulatory and industry standards
Oversee risk management and mitigation strategies across operations
Maintain readiness for audits, inspections, and accreditation processes
Ensure adherence to safety, quality, and operational policies
Collaborate with compliance and legal teams on governance matters
Lead operational response during emergencies, disruptions, or crises
Develop and maintain business continuity and disaster recovery plans
Ensure operational resilience during system-wide or external disruptions
Coordinate cross-functional response during critical incidents
Maintain continuity of services under high-pressure conditions
Bachelor’s degree in Business Administration, Healthcare Administration, Operations Management, or related field
Master’s degree (MBA, MHA, or related) strongly preferred
12+ years of progressive operational leadership experience
5+ years in senior executive roles (COO, SVP Operations, VP Operations, or equivalent)
Proven experience leading large-scale, multi-site, or enterprise operations
Strong background in process improvement, operational strategy, and organizational leadership
Excellent communication, leadership, and executive decision-making skills
Must currently reside in one of the approved locations listed above
Experience in healthcare, hospital systems, or regulated industries
Strong background in Lean, Six Sigma, or operational excellence methodologies
Experience managing complex service delivery environments
Familiarity with financial management and revenue cycle collaboration
Experience leading digital transformation or enterprise system implementations
Strong data analytics and performance management capabilities
Experience working with boards, investors, or executive governance structures
Background in scaling high-growth organizations or turnaround environments
Operational efficiency and productivity metrics
Service delivery timelines and throughput improvements
Reduction in process bottlenecks and inefficiencies
Standardization and scalability of operations
Cost optimization and savings achieved through operational improvements
Budget adherence and resource allocation efficiency
Contribution to profitability and margin improvement
ROI on operational transformation initiatives
Customer/patient satisfaction scores
Reduction in operational errors and service failures
Compliance with quality standards and benchmarks
Consistency of service delivery across locations
Employee engagement and retention rates
Leadership development and succession readiness
Organizational structure effectiveness
Cross-functional collaboration success rates
Successful delivery of transformation initiatives
Alignment of operations with business strategy
Speed and effectiveness of execution on executive priorities
Stakeholder and board satisfaction
Chief Executive Officer (CEO)
Board of Directors (in some organizations)
Executive Leadership Committee
Full-Time
On-site / Hybrid executive leadership role
Frequent travel to operational sites or facilities as needed
Participation in executive leadership meetings and strategic planning sessions
On-call availability for operational emergencies or system disruptions
Executive-level operational leadership environment
High-impact role overseeing enterprise-wide execution and performance
Collaboration with C-suite executives, directors, and operational teams
Fast-paced, results-driven organizational setting
Strong focus on efficiency, scalability, and execution excellence
Opportunity to shape organizational performance and long-term operational strategy