Chief Operating Officer (COO)

Position Overview

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.

Location Requirement

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.

Key Responsibilities

Enterprise Operations Leadership

• 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

Operational Performance & Optimization

• 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

Cross-Functional Healthcare / Business Operations

• 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

Leadership & Organizational Development

• 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

Financial & Resource Management

• 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

Executive Leadership & Strategy

• 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

Process Improvement & Transformation

• 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

Compliance, Risk & Quality Oversight

• 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

Crisis Management & Business Continuity

• 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

Qualifications

Required

• 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

Preferred (Nice-to-Have)

• 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

Key Performance Indicators (KPIs)

Operational Performance

• Operational efficiency and productivity metrics

• Service delivery timelines and throughput improvements

• Reduction in process bottlenecks and inefficiencies

• Standardization and scalability of operations

Financial Impact

• 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

Quality & Service Excellence

• Customer/patient satisfaction scores

• Reduction in operational errors and service failures

• Compliance with quality standards and benchmarks

• Consistency of service delivery across locations

Leadership & Workforce

• Employee engagement and retention rates

• Leadership development and succession readiness

• Organizational structure effectiveness

• Cross-functional collaboration success rates

Strategic Execution

• Successful delivery of transformation initiatives

• Alignment of operations with business strategy

• Speed and effectiveness of execution on executive priorities

• Stakeholder and board satisfaction

Reporting To

• Chief Executive Officer (CEO)

• Board of Directors (in some organizations)

• Executive Leadership Committee

Employment Type & Work Setup

• 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

Work Environment & Conditions

• 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