Chief Operating Officer - Private Medical Practice

The Chief Operating Officer (COO) serves as the senior operational leader of a multi-site, physician-led dermatology and dermatopathology organization in the greater Houston area. This is an on-site executive leadership position and is not remote.

Reporting directly to the President, the COO is responsible for enterprise-wide operational execution, physician recruitment and retention, infrastructure development, provider integration, and scalable organizational growth. This is a highly hands-on operational leadership role requiring active day-to-day involvement across the organization. The COO functions within a collaborative, matrixed leadership environment and must effectively align clinical vision with operational performance across all business units.

Key Responsibilities

I. Enterprise Strategy & Growth

• Execute the organization’s strategic plan in partnership with the President
• Lead expansion initiatives, including new clinic development and service line growth
• Maintain direct responsibility for physician and advanced practice provider recruitment, including sourcing, relationship development, interviewing, contract coordination and retention efforts
• Develop and maintain physician recruitment pipelines and professional relationships within the specialty
• Ensure operational readiness for new locations, including staffing, workflows, systems, and infrastructure
• Identify and implement scalable operational improvements to support continued growth

II. Operational Performance & Execution

• Provide hands-on leadership and operational oversight across all practice locations
• Monitor, analyze, and improve key operational and performance metrics
• Ensure consistency, efficiency, accountability, and service excellence across all clinical and administrative locations
• Partner with the Controller, Systems Manager, and other key leaders to align operational performance with financial, human resources, and information technology objectives
• Drive operational excellence through data-informed decision making and continuous process improvement

III. Operational Leadership

Direct oversight of:

• Regional Managers
• Health Information & Systems Manager
• Business Development Specialist

Additional responsibilities include:

• Standardizing workflows, policies, and operational procedures across all sites
• Providing executive-level oversight of dermatopathology laboratory operations
• Collaborating with the Controller regarding capital equipment planning and supply chain strategy
• Leading implementation and execution of enterprise-wide operational initiatives
• Maintaining regular presence within clinic and operational environments to ensure accountability and execution

IV. Regulatory & Risk Oversight

• Maintain executive accountability for organizational compliance, including: HIPAA, OSHA, CLIA, Medicare and Medicaid regulations
• Overseeing audit readiness initiatives
• Managing organizational risk mitigation strategies
• Ensuring adherence to all applicable healthcare regulatory standards

V. Physician & Provider Integration

• Ensure a smooth onboarding experience and operational readiness for new providers
• Support physician alignment, engagement, retention, and productivity initiatives
• Plan and lead physician and leadership meetings as requested
• Foster a collaborative, physician-centric operational culture

VI. Marketing & Brand Oversight

• Oversee organizational marketing strategy and vendor relationships
• Monitor referral trends, market growth patterns, and business development opportunities
• Ensure brand consistency and professional presentation across all locations