Chief Operating Officer

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, Human Resources Executive, 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

Additional responsibilities include:

• 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

Requirements

Bachelor's degree required; Master's degree in Healthcare Administration, Business Administration, or related field preferred

Minimum of 7-10 years of progressive healthcare operational leadership experience

Demonstrated success in physician recruitment, organizational growth, and operational scaling

Multi-site physician practice management experience strongly preferred

Dermatology, surgical, or specialty practice experience preferred

Proven ability to lead in a hands-on, fast-paced operational environment

Strong leadership, communication, recruiting, and strategic planning skills

High level of business acumen with the ability to balance physician relationships and operational accountability

Clear Background Checks

Ability to travel to locations as needed

Compensation package will be competitive and commensurate with experience and qualification