Chief Operating Officer

Role summary:

" Executive leader responsible for multi-site operations, clinical quality enablement, growth, and profitability across the DSO. Owns execution of strategy, standardization, and scalable systems to deliver superior patient experience and clinician satisfaction.

Key responsibilities:

" Operations leadership: Drive day-to-day performance across practices; implement standardized workflows, scheduling, chair utilization, inventory, and supply chain management.

" Clinical enablement: Partner with CCO/clinical leaders to support evidence-based care, credentialing, infection control, and safety protocols; ensure alignment of operations with clinical outcomes and compliance.

" Growth and expansion: Lead de novo openings, practice integrations, and market entry; develop ramp plans and playbooks for new sites; optimize real estate and capacity planning.

" Financial management: Own P&L for operations; deliver revenue, EBITDA, and margin targets; manage budgets, labor models, and pricing/payer mix strategies; oversee revenue cycle performance (front desk, eligibility, coding, AR days).

" Patient experience: Improve access, scheduling accuracy, wait times, treatment acceptance, recalls/reactivation, and NPS/CX metrics.

" Talent and culture: Build high-performing regional leadership; workforce planning, recruiting, retention, and training; create a culture of accountability, DEI, and clinician engagement.

" Technology and data: Drive practice management and EHR optimization, analytics dashboards, KPI cadence, and automation (e.g., RCM, patient comms, inventory).

" Compliance and risk: Ensure HIPAA, OSHA, state board, infection control, and payer compliance; manage audits, incident response, and policy governance.

" Vendor and procurement: Centralize purchasing, negotiate contracts, reduce COGS, and manage lab/implant/consumables partners.

" Strategic planning: Translate corporate strategy into operational plans; lead OKRs, quarterly business reviews, and continuous improvement.

" Stakeholder management: Collaborate with marketing, finance, HR, and clinical leadership; communicate performance to CEO, Board, and investors.

Qualifications:

" 3+ years progressive multi-site healthcare operations experience; DSO experience strongly preferred.

" Proven P&L ownership across multi-site dental group.

" Experience integrating acquisitions and opening de novo clinics at scale.

" Deep knowledge of RCM, payer contracting basics, and clinical operations in dentistry (GP and specialties).

" Bachelor's required; MBA/MHA or equivalent preferred.

Key competencies:

" Data-driven operator with strong financial acumen.

" Process design/standardization and change management.

" Talent builder and executive communicator.

" Customer-centric mindset with bias for action.

" Negotiation and vendor management.

" Compliance discipline and risk mitigation.

" Comfort with technology, analytics, and automation.

Success metrics (examples):

" Same-practice revenue growth, EBITDA margin, labor as % of revenue, COGS/supply savings.

" Provider productivity (procedures/hour, chair utilization), treatment plan acceptance, case mix.

" Patient access (wait times), retention/recall rates, NPS/CX, AR days, denial rates.

" On-time, on-budget openings/integrations; staff turnover and engagement.

" Audit results and incident rate reductions.

Reporting structure:

" Reports to: CEO

" Direct reports: Regional/Area Operations Directors, RCM leader, Procurement/Supply Chain, PMO/Integration, Operations Analytics; close partnership with CCO/Clinical leadership and HR.

Location and travel:

" In-office with 20% travel.

Compensation:

" Competitive base + performance bonus; equity participation typical for senior executives; comprehensive benefits.

Notes:

" Customize metrics, regions, and technology stack (PMS/EHR, analytics tools) to your organization's footprint and strategy.