Chief Operating Officer (COO) / Integrator

Position Overview

We are seeking a growth-oriented Chief Operating Officer (COO) / Integrator to lead operational execution, financial performance, and strategic growth for an established, physician-led, multi-location healthcare organization in Central Ohio.

This is a high-impact leadership opportunity for a healthcare executive who combines financial discipline, operational excellence, and strong people leadership. The COO will work closely with executive leadership to translate strategic priorities into measurable results, strengthen operational systems, improve profitability, and support continued organizational growth.

The ideal candidate will be a hands-on, business-minded leader who understands the relationship between patient growth, healthcare revenue cycle performance, operational efficiency, and financial sustainability. This individual will build scalable processes, develop accountable leaders, strengthen cross-functional collaboration, and foster a high-performing, team-oriented culture.

Experience with the Entrepreneurial Operating System (EOS), particularly the Integrator role and Level 10 (L10) meetings, is highly desirable.

Location: Columbus, Ohio (Dublin, Ohio area)
Work Arrangement: Full-time, On-site
Industry: Healthcare / Physician Practice Management

Key Responsibilities

1. Financial Leadership & Business Performance

• Own the organization's profit and loss (P&L) performance, including revenue growth, operating expenses, profitability, and EBITDA.

• Develop and execute strategies to accelerate revenue growth and improve operating margins.

• Establish financial discipline, accountability, and performance standards across all locations.

• Oversee budgeting, forecasting, financial analysis, and operational expense management.

• Develop financial reporting systems, KPI dashboards, and management processes to support data-driven decisions.

• Identify opportunities to improve productivity, control costs, optimize resources, and strengthen overall financial performance.

2. Healthcare Operations & Multi-Site Management

• Provide operational leadership across a network of healthcare locations throughout Central Ohio.

• Standardize workflows, policies, and operating procedures to improve consistency, efficiency, and accountability.

• Monitor location-level performance and implement corrective actions when operational or financial targets are not met.

• Strengthen coordination between clinical teams, practice management, finance, marketing, and other support functions.

• Improve provider productivity, scheduling efficiency, patient access, and overall operational effectiveness.

• Support the development of new locations, service lines, and strategic growth initiatives.

• Travel locally between locations as needed to maintain operational visibility and build strong relationships with teams.

3. Revenue Cycle Management & Payer Relationships

• Oversee revenue cycle management (RCM), including billing performance, collections, reimbursement, and related operational processes.

• Manage and strengthen relationships with commercial insurance payers and other reimbursement partners.

• Evaluate payer contracts and reimbursement arrangements to identify opportunities to improve financial performance.

• Monitor key revenue cycle metrics, including accounts receivable, denial rates, collection performance, and reimbursement trends.

• Collaborate with internal teams and external partners to improve billing accuracy, reduce revenue leakage, and accelerate collections.

• Develop strategies that align revenue cycle performance with patient growth, operational efficiency, and profitability goals.

4. Patient Growth & Strategic Development

• Develop and execute strategies to increase patient volume, improve patient access, and support sustainable growth.

• Partner with sales, marketing, and operational leadership to identify opportunities for practice growth and expanded market reach.

• Evaluate opportunities for new locations, expanded services, and other strategic growth initiatives.

• Build productive relationships with physicians, healthcare providers, vendors, and external stakeholders.

• Use operational and financial data to identify growth opportunities and measure the results of strategic initiatives.

5. Executive Leadership & Team Development

• Partner with executive leadership to translate organizational vision into actionable plans and measurable outcomes.

• Lead and develop operational leaders, establish clear responsibilities, and maintain consistent performance expectations.

• Build strong working relationships across departments and locations, fostering collaboration, trust, and accountability.

• Conduct regular one-on-one meetings, support professional development, and coach team members toward improved performance.

• Oversee recruitment and contract negotiations for operational leadership and other designated functions.

• Serve as a key decision-maker in resolving operational, financial, staffing, and organizational challenges.

• Promote a positive, team-oriented culture that values compassion, adaptability, continuous improvement, and exceptional service.

6. EOS Implementation & Organizational Accountability

• Serve as the organization's Integrator, aligning strategic vision with operational execution.

• Lead Level 10 (L10) meetings and maintain accountability for quarterly priorities, action items, and business objectives.

• Establish and maintain scorecards, measurable goals, and structured performance reviews.

• Help leadership teams identify obstacles, solve problems, and execute priorities consistently.

• Balance strategic planning with practical implementation, ensuring initiatives deliver measurable business results.

Required Qualifications

• Bachelor's degree in business, healthcare administration, finance, or a related field.

• At least 7 years of leadership experience in healthcare operations, healthcare finance, or a related healthcare services environment.

• Demonstrated success improving financial performance, growing revenue, and strengthening operating margins within a healthcare organization.

• Experience managing operational performance, budgets, financial metrics, or P&L responsibilities.

• Strong analytical, problem-solving, communication, and decision-making skills.

• Proven ability to build relationships, develop teams, and hold leaders accountable.

• Demonstrated career progression and a record of professional stability.

• Ability to work on-site in the Columbus, Ohio area and travel locally among locations as needed.
  

Preferred Qualifications

• Experience leading multi-site healthcare organizations, physician practices, specialty clinics, or ambulatory care operations.

• Strong understanding of healthcare revenue cycle management, commercial payer contracting, reimbursement, billing, and collections.

• Experience increasing patient volume, provider productivity, and practice revenue.

• Background in a private equity-backed or growth-capital healthcare organization.

• Experience in allergy and asthma, ENT, or other specialty physician practices.

• Experience building scalable operating systems, KPI dashboards, and standardized processes across multiple locations.
  

Highly Desirable Qualifications

• Experience with the Entrepreneurial Operating System (EOS), particularly in an Integrator capacity.

• Demonstrated experience facilitating Level 10 meetings, managing quarterly priorities, and driving leadership-team accountability.

• MBA, MHA, or another relevant advanced degree.
  

Reporting & Leadership Structure

The COO will report to the organization's chief executive and work closely with senior leadership across operations, sales and marketing, finance, and human resources.

The role will oversee key operational leaders and partner with finance and HR resources to ensure effective execution, financial accountability, and organizational alignment.

Benefits

• Group medical, dental, and vision insurance.

• 401(k) retirement plan.

• Paid time off (PTO).

• Short-term disability coverage.

• Life insurance.
  

Leadership Profile

The successful candidate will be a decisive, collaborative, and financially disciplined healthcare leader who combines strategic thinking with hands-on execution.

Key leadership attributes include:

• Business-Building Mindset: Understands how operational excellence, patient growth, and profitability work together.

• Financial Ownership: Takes accountability for business results and uses data to guide decisions.

• People-First Leadership: Builds trust, develops talent, and strengthens relationships across teams.

• Operational Discipline: Establishes clear processes, performance metrics, and accountability.

• Growth Orientation: Identifies opportunities to expand access, improve performance, and build scalable systems.

• Adaptability and Resilience: Navigates challenges constructively while maintaining focus on organizational goals.
  

Why Consider This Opportunity?

This is an opportunity to take meaningful ownership of the operational and financial performance of a growing healthcare organization, work closely with executive leadership, and help shape its next phase of growth.

The role offers the opportunity to make a measurable impact on patient access, operational performance, financial sustainability, and team development while contributing to a collaborative, service-oriented healthcare environment.