Director of Strategic Operations

At Truss Vet, we’re bridging gaps in care to support pets and the people who love them. We have an ambitious 10-year goal of nurturing the human-animal bond by supporting over 1 million pets and their families, and we're doing this by pioneering a new category in veterinary medicine and focusing on building out the premier veterinary urgent care company in our industry.

We're growing quickly, and we need talented people to help us do it!

We’re currently hiring a Director of Strategic Operations to join our leadership team and play a critical role in improving existing clinics and leading the repeatable, successful launch of new locations. This is a high-impact, highly cross‑functional role that works closely with Clinic Operations, Talent, Real Estate, Marketing, Medical Leadership, and the Executive team. It will be fast‑paced, complex, and deeply rewarding.

As Director of Strategic Operations, your mission is to constantly improve our clinics and successfully launch new ones. You’ll own key operational playbooks, lead strategic initiatives, build scalable systems, and ensure our clinics are staffed, equipped, compliant, and optimized to deliver excellent care and team experiences from Day 1 and beyond.

This role blends strategy with execution; you’ll be building systems one day and spending time in clinics the next.

• Lead, manage, and hold accountable direct reports while partnering cross‑functionally with Clinic Operations, Medical Leadership, Marketing, Real Estate, Talent, and Executive Leadership to identify issues and drive improvement initiatives
• Own and execute the repeatable, on‑time launch of new clinics, including partnering with Real Estate on construction timelines, Talent on recruiting plans, ensuring clinics are fully staffed and stocked, and leading site setup week through Day 1
• Partner with the CEO and CMO on strategic initiatives, including special projects and the rollout of culture, talent, and training programs
• Spend time in clinics to evaluate, optimize, and implement workflow improvements in partnership with Clinic Leadership, Regional Leadership, Clinic Ops, and Medical Leadership
• Identify, prioritize, and execute projects that improve operational efficiency, scalability, and clinic performance, including maintaining and improving task management systems
• Own pricing strategy across clinics, including pricing analysis, competitive research, and implementation of pricing changes
• Design, manage, and optimize team and client feedback systems, surveys, and simplified reporting and analytics dashboards to ensure teams have access to the right metrics
• Own Technology and IT operations supporting clinic performance, including PIMS, inventory purchasing and management systems, and third‑party software (scheduling, texting, phones, scribing, payments, IT)
• Define, document, and maintain medical, legal, licensing, and regulatory compliance processes, ensuring all clinics remain compliant as requirements evolve

• You’re proactive, highly organized, analytical, and detail‑oriented—but still a strong people leader
• You thrive in fast‑paced, growing environments and enjoy building systems from the ground up
• You enjoy working cross‑functionally and influencing without authority
• You’re equally comfortable thinking strategically and executing tactically
• You like spending time in clinics and believe the best operational improvements come from being close to the work
• You’re energized by solving complex problems and continuously improving how things are done
• You are based in NC or willing to relocate

• 5+ years in the pet healthcare ecosystem preferred
• 5+ years of multi‑site operational and/or management experience in a fast‑growing healthcare services business (ideally veterinary)
• Four‑year degree preferred but not required

• Dare to Care:
  Doing what is easy isn’t always right. Doing what is right isn’t always easy. So we show up. We care. Even when clients don’t deserve our best, even when a conversation is uncomfortable, we approach situations with courage, empathy, and…