Director of Client Operations

Director of Client Operations – Remote

This position oversees and directs the operations management of multiple employer worksites across all lines of health and fitness related services within a geographic area. It is a subject‑matter expert that provides expertise managing and mentoring Health Center Leadership staff.

• Serve as main client contact on strategic integration and expansion opportunities, maintaining strategic focus on client satisfaction and value‑added strategies and proactively identifying client needs related to healthcare trends.
• Identify processes to improve overall performance of health centers and define innovative performance standards to integrate corporate strategies.
• Demonstrate strong business acumen and knowledge of staffing, capacity, ROI, budget, margins, service and product offerings to implement and drive strategic and relevant operational outcomes.
• Strategically identify and solve complex problems, emphasizing proactive approaches utilizing internal (corporate and regional) support.
• Request participation from corporate departments in strategic meetings as client needs dictate.
• Own client/site meetings, committees, and task forces to support strategic initiatives and goals.
• Operational lead on implementations post‑go‑live.
• Coordinate and facilitate communication across virtual sites and navigate multilayer client relationships (vendors, consultants, etc.).
• Effectively manage complex multiple lines of service and clients.
• Provide effective leadership, coaching, and mentoring at the site level.
• Build talent to proactively manage additional LOS.
• Participate in the sales process.
• Act as escalation point for clients.
• Consult with Medical, Legal or Compliance departments regarding regulations, practice acts, practice law, certification requirements, etc.
• Complete ad hoc projects as requested.
• Manage site‑level supervisors.
• Oversee the management of up to 15 health centers with multiple lines of service.
• Manage the relationship of up to 10 clients.
• Manage a portfolio of $2M – $10M in Gross Annual Revenue.
• Manage (direct and indirect) up to 10 – 50 FTEs.

• Bachelor’s degree in a related field preferred or equivalent experience.
• 7+ years’ experience in a business environment or related industry, managing others.
• Experience managing virtual teams.
• Healthcare experience managing in a medical, pharmacy, fitness or similar environment preferred.
• Experience in an Operations function desired.
• Prior budget and P&L responsibility desired.
• Demonstrated experience with medical information management systems.
• Demonstrated process or efficiency management.
• Strong Excel, PowerPoint, Word and Outlook skills required.
• Strong written, verbal and presentation skills required.
• Excellent demonstrated follow‑up skills & attention to detail.
• Ability to work both independently and as a team member.
• Strong relationship‑building skills.
• Ability to interact at all levels of the organization (internal and external).
• Demonstrated strong leadership skills.
• Demonstrated adaptability and ability to manage change.
• Knowledge of Workers’ Compensation, Medicare and/or clinical standards of practice preferred.

Premise offers full‑time team members competitive pay and benefits including medical, dental, vision, life and disability insurance; a 401(k) program with company match; paid holidays and vacation time; a company‑sponsored wellness program;
Employee Assistance Program; access to virtual primary care and virtual behavioral health at no cost for team members and their dependents. Additional benefits can be viewed at

Premise is an equal‑opportunity employer; we value inclusion and do not discriminate based on race, color, religion, creed, national origin or ancestry, ethnicity, sex (including pregnancy and related conditions), gender identity or expression, sexual orientation, age, physical or mental disability, genetic information, past, current or prospective service in the uniformed services, or any other characteristic protected under applicable federal, state, or local law.

This role’s base salary ranges from $ – $ annually
. A performance bonus based on client service expansion and an annual performance incentive based on individual annual evaluation and company financial performance may also apply.

For individuals living in Washington or Colorado: employees will be included in the company’s Open Time Off plan and receive 10 paid holidays or an equivalent bank of hours aligned to schedule throughout the calendar year. Paid sick leave is satisfied by the paid time off accrual, detailed above.

This posting is anticipated to close within 90 days of 10/13/2025.

Should you have questions regarding this job posting, please contact