Chief Operating Officer

Chief Operating Officer / Practice Operations Leader

Title flexible: COO, VP of Operations, Practice Director, Integrator

Physician-Owned Medical Practice

A well-established, physician-owned primary care practice in Phoenix is hiring a hands‑on operations leader to run the business side of a growing medical practice.

This single‑location practice has been operating successfully for over 20 years, generates $6M+ in annual revenue, and employs 30+ staff with a multi‑physician care team. The practice is stable, respected, and growing intentionally—not through rapid expansion, but through operational excellence.

This role exists to partner with the Owner‑Physician and take full ownership of daily operations, people leadership, and execution, allowing clinical leadership to focus on patient care and strategy.

This is not a corporate healthcare role.

This is not a desk‑only administrator position.

This is a present, decisive, execution‑oriented leadership role.

• Lead day‑to‑day clinic operations across front office, back office, and clinical support teams
• Ensure smooth patient flow, staffing coverage, and operational readiness
• Anticipate recurring operational needs without constant direction

• Serve as the primary operational leader for staff
• Handle employee issues, performance management, onboarding, and offboarding
• Coach and develop supervisors and team leads
• Act as the first escalation point for operational and people‑related issues

• Use Excel and basic reporting to track performance and identify improvement opportunities
• Improve operational workflows and clinic efficiency without sacrificing care quality
• Partner with leadership to support revenue cycle accountability and documentation quality

• Execute priority initiatives tied to growth and efficiency
• Support onboarding of additional providers as the practice grows
• Assist with operational planning for new service lines (e.g., behavioral health)

• Owner‑Physician is largely removed from daily operational distractions
• Clear accountability rhythms and expectations are established
• Improved workflow efficiency and staff engagement
• Data and reporting are used consistently to guide decisions
• Operations run smoothly, predictably, and professionally

• Healthcare operations leadership experience at a Primary Care private practice
• Hands‑on management experience – not just oversight
• Strong communication and people‑leadership skills
• Proficiency in Excel and basic analytics
• Ability to work on‑site and lead from the floor
• Reliable attendance and schedule flexibility

• Experience in physician‑owned or entrepreneurial healthcare environments
• Familiarity with revenue cycle fundamentals
• Background in family medicine, internal medicine, or multispecialty clinics
• Experience reporting directly to an owner or founder
• On‑site, full‑time role (Phoenix area)
• Clinic‑based schedule (generally Monday–Friday)
• Occasional early or extended days based on operational needs
• Base Salary: $110,000 – $150,000 (depending on experience)
• 401(k) with employer match
• Employer‑paid health insurance (medical)
• Vision, dental, and other benefits available

• Like owning outcomes, not just tasks
• Are comfortable making decisions and holding people accountable
• Prefer a fast‑moving, people‑centric environment
• Want real responsibility without corporate bureaucracy

• Need constant direction or rigid structure
• Prefer remote or hybrid work
• Avoid difficult conversations
• Come from large systems and struggle in lean environments