Chief Operating Officer / Practice Operations Leader

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

Confidential Physician-Owned Medical Practice

📍 Phoenix, AZ (On-site, Full-Time)

The Opportunity

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.

What You’ll Be Responsible For

Practice Operations

• 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

People Leadership & Accountability

• 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

Workflow, Data & Improvement

• 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

Strategic Execution

• 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)

What Success Looks Like (First 12 Months)

• 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

Required Experience & Skills

Must-Haves

• Healthcare operations leadership experience (private practice or ambulatory care preferred)
• 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

Nice-to-Haves

• 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

Work Environment & Schedule

• On-site, full-time role (Phoenix area)
• Clinic-based schedule (generally Monday–Friday)
• Occasional early or extended days based on operational needs

Compensation & Benefits

• Base Salary: $110,000 – $150,000 (depending on experience)
• 4 weeks PTO + holidays
• 401(k) with employer match
• Employer-paid health insurance (medical)
• Vision, dental, and other benefits available

Who This Role Is (and Isn’t) For

This role is for you if you:

• 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

This role is not for you if you:

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