Please note: - This full-time role is based in New York City and is in-person. - This company does not sponsor work visas. - Minimum 5+ years work experience post undergrad required - Job application at the end of the job description THE COMPANY The company is a physician-led dermatology platform anchored by two of the Upper East Side's most established practices. Currently operating across two flagship Manhattan locations with a growing provider team, and a third location on the way, the company is actively building the infrastructure, systems, and leadership capacity to support continued platform growth through acquisition and de novo expansion. The company operates under an MSO/PC structure and is investing meaningfully in the operational foundation required to scale. This is a highly visible role — internally and externally — and requires someone who can serve as a true strategic partner to the physician leaders while driving operational rigor across the platform. THE ROLE The Head of Operations will serve as the operational backbone of the company. This is a high-ownership position, responsible for building scalable infrastructure across all practice locations, developing and leading the practice management team, and ensuring a consistently high-quality experience for both patients and providers. You will report directly to the CEO and sit at the leadership table alongside physician partners and the CFO — contributing to platform strategy, growth execution, and long-term organizational design. This is not a role for someone looking to manage steady-state operations. It is for a builder: someone who wants to create systems, lead people, get their hands dirty, and leave their fingerprints on a growing business. This role is on-site and in-person. Presence across our Upper East Side locations is expected with regularity and is non-negotiable. THE PERSON Results-driven & high sense of accountability Resilient and derives joy out of doing the hard things and seeing growth in themselves and others Desires autonomy, but enjoys working in a team Enjoys growing and building teams and companies Optimist but a realist Likes building processes and protocols Structured and organized thinker and doer WHAT SUCCESS LOOKS LIKE: In your first 12 months, you will have, Built scalable operational infrastructure that holds across current and future locations Improved patient throughput and provider utilization across both practices Reduced AR aging and driven measurable improvement in collections performance Standardized workflows, reporting cadences, and SOPs across all sites Established yourself as a trusted operational leader with practice staff (clinical and non-clinical) Supported at least one acquisition integration or expansion initiative end-to-end RESPONSIBILITIES Multi-Site Practice Operations Maintain healthy, efficient operations across all practice locations, serving as the primary point of contact for daily operational issues Standardize protocols, workflows, and patient pathways across sites to ensure consistent quality of care and provider satisfaction Conduct regular site visits to ensure each location is performing to standard and aligned with platform goals Establish and own a daily safety forum across all practice locations, driving real-time identification of operational risk, resource redeployment, and structured escalation to senior leadership People Management & Workforce Development Supervise and develop Practice Managers across locations; foster a team-based, high-performing culture Champion a culture of pre-incident safety reporting across clinical and administrative staff, where concerns are raised early rather than suppressed Anticipate staffing needs and proactively address gaps; partner with CEO on hiring for clinical and non-clinical roles Liaise with PEO (Vensure) on HR compliance, onboarding, benefits, and payroll processes Systems & Workflow Optimization Own the practice management and EHR environment (Nextech/EZDerm); drive adoption, troubleshoot issues, and identify improvement opportunities Work with CFO to maintain a KPI dashboard across visits, provider productivity, AR, payor mix, and patient satisfaction Identify workflow inefficiencies and design scalable solutions; document and maintain standardized operating procedures Manage vendor relationships across IT, consumables, medical supplies, equipment, and facilities Revenue Cycle & Financial Performance Own revenue cycle performance across both insurance (fee-for-service) and self-pay/cash-pay service lines Manage discretionary operational budgets; prepare, reconcile, and monitor site-specific budgets in collaboration with the CFO and practice leadership Partner with billing team and external vendors to optimize collections, reduce AR aging, and improve clean claim rates Ensure fiscal compliance with MSO policy and lender reporting requirements Cross-Functional Collaboration & Platform Strategy Serve as a senior voice in leadership discussions on operational priorities, resource allocation, and growth sequencing Translate operational issues into clear, actionable recommendations for the leadership team Lead due diligence and operational integration for new practice acquisitions Partner with CEO on growth initiatives including space expansion, new service line launches, and physician recruitment CORE COMPETENCIES Leadership & Judgment Proven ability to build and sustain high-performing clinical operations across multiple sites Sound judgment in escalating issues appropriately; comfortable operating with autonomy while staying closely aligned with senior leadership Ability to balance platform-level standardization with site-specific operational realities Communication & Influence Clear, direct communicator with clinical and administrative stakeholders at all levels Ability to have difficult conversations with grace and composure Strong interpersonal skills; builds trust quickly with physicians, staff, and external partners Adaptability & Accountability Comfortable managing competing priorities across multiple sites in a fast-moving, resource-constrained environment Strong sense of ownership for operational outcomes; reliable, on-site presence Tolerates ambiguity well; curious, proactive, and self-directed QUALIFICATIONS Required 5-7+ years of progressive operations experience, with at least 3 years in management roles Multisite experience - you have managed operations across more than one location simultaneously Demonstrated financial acumen - comfortable with P&Ls, revenue cycle metrics, and budget management Strong working knowledge of practice management systems (Nextech, EZDerm, or comparable) Proficiency with Microsoft Office & Excel Bachelor's degree or equivalent experience Preferred Experience in both fee-for-service (insurance) and self-pay/cash-pay revenue environments Specialty outpatient experience strongly preferred Experience in an early-stage, private equity-backed, or MSO-structured environment Master's degree (MHA, MBA, or related field) Familiarity with HIPAA, Joint Commission or analogous standards, and NY-specific healthcare compliance requirements COMPENSATION & BENEFITS Competitive base salary commensurate with experience. Performance bonus, benefits, and equity participation available for the right candidate. JOB APPLICATION redacted