1,804 Chief Operating Officer jobs in the United States

CHIEF OPERATING OFFICER

HOPEWEST

NONPROFIT SERIOUS ILLNESS CARE PROVIDER

HopeWest is seeking a mission-centered, operationally astute leader to serve as its next Chief Operating Officer. This is a unique opportunity to join a nationally respected nonprofit organization that provides hospice, palliative care, grief support, and PACE services across a 10,000-square-mile region of Western Colorado, with deep community roots and a strong philanthropic foundation. HopeWest is poised for a new chapter of performance, integration, and leadership development.

The COO will serve as the organization’s lead operator, reporting to the CEO and overseeing day-to-day operations across all care lines. The role requires a proven healthcare executive with experience in complex clinical delivery systems, including hospice, palliative care, or PACE models. Candidates should have a track record of building accountable leadership teams, scaling infrastructure, and driving cultural alignment while maintaining a focus on mission and quality of care. A coaching mindset, change leadership experience, and comfort with both strategy and execution are essential.

The successful candidate will demonstrate a long-term commitment to the community and be energized by HopeWest’s vision, relational culture, and regional identity. Leaders from larger systems must demonstrate the ability to adapt to a high-touch, mission-driven environment. Metrics of success include growth in census, enhanced team clarity and cohesion, financial discipline, and improved performance in quality and satisfaction scores. The COO will play a lead role in reinforcing HopeWest’s identity while advancing operational discipline and shared accountability across programs and teams.

This is a highly relational, purpose-driven role ideal for a hands-on operator who leads with both empathy and accountability. The right leader will view this as a legacy opportunity to help shape the future of one of Colorado’s most admired community-based care organizations.

For a formal Job Profile, please contact Tracy Wolfe at or

Chief Operating Officer

Tallahassee, Florida | Full-time | Executive Leadership

My client is one of the fastest-growing MEP contractors in North Florida, delivering high-quality mechanical and plumbing solutions for commercial and federal projects. Their recent portfolio includes healthcare facilities, large-scale commercial builds, government installations, and high-efficiency HVAC/plumbing retrofits throughout the Southeast.

Their culture is built on four core values Hard Work, Dependability, Integrity, and a Positive Attitude and we are looking for team members who live these values every day.

Key Responsibilities

• Lead day-to-day operations across field teams, project management, estimating, procurement, and safety.
• Translate company strategy into actionable business plans and measurable results.
• Ensure projects are delivered safely, on schedule, and within budget.
• Mentor and develop department leaders, fostering a high-performance culture.
• Partner with the President and executive team to drive growth and profitability.
• Build and maintain strong relationships with clients, subcontractors, and suppliers.

Qualifications

• 10+ years of experience in mechanical construction, HVAC contracting, or MEP operations.
• Proven track record leading multimillion-dollar construction projects.
• Strong financial, operational management skills and P&L reasonability.
• Excellent leadership, communication, and problem-solving abilities.

Compensation & Benefits

• Competitive executive compensation + performance bonus.
• Health, dental, and vision benefits.
• 401(k) with company match.
• Vehicle allowance and travel reimbursement.

Please reach out to to get more information.

Chief Operating Officer (COO) – Real Estate & Property Management

We are seeking an experienced Chief Operating Officer (COO) to provide overall operational leadership across our property management and real estate investment companies. The COO will focus on efficiency, disciplined financial management, and the execution of SOPs in alignment with strategic objectives. This role requires proven operational expertise, strong financial management skillset, and the ability to drive growth in maintenance, construction services, and other ancillary business lines. The ideal candidate will have an entrepreneurial mindset and the leadership skills to guide a rapidly expanding organization that has achieved 100% growth over the past two years.

Operational Leadership

• Oversee day-to-day operations of both the property management and real estate businesses
• Develop, implement, and enforce SOPs across all functions
• Ensure efficiency by streamlining workflows and optimizing systems (AppFolio, HubSpot, Podio, reporting)
• Establish accountability through KPIs and regular performance reviews

Executive Oversight

• Provide direct leadership to department heads and key managers
• Hold leaders accountable to KPIs, policies, and SOPs
• Ensure alignment and communication across all divisions (property management, maintenance, acquisitions, accounting)
• Engage directly in field operations with project and maintenance managers

Strategic Growth

• Identify and expand revenue streams in maintenance, construction, and ancillary services to strengthen margins
• Partner with ownership to execute growth initiatives that support scalability and profitability
• Evaluate opportunities for acquiring other property management companies

Financial Leadership

• Manage budgets, P&L, and ensure disciplined bottom-line management for both companies
• Review individual real estate deals with the acquisitions team to ensure alignment with company goals
• Operate daily with a profitability-first mindset
• Make decisions through the lens of financial impact
• Ensure every action contributes to the company’s bottom line

HR & People Leadership

• Direct HR strategy, policies, and compliance across both organizations
• Oversee recruiting, onboarding, and training systems to support rapid growth
• Foster a culture of accountability, professional development, and employee retention

Job Requirements

• 5 years senior leadership, ideally in Property Management, Real Estate Investing or Banking
• Demonstrated expertise in financial and operational analysis
• Adaptable, forward-thinking, and tech-savvy
• Comfortable working in both high-level strategy and hands-on field operations
• Bachelor’s degree in Business, Finance, Real Estate, or related field required
• MBA or advanced degree preferred (not required if experience is strong)

About the Opportunity

If you're a purpose-driven leader who believes in the power of independent, physician-owned healthcare to transform lives—this is your opportunity to lead with purpose and drive lasting impact. Oregon Specialty Group (OSG) is a multi-specialty practice committed to delivering exceptional, patient-centered care across oncology, rheumatology, infectious diseases, and infusion services.

Nestled in the heart of Oregon’s Willamette Valley, OSG offers more than just a leadership position—it offers the chance to shape the future of community-based specialty care in one of the most beautiful and livable regions in the country. From Portland’s innovation hub to coastal retreats and mountain escapes, this is a place where professional excellence and quality of life intersect

About Us

Oregon Specialty Group is a physician-owned, multidisciplinary medical group with roots in the community going back more than 50 years. With more than 270 employees, including 24 physicians, 18 advanced practice providers, and a committed leadership team of six Directors, OSG delivers specialty care with a personalized approach rooted in innovation, compassion, and excellence.

Our integrated specialties provide coordinated care for patients navigating complex conditions. We operate outpatient clinics, specialty pharmacies, and infusion centers throughout the region and are recognized for both clinical expertise and operational efficiency.

Position Summary

As the Chief Operating Officer (COO), you will be instrumental in leading and optimizing the daily operations of our multispecialty medical practice, with a focus on hematology/oncology, infectious disease, and rheumatology. Collaborating closely with the President and physician leadership, you will drive strategic initiatives, enhance operational efficiency, ensure regulatory compliance, and foster a patient-centered culture across all service lines. The ideal candidate is a visionary, operationally savvy, and collaborative leader who understands the unique dynamics of a physician-owned, multi-specialty practice and can lead through a rapidly evolving healthcare landscape.

Key Responsibilities

Strategic & Organizational Leadership

• Partner with the President and physician leadership to execute the organization's strategic vision, focusing on excellence in specialty care and operational performance.
• Translate strategic priorities into actionable plans across clinical and administrative functions.
• Lead initiatives in operational transformation, value-based care readiness, and integration of new service lines or technologies.
• Promote alignment between practice operations, provider needs, and long-term organizational goals.

Clinical & Operational Oversight

• Oversee the operational management of hematology/oncology, infectious disease, and rheumatology services, ensuring consistency in care delivery and access.
• Direct day-to-day operations across all clinical and non-clinical departments, including facilities, scheduling, patient services, and administrative support.
• Ensure optimal performance of support functions such as HR, IT, Compliance, and Revenue Cycle.
• Drive continuous improvement in care coordination, workflow efficiency, and patient experience.
• Support the standardization and adoption of evidence-based, specialty-specific clinical protocols.

Financial Stewardship

• Collaborate with the President and Controller on budget development, financial forecasting, and capital planning.
• Monitor operational performance and specialty-specific financial metrics, ensuring efficient resource utilization and cost control.
• Optimize practice performance through data-driven insights, reimbursement strategies, and payer contract alignment.
• Oversee drug procurement systems and specialty-specific billing compliance to support sustainable growth.

Workforce & Culture Development

• Build and maintain a culture of accountability, excellence, and mutual respect across all teams.
• Lead workforce planning and development initiatives, including staffing models for clinical and administrative personnel.
• Foster physician engagement, leadership development, and collaborative decision-making.
• Promote staff retention, training programs, and a positive work environment that reflects the organization’s mission and values.

Growth, Partnerships & Innovation

• Support strategic growth through new site development, service line expansion, and operational integration of new specialties or acquisitions.
• Identify and cultivate operational partnerships with payers, vendors, referring providers, and health systems.
• Collaborate with executive leadership to evaluate and implement innovation in digital health, telemedicine, and population health initiatives.
• Lead facility planning, space utilization, and technology upgrades to support ongoing organizational evolution.

Regulatory, Quality, & Compliance Leadership

• Ensure compliance with all healthcare regulations including HIPAA, OSHA, CMS, and state/local licensure requirements.
• Oversee quality assurance programs, audit readiness, and risk mitigation across clinical and operational domains.
• Maintain policies and procedures that reflect the best practices in infection control, drug handling, and specialty care delivery.
• Monitor clinical and operational metrics, leading continuous improvement in outcomes, efficiency, and service delivery.

Qualifications

Education & Credentials

• Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field required.
• Master’s degree (MBA, MHA, MPH) or equivalent strongly preferred.

Experience & Competencies

• 7–10+ years of progressive leadership experience in healthcare operations, preferably within an oncology, physician-owned practice.
• Demonstrated success managing complex medical organizations and specialty-specific operations.
• Expertise in clinical operations, regulatory compliance, revenue cycle, and healthcare IT systems.
• Proven ability to improve operational performance, patient access, and financial sustainability.
• Experience working closely with physicians, executives, and cross-functional teams in a dynamic, fast-paced environment.

Leadership Attributes

• Operationally strategic and results-driven, with a deep understanding of healthcare service delivery.
• Collaborative and solutions-oriented, with strong analytical and organizational skills.
• Culturally competent and emotionally intelligent, with a commitment to team development and inclusivity.
• High integrity, resilience, and the ability to thrive in a mission-focused, patient-centered environment .

Compensation & Benefits

This is an executive-level opportunity offering a competitive compensation and benefits package, including:

• Industry-leading salary and incentive plan
• Medical, Dental, Vision, HSA, FSA, and Life Insurance
• 401(k) with company contributions
• Generous Paid Time Off (PTO) and executive leave
• Relocation assistance
• Professional development and leadership coaching

How to Apply

If you're passionate about leading with integrity, scaling for impact, and advancing specialty care in a physician-led environment, we invite you to apply online and share your leadership journey with us.

Notice to Search Firms

OSG is not accepting unsolicited assistance from search firms for this employment opportunity. All unsolicited resumes submitted to any employee at OSG without a valid search agreement in place will be considered property of OSG. No placement fees will be paid for unsolicited submissions. No fee will be paid in the event the candidate is hired by OSG because of the referral or through other means.

The Chief Operating Officer (COO) is a strategic and operational leader, who provides unified leadership over both operations and nursing services at Roper St. Francis Healthcare. This role partners closely with the Chief Clinical Officer (CCO) in a highly integrated dyad to oversee and enhance clinical and operational performance across Roper St. Francis Healthcare. Together, they are jointly responsible for managing the organization’s daily operations, executing key elements of the strategic plan, and driving outcomes through the Integrated Practice Networks (IPNs), ensuring a seamless care experience and fostering high-quality outcomes. The COO provides organization-wide operational and nursing oversight, holding leaders accountable for operational excellence, organizational performance, and cultural alignment. Focused on operational effectiveness, financial stewardship, workforce engagement, and access to care, the COO collaborates with the CCO to ensure that clinical quality, safety, and patient experience outcomes are achieved across all levels of care.

Essential Job Functions

• Provides strategic and operational leadership across hospitals, ambulatory care sites, and post-acute facilities.
• Ensures the consistent execution of system standards, performance targets, and accountability frameworks.
• Co-leads the Integrated Practice Networks (IPNs) with the CCO, optimizing clinical care delivery, service coordination, and performance outcomes through strategic planning and operational execution, with a focus on improving clinical quality, safety, patient experience, and financial performance.
• Collaborates with CCO to align operational functions and strategies with population health and ambulatory initiatives.
• Develops and implements systems, operational models, and management practices that reinforce accountability, drive execution of strategic objectives, and promote safety, reliability, and excellence across all care environments.
• Develop and enforce system-wide nursing policies, standards, and procedures to deliver evidence-based, high-quality nursing care in compliance with state laws and professional standards.
• Oversees core functions such as acute and continuing care operations, support services, and administrative IPNs, ensuring operational efficiency, timely project delivery, and sound financial management across the enterprise.
• Lead nursing services and clinical operations, collaborating closely with executive peers to drive operational effectiveness.
• Partners with the CFO and senior leadership team to create and execute capital, operational, and financial strategies, ensuring optimal resource allocation, cost containment, and revenue growth.
• Provides operational oversight across a range of services including budgets, operational plans, policies, people strategies, and technological needs, ensuring the delivery of high-quality, integrated care across the organization.
• Monitors performance against key metrics and operating plans, proactively supporting hospital and system leaders in achieving growth, clinical excellence, workforce engagement, and high levels of patient satisfaction.
• Drives continuous improvement through scalable operational models and the integration of emerging technologies and best practices to enhance care delivery and business performance.
• Fosters a high-performance, mission-driven culture by mentoring executives, ensuring team alignment, and advancing leadership development throughout the organization.
• May represent RSFH to external stakeholders, including regulatory bodies, trade associations, elected officials, and the broader healthcare community, building strategic partnerships and advancing the organization’s priorities.
• Ensures compliance with all applicable regulatory requirements (state, federal, Joint Commission, etc.) and other industry standards, while taking on additional responsibilities as required.
• Complies with all duties and functions listed in the IPN Document.

Position Requirements

• Required Years of Experience: 10 years of progressive leadership experience in health system operations and 5 years in a senior leadership role.
• Required Education: Master’s degree in healthcare administration, business administration, nursing, or a related field.
• Certifications: Valid Registered Nurse (RN) license in South Carolina or a current compact/multi-state RN license recognized by the NCSBN Compact is required.
• Proven track record of operational and clinical excellence in a multi-hospital, integrated healthcare system.

Skills

• Demonstrated experience with population health initiatives, value-based purchasing, continuous quality improvement, and strategic planning
• Strong financial acumen and experience managing budgets and resources across diverse care settings
• Expertise in strategic planning, business development, and operational execution in healthcare
• Deep understanding of nursing practice regulations, clinical quality standards, and patient safety protocols
• Exceptional leadership, change management, and team-building capabilities
• Strong analytical skills with the ability to drive measurable improvements in clinical and financial performance
• Experience fostering high employee engagement and organizational culture alignment

Chief Operating Officer (COO)/ VP of Operations – Roofing & Construction

Mississippi Gulf Coast | On-site | Full-Time

About Us

We’re a fast-growing commercial & residential roofing company (~$10M revenue and scaling to $5M+) with a reputation for quality, integrity, and innovation. We’re not just building roofs — we’re building a process-driven, tech-enabled roofing company that will set the standard for our industry.

We’re not just building a roofing company — we’re building a tech-enabled operating system for roofing. Our COO will help ensure the data and processes we run today support the innovations we’re developing for tomorrow.

About the Role

We’re hiring a Chief Operating Officer (COO) to act as the owner’s right hand and run day-to-day operations across projects, warehouse, and field. This is a hands-on builder role, not a corporate corner office position. If you thrive in structure, love enforcing accountability, and get excited about scaling a company from $10M to $20M+, thi is the opportunity for you.

What You’ll Do

• Own all day-to-day operations: project managers, superintendents, warehouse/inventory, and scheduling
• Drive accountability and enforce SOPs across the company
• Implement operational KPIs and dashboards (profitability, job progress, equipment tracking)
• Reduce waste and improve efficiency — target: raise profitability from 8% → 12%
• Build operational capacity so the company can scale to $15M+ ithout breaking systems
• Lead and develop managers and field leaders

What We’re Looking For

• Proven track record in construction or specialty trades (roofing preferred, but not required)
• Direct leadership over PMs, supers, or field ops at a company $1 M–$5 M+ in revenue
• Experience working with documented processes, SOPs, and structured systems (non-negotiable)
• Hands-on operator: comfortable enforcing structure, not just talking strategy
• Strong communicator and motivator who knows how to hold teams accountable
• Tech-friendly: comfortable with project management software, dashboards, and reporting tools
• Strong leadership and organizational skills

Chief Operating Officer (COO)/ VP of Operations – Roofing & Construction

Mississippi Gulf Coast | On-site | Full-Time

About Us

We’re a fast-growing commercial & residential roofing company (~$10M revenue and scaling to $5M+) with a reputation for quality, integrity, and innovation. We’re not just building roofs — we’re building a process-driven, tech-enabled roofing company that will set the standard for our industry.

We’re not just building a roofing company — we’re building a tech-enabled operating system for roofing. Our COO will help ensure the data and processes we run today support the innovations we’re developing for tomorrow.

About the Role

We’re hiring a Chief Operating Officer (COO) to act as the owner’s right hand and run day-to-day operations across projects, warehouse, and field. This is a hands-on builder role, not a corporate corner office position. If you thrive in structure, love enforcing accountability, and get excited about scaling a company from $10M to $20M+, thi is the opportunity for you.

What You’ll Do

• Own all day-to-day operations: project managers, superintendents, warehouse/inventory, and scheduling
• Drive accountability and enforce SOPs across the company
• Implement operational KPIs and dashboards (profitability, job progress, equipment tracking)
• Reduce waste and improve efficiency — target: raise profitability from 8% → 12%
• Build operational capacity so the company can scale to $15M+ ithout breaking systems
• Lead and develop managers and field leaders

What We’re Looking For

• Proven track record in construction or specialty trades (roofing preferred, but not required)
• Direct leadership over PMs, supers, or field ops at a company $1 M–$5 M+ in revenue
• Experience working with documented processes, SOPs, and structured systems (non-negotiable)
• Hands-on operator: comfortable enforcing structure, not just talking strategy
• Strong communicator and motivator who knows how to hold teams accountable
• Tech-friendly: comfortable with project management software, dashboards, and reporting tools
• Strong leadership and organizational skills

Chief Operating Officer (COO)/ VP of Operations – Roofing & Construction

Mississippi Gulf Coast | On-site | Full-Time

About Us

We’re a fast-growing commercial & residential roofing company (~$10M revenue and scaling to $5M+) with a reputation for quality, integrity, and innovation. We’re not just building roofs — we’re building a process-driven, tech-enabled roofing company that will set the standard for our industry.

We’re not just building a roofing company — we’re building a tech-enabled operating system for roofing. Our COO will help ensure the data and processes we run today support the innovations we’re developing for tomorrow.

About the Role

We’re hiring a Chief Operating Officer (COO) to act as the owner’s right hand and run day-to-day operations across projects, warehouse, and field. This is a hands-on builder role, not a corporate corner office position. If you thrive in structure, love enforcing accountability, and get excited about scaling a company from $10M to $20M+, thi is the opportunity for you.

What You’ll Do

• Own all day-to-day operations: project managers, superintendents, warehouse/inventory, and scheduling
• Drive accountability and enforce SOPs across the company
• Implement operational KPIs and dashboards (profitability, job progress, equipment tracking)
• Reduce waste and improve efficiency — target: raise profitability from 8% → 12%
• Build operational capacity so the company can scale to $15M+ ithout breaking systems
• Lead and develop managers and field leaders

What We’re Looking For

• Proven track record in construction or specialty trades (roofing preferred, but not required)
• Direct leadership over PMs, supers, or field ops at a company $1 M–$5 M+ in revenue
• Experience working with documented processes, SOPs, and structured systems (non-negotiable)
• Hands-on operator: comfortable enforcing structure, not just talking strategy
• Strong communicator and motivator who knows how to hold teams accountable
• Tech-friendly: comfortable with project management software, dashboards, and reporting tools
• Strong leadership and organizational skills

Chief Operating Officer (COO)/ VP of Operations – Roofing & Construction

Mississippi Gulf Coast | On-site | Full-Time

About Us

We’re a fast-growing commercial & residential roofing company (~$10M revenue and scaling to $5M+) with a reputation for quality, integrity, and innovation. We’re not just building roofs — we’re building a process-driven, tech-enabled roofing company that will set the standard for our industry.

We’re not just building a roofing company — we’re building a tech-enabled operating system for roofing. Our COO will help ensure the data and processes we run today support the innovations we’re developing for tomorrow.

About the Role

We’re hiring a Chief Operating Officer (COO) to act as the owner’s right hand and run day-to-day operations across projects, warehouse, and field. This is a hands-on builder role, not a corporate corner office position. If you thrive in structure, love enforcing accountability, and get excited about scaling a company from $10M to $20M+, thi is the opportunity for you.

What You’ll Do

• Own all day-to-day operations: project managers, superintendents, warehouse/inventory, and scheduling
• Drive accountability and enforce SOPs across the company
• Implement operational KPIs and dashboards (profitability, job progress, equipment tracking)
• Reduce waste and improve efficiency — target: raise profitability from 8% → 12%
• Build operational capacity so the company can scale to $15M+ ithout breaking systems
• Lead and develop managers and field leaders

What We’re Looking For

• Proven track record in construction or specialty trades (roofing preferred, but not required)
• Direct leadership over PMs, supers, or field ops at a company $1 M–$5 M+ in revenue
• Experience working with documented processes, SOPs, and structured systems (non-negotiable)
• Hands-on operator: comfortable enforcing structure, not just talking strategy
• Strong communicator and motivator who knows how to hold teams accountable
• Tech-friendly: comfortable with project management software, dashboards, and reporting tools
• Strong leadership and organizational skills