Chief Operating Officer (COO) / Integrator

Position Overview We are seeking a growth-oriented Chief Operating Officer (COO) / Integrator to lead operational execution, financial performance, and strategic growth for an established, physician-led, multi-location healthcare organization in Central Ohio. This is a high-impact leadership opportunity for a healthcare executive who combines financial discipline, operational excellence, and strong people leadership. The COO will work closely with executive leadership to translate strategic priorities into measurable results, strengthen operational systems, improve profitability, and support continued organizational growth. The ideal candidate will be a hands-on, business-minded leader who understands the relationship between patient growth, healthcare revenue cycle performance, operational efficiency, and financial sustainability. This individual will build scalable processes, develop accountable leaders, strengthen cross-functional collaboration, and foster a high-performing, team-oriented culture. Experience with the Entrepreneurial Operating System (EOS), particularly the Integrator role and Level 10 (L10) meetings, is highly desirable. Location: Columbus, Ohio (Dublin, Ohio area) Work Arrangement: Full-time, On-site Industry: Healthcare / Physician Practice Management Key Responsibilities 1. Financial Leadership & Business Performance - Own the organization's profit and loss (P&L) performance, including revenue growth, operating expenses, profitability, and EBITDA. - Develop and execute strategies to accelerate revenue growth and improve operating margins. - Establish financial discipline, accountability, and performance standards across all locations. - Oversee budgeting, forecasting, financial analysis, and operational expense management. - Develop financial reporting systems, KPI dashboards, and management processes to support data-driven decisions. - Identify opportunities to improve productivity, control costs, optimize resources, and strengthen overall financial performance. 2. Healthcare Operations & Multi-Site Management - Provide operational leadership across a network of healthcare locations throughout Central Ohio. - Standardize workflows, policies, and operating procedures to improve consistency, efficiency, and accountability. - Monitor location-level performance and implement corrective actions when operational or financial targets are not met. - Strengthen coordination between clinical teams, practice management, finance, marketing, and other support functions. - Improve provider productivity, scheduling efficiency, patient access, and overall operational effectiveness. - Support the development of new locations, service lines, and strategic growth initiatives. - Travel locally between locations as needed to maintain operational visibility and build strong relationships with teams. 3. Revenue Cycle Management & Payer Relationships - Oversee revenue cycle management (RCM), including billing performance, collections, reimbursement, and related operational processes. - Manage and strengthen relationships with commercial insurance payers and other reimbursement partners. - Evaluate payer contracts and reimbursement arrangements to identify opportunities to improve financial performance. - Monitor key revenue cycle metrics, including accounts receivable, denial rates, collection performance, and reimbursement trends. - Collaborate with internal teams and external partners to improve billing accuracy, reduce revenue leakage, and accelerate collections. - Develop strategies that align revenue cycle performance with patient growth, operational efficiency, and profitability goals. 4. Patient Growth & Strategic Development - Develop and execute strategies to increase patient volume, improve patient access, and support sustainable growth. - Partner with sales, marketing, and operational leadership to identify opportunities for practice growth and expanded market reach. - Evaluate opportunities for new locations, expanded services, and other strategic growth initiatives. - Build productive relationships with physicians, healthcare providers, vendors, and external stakeholders. - Use operational and financial data to identify growth opportunities and measure the results of strategic initiatives. 5. Executive Leadership & Team Development - Partner with executive leadership to translate organizational vision into actionable plans and measurable outcomes. - Lead and develop operational leaders, establish clear responsibilities, and maintain consistent performance expectations. - Build strong working relationships across departments and locations, fostering collaboration, trust, and accountability. - Conduct regular one-on-one meetings, support professional development, and coach team members toward improved performance. - Oversee recruitment and contract negotiations for operational leadership and other designated functions. - Serve as a key decision-maker in resolving operational, financial, staffing, and organizational challenges. - Promote a positive, team-oriented culture that values compassion, adaptability, continuous improvement, and exceptional service. 6. EOS Implementation & Organizational Accountability - Serve as the organization's Integrator, aligning strategic vision with operational execution. - Lead Level 10 (L10) meetings and maintain accountability for quarterly priorities, action items, and business objectives. - Establish and maintain scorecards, measurable goals, and structured performance reviews. - Help leadership teams identify obstacles, solve problems, and execute priorities consistently. - Balance strategic planning with practical implementation, ensuring initiatives deliver measurable business results.