Chief Operating Officer (COO)

We are seeking a strategic, hands-on Operations Executive to lead and support a growing network of veterinary hospitals across multiple regions. This executive will manage a 6+ team of Regional Directors, each of whom oversees 8–10 hospitals, and will serve as a critical bridge between field operations, hospital leadership, and the executive team.

The ideal candidate brings strong , exceptional financial acumen, and a proven ability to influence change from the ground up. You must think and act like an owner—driving profitability, operational consistency, cultural alignment, and sustainable growth across the organization.

This is a high-impact, high-autonomy role for a mission-driven leader who thrives on rolling up their sleeves, building trusting relationships with veterinarians and hospital managers, and helping our teams deliver top-quality care while optimizing performance.

Key Responsibilities:

- Lead, coach, and support a team of Regional Directors who oversee operations for 8–10 hospitals each across diverse geographies

- Partner directly with veterinarians and hospital leadership teams to ensure alignment on strategy, culture, and financial goals

- Own performance across your portfolio of hospitals—monitoring KPIs and P&L metrics, identifying gaps, and driving action plans to achieve results

- Standardize and scale best practices in hospital operations, client experience, staff management, and financial performance

- Collaborate with the M&A team to evaluate potential acquisitions, lead integration plans, and ensure smooth cultural and operational transitions

- Foster a culture of accountability, continuous improvement, and servant leadership across all levels of hospital operations

- Work cross-functionally with HR, Finance, Recruiting, and Medical Leadership to ensure hospital teams are supported and resourced appropriately

- Translate strategic goals into actionable operational plans for each region, with clear performance targets and accountability

- Serve as a key member of the senior leadership team, helping shape overall company direction, values, and long-term growth strategy

Qualifications:

- 10+ years of progressive operations leadership experience in veterinary, multi-site healthcare, or a similar service-focused industry - 5+ years managing regional leaders or multi-unit operations at a VP or senior director level

- Strong understanding of veterinary hospital workflows, staff dynamics, and partnership with clinical leadership

- Proven success managing large, decentralized teams across multiple locations or states

- Demonstrated fluency in financial management, P&L ownership, budgeting, and data-informed decision-making

- Experience in acquisitions, integrations, and change management within a high-growth or consolidating environment

- High emotional intelligence, with the ability to motivate teams and influence stakeholders at all levels

- Comfortable in a fast-paced, entrepreneurial environment with frequent travel (up to 50%)

Job Type: Full-time

Pay: $175,000.00 - $300,000.00 per year

Benefits:

- 401(k)

- 401(k) matching

- Dental insurance

- Health insurance

- Paid time off

- Relocation assistance

- Vision insurance

Application Question(s):

- Have you worked in a PE backed roll-up before?

- What is the size, in revenue, of the largest company or department you've ran?

Ability to Relocate:

- San Francisco, CA 94114: Relocate before starting work (Required)

Willingness to travel:

- 25% (Required)

Work Location: In person