Chief Operating Officer Jobs
Chief Operating Officer jobs are open across healthcare, technology, financial services, manufacturing, and nonprofit sectors, from divisional VP-level to C-suite, with specializations in operational transformation, P&L ownership, and cross-functional scaling. Find a role that fits from the openings below and apply directly.
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The Clinical Operations Director assumes responsibility and accountability for all patient care activities, department operations (primary care, urgent care, imaging, and lab services), and staff leadership, including directs and supervises all nursing, medical assistants, and technician roles to support those departments listed. This role serves as part of the RCMS leadership team and represents the organization in accordance with the organizational philosophy and objectives, fosters highly skilled professional practice and develops highly functioning interdisciplinary teams. Reviews and approves clinical operations policies and procedures that adhere to appropriate standards of patient care and service for licensed and certified positions. Assures ongoing quality improvement and population health programs are incorporated in clinical care and services delivered to patients. Facilitates process improvement activities to meet expected quality metrics. Serves as a catalyst for change within the organization and departments to advance patient care and staff engagement. Build and maintain relationships between patients, providers, clinical support staff and the community. This Director’s impact will extend beyond the clinical environment as this role will collaborate with all RCMS leaders within the regional healthcare community and contribute to the community's well-being while bringing professional experience and perspective to the broader organizational leadership team
* This will be posted Internally until this Thursday at 5pm. Please include a cover letter with your application.*
CORE JOB RESPONSIBILITIES:
OPERATIONS:
- Provides administrative and nursing leadership to a team of multi-disciplinary clinical support roles for the delivery of patient care within primary care, urgent care, imaging, and lab operations.
- Leads nursing and other clinical teams in establishing goals and standards to support patient care to ensure the delivery of high-value, quality care and achievement of organizational objectives.
- Develops and fosters a solid partnership with physicians, nurse practitioners, physician associates, behavioral health practitioners, dental practitioners and other employees to facilitate and collaborate on initiatives, to resolve operational challenges and/or to improve processes.
- Collaborates closely with the Director of Quality & Population Health to support the continuum of work completed by the MAC teams to ensure chart scrub, prep, documentation, communication, coordination supports the highest level of achieving quality goals for all patients and RCMS exceeds the quality metrics for PHM and Partnership.
- Develops and establishes the direction of clinical policies and procedures, and sets a structure for providing safe, consistent and effective patient care.
- Collaborate closely with Informatics/IT/EMR staff and outside vendors to ensure that all staff are trained and utilize the NEXTGEN EMR system to its fullest capacity and in alignment with the established clinical workflows.
- Ensures protocols are in place to comply with FQHC, and the State and Federal system standards, policies and procedures applicable laws and regulations.
- Takes a strategic approach in identifying best practices and standardizing workflows/processes and developing plans of action to implement changes to ensure the clinical staff (nursing, medical assistants, technicians) operate using the clinical workflows established while also being efficient and safe.
- Establishes and communicates priorities and operational objectives to ensure all staff reporting to this role are successful in achieving the mission of RCMS and associated 5-year strategic plan.
- Sets standards of performance for nursing staff, medical assistants and technician roles, ensures staff are training, supervises performance to ensure adhere to the highest level of safety and customer service.
- Develops, implements and ensures corrective action plans are implemented to address or minimize operational risk and improve upon performance when it is not meeting organizational standards expected
- Makes rounds with staff, patients and physicians, listening to concerns and issues, conducting service recovery,
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and ensuring appropriate patient care. • Reviews patient complaints and incidents, responding as appropriate and ensuring improvement plans are appropriate, engages with senior leadership for support and response to complaints, incidents when additional levels of leadership involvement are appropriate.
- Promotes effective communication between departments and teams to improve and standardize workflows.
- Identifies and works to remove barriers that may hinder delivery of patient care or achieve process/productivity improvement and efficiency.
- Develops and maintains a working relationships external peers and/or local/state/federal agencies to facilitate and collaborate on issues resolution.
- Collaborates closely with the Chief Medical, Executive and Operations Officers when negotiating external contracts or with external agencies for services and audits, ensuring terms and conditions follow appropriate operating policies and procedures.
- Provides guidance and/or direct intervention in resolving operating challenging or complex situations.
- Ensures executive leadership informed of operational issues that may impact the community at large or require proactive intervention.
STRATEGY/PLANNING:
- Works with senior leadership to develop and establish short- and long-term strategic plans related to the annual budget and RCMS’s 5-year strategic plan. Including but not limited to clinical encounter goals, population health management goals, quality goals, and long-term capital facility and asset planning.
- Communicates strategic clinical operational goals and priorities to ensure these are incorporated into RCMS’s planning and budgeting.
- Leads goal setting process and provides roadmap for staff to buy into accomplishing goals. Monitors progress, developing action plans to address issues and challenges.
- Develop staffing plans in conjunction with the Chief Executive, Medical, Operations Officers to address current and future resource needs to meet service and/or operational demands and objectives.
- Identifies process improvement opportunities, and ensures action plans short/long term operational objectives.
- Monitors operational trends and recurrent issues, performance levels of staff are meeting expected standards. Actively includes other departments in the development of new or existing programs.
- Participates in internal and external committees and task forces to support new or ongoing initiatives.
FINANCIAL MANAGEMENT:
- Establishes operating and capital budget with input from executive team ensuring financial targets are achieved and variances are addressed timely, financial targets, personnel, resources and supplies are managed prudently.
- Approves operating budgets, and capital requests.
- Works with executive leadership to achieve financial targets, effective utilization of personnel, resources and supplies align for budget to actual each month, quarterly, and year end.
- Reviews financial reports and ensure corrective action plans are implemented to address unfavorable variances.
- Reviews and approves employee expense reimbursements, and billing statements from vendors for those vendors that support clinical operations.
MANAGEMENT OF PEOPLE:
- Provides and fosters an inclusive work environment that sets a high standard of staff engagement, collaboration, and supportive culture of teamwork.
- Manages assigned staff, makes hiring and termination decisions, and reviews/approves timekeeping records.
- Establishes expectations with all direct reports, holds individuals and work teams accountable, and ensures job descriptions accurately reflect job responsibilities and expectations.
- Evaluates staff performance and determines/approves merit increase. Provides constructive feedback, coaching and counseling involving human resources support when needed. Implements disciplinary actions and/or performance improvement plans to achieve desired performance. Will have support from human resources and/or executive leadership to achieve necessary improvements in staffing performance, or when major disciplinary action is necessary.
- Provides opportunities for career development, role expansion, and cross-training for direct reports who demonstrate an exemplary level of performance.
- Conducts staff meetings for informative and educational purposes.
- Responds timely to alleged violations of policies, procedures, regulations and standards of conduct by evaluating or initiating investigative procedures. May consult with Human Resources or Compliance to determine appropriate course of action.
- Ensures staff maintains current and appropriate professional credentials.
EDUCATION
Bachelor's: Degree in Nursing is required. Health Administration or related field experience/education.
CERTIFICATION & LICENSURE: RN-Registered Nurse of California BLS-Basic Life Support Healthcare Provider
TYPICAL EXPERIENCE: 5-7 years of relevant experience in a clinical or hospital environment.
Chief Operating Officer Jobs by Experience Level
Top Cities Hiring Chief Operating Officers
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Find Chief Operating Officer JobsChief Operating Officer Job Market
Who's Hiring
- Cornerstone Caregiving58

- Thermo Fisher Scientific51

- IDEA Public Schools31

- Chick-fil-A Restaurants23C
- Merck19

Top Industries Hiring
- Education51
- Healthcare & Medical Services43
- Technology & Software23
- Biotechnology & Pharmaceuticals19
- Consulting & Professional Services16
What Employers Look For
The qualifications that appear most often in chief operating officer jobs.
- 10 or more years of progressive operational leadership experience in a relevant industry
- Demonstrated P&L ownership and cross-functional team management at scale
- Experience leading organizational change, restructuring, or rapid growth initiatives
- Strong financial acumen including budgeting, forecasting, and performance reporting
- Proficiency with enterprise resource planning and business intelligence platforms
- MBA or equivalent graduate degree from an accredited institution
Tips for Your Chief Operating Officer Job Search
Quantify operational impact on your resume
COO candidates who list headcount managed, cost reductions achieved, and revenue influenced get more callbacks than those who describe duties. Tie each bullet to a measurable outcome you owned, not one your team delivered collectively.
Tailor your resume to industry operating models
A COO resume that works for a 200-person SaaS company will not resonate at a 2,000-person manufacturer. Reframe your experience around the metrics that matter in each sector: ARR and churn for tech, yield and throughput for operations, patient outcomes for healthcare.
Apply early to roles that fit
Migrate Mate lists chief operating officer openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target companies at an inflection point
COOs are hired when a company is scaling fast, restructuring, or entering a new market. Filter your search for organizations that recently closed a funding round, changed CEOs, or announced expansion plans, those are the postings most likely to convert.
Prepare a 90-day operating plan before interviews
Boards and CEOs hiring a COO want to see how you diagnose and prioritize. Walking into a final-round interview with a structured 30-60-90 day framework tailored to that company's visible challenges sets you apart from candidates who speak only in generalities.
Negotiate scope before negotiating compensation
Before discussing pay, confirm the reporting structure, which functions you own, and whether the role has budget authority. A COO title without P&L responsibility or direct reports is a step down in influence, regardless of the number attached to it.
Chief Operating Officer Jobs: Frequently Asked Questions
Which companies are hiring the most chief operating officers?
The companies hiring the most chief operating officers right now include Cornerstone Caregiving, Thermo Fisher Scientific, and IDEA Public Schools, with the largest share of openings in Texas, California, and New York, based on current listings on Migrate Mate as of August 2026. Demand is particularly concentrated in high-growth sectors like technology, healthcare systems, and private equity-backed portfolio companies.
How many chief operating officer jobs are remote?
About 53% of chief operating officer openings are fully remote or hybrid as of August 2026, with on-site roles still dominant because the position requires close coordination with frontline operations. Remote or hybrid flexibility is most common in technology companies, digital-native businesses, and roles focused on strategy and process improvement rather than physical plant or workforce management.
How do you become a chief operating officer?
Most COOs build toward the role by leading a major function, operations, finance, product, or sales, and then taking on cross-functional accountability. The path typically involves managing large teams, owning a P&L, delivering a significant organizational change, and developing a visible relationship with the CEO or board. An MBA helps in some industries but hands-on execution history carries more weight in the hiring decision.
Can you get hired as a chief operating officer with limited executive experience?
It's possible at earlier-stage companies where the COO role is defined more broadly and the candidate is expected to grow with the business. Startups and founder-led companies often hire a first COO from the VP or director level when they need someone to build operational infrastructure from scratch. Demonstrating that you've owned a function end-to-end and driven measurable outcomes matters more than a prior COO title.
What does the chief operating officer interview process look like?
The process typically runs four to six rounds and includes a screening call, a structured interview with the CEO or founder, a panel with functional leaders you'd oversee, a presentation or case study on an operational challenge, and a final conversation with the board or key stakeholders. Reference checks at the COO level are thorough and often include calls with former direct reports, not just supervisors.
Where can I find and apply to chief operating officer jobs?
You can find and apply to chief operating officer jobs on Migrate Mate, which lists current openings from companies across the United States. Search the listings to find roles that match your industry background and experience level, then apply directly to each one that fits.
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