Chief Operating Officer Jobs in New Hampshire
Chief Operating Officer jobs in New Hampshire are concentrated in Manchester, Concord, and Nashua, where employers like Dartmouth Health, BAE Systems, and Segra have established operations requiring senior operational leadership. Demand is strongest for chief operating officers with expertise in healthcare systems management, advanced manufacturing operations, and technology services, reflecting the state's dominant industry mix. Candidates who can lead distributed teams, manage P&L responsibility, and drive operational efficiency across multi-site organizations are consistently the most sought after. See the openings below and apply to the ones that match your experience.
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Working closely with the Director of Operations and the Executive Director, this role helps inform and implement strategic plans and operational objectives while supporting the overall mission of the organization. The position also assists the Director of Operations with the daily workflow of the administrative department, providing one-on-one support to promote efficiency, effectiveness, and streamlined processes. In addition, this role is responsible for maintaining and supporting day-to-day IT systems, including computers, software, networks, and basic security needs, to ensure smooth and reliable operations.
Reach for the Top Therapy Services is a rapidly growing outpatient pediatric rehabilitation clinic that is looking for the right experienced candidate to join our highly skilled team. We are the top New Hampshire outpatient pediatric teaching and learning center dedicated to growing leaders in their field. We have a 17 strong therapy team offering physical, occupational, speech, feeding, aquatic, telehealth, and hippotherapy services to name a few of our 18 specialty programs.
We are looking for fun, passionate therapists who are seeking a collaborative, multidisciplinary environment. Our clinic values a family-centered approach in supporting caregivers & children with complex needs ages birth through 21, to help them reach their fullest potential.
We are a close-knit, supportive, and collaborative group of professionals! So, if you love children, enjoy working closely with families, recognize the importance of a relational-based play model and desire to have fun, you may be the right fit for our team. Therapists are provided with state-of-the-art therapy equipment and supplies in our 5,000 square foot clinic space that includes large sensory integration rooms, fine motor rooms, quiet speech rooms, an infant/toddler room and an oral motor and feeding space.
Through a transformational leadership approach where team-members' voices are heard, and ideas are shared; you can expect many opportunities for mentorship, collaboration, and professional growth, including weekly ‘Lunch & Learns’ to help clinicians develop to their full potential, as well as a bonus program for high performers.
We are looking for clinicians that develop fun, creative, strengths-based intervention plans following best-practice standards of care while also excelling at building warm and genuine relationships with the families we serve. Join us and discover how your unique contributions can change lives, yours included.
Additional Benefits
- $1000 bonus after the successful completion of your 90-day review and a $2000 bonus after the successful completion of your annual review - all bonuses contingent on sign-on bonus agreement
- Generous Paid Time Off Package, including additional PTO earned for leading a specialty program
- 6 Paid Holidays (NYD, Memorial Day, 4 of July, Labor Day, Thanksgiving, Christmas)
- Paid blocked documentation time
- Flexible Schedule Options including: Ability to build your own schedule including location of doc time, work from home as outlined within Reach’s policy (i.e. due to illness or weather), flex hours within same week to decrease PTO usage
- PTO buy back annually of up to 20 hours
- Access to neuro-affirming course work
- Mentorship provided immediately upon hire
- Anthem Health Insurance Plan with $4,000 employer contribution
- Dental Insurance with employer contribution
- Company Sponsored Life Insurance Policy
- Short-Term Disability
- 401K with 1% match
- Parental leave package
- We are a 501c3; eligible for federal Non-Profit Student Loan Forgiveness
- Weekly mentoring and professional development training provided at all levels
- Continuing Education Reimbursement
Clients: We provide occupational therapy services for children ages birth to 21. Caseload includes working with children with a variety of diagnoses including treatment to address self-regulation, sensory processing challenges, gross motor, fine motor, visual motor/ visual-perceptual skills, and oral motor/ feeding difficulties that impact children’s ability to participate in all age-appropriate ADL and IADL tasks.
Setting: Therapists are provided with state-of-the-art therapy equipment and supplies in our 5,000 square foot clinic space that includes large sensory integration rooms, fine motor rooms, quiet speech rooms, an infant/toddler room, an oral motor/ feeding, and IADL space. Parents and caregivers are encouraged to participate in sessions and teletherapy is always an option. We offer many specialty programs which include aquatic therapy and hippotherapy.
Schedule: The clinic schedule is a year-round program. Full time is considered 30-40 hours per week, with flexibility and work-life balance valued by the organization. All full-time therapists have at least 4-5 hours of built-in documentation time scheduled to complete evaluations and documentation weekly. All therapists have the ability to participate in weekly team time activities and case-care collaboration, where the whole team is available simultaneously. Must be available to work until 6:00pm one-two nights per week.
MAJOR DUTIES AND RESPONSIBILITIES:
Operational Performance & Metrics
· Lead reporting on weekly and monthly production metrics (e.g., arrival rates, billable hours) to ensure progress toward efficiency and growth goals.
Policy, Compliance & Safety
· Assist in reviewing, updating, and implementing operational policies and procedures with senior leadership.
· Lead internal benefit audits and ensure accuracy, bringing any irregularities to the Director of Operations and collaborating to rectify
· Lead on conducting regular walkthroughs of clinic spaces to identify safety, maintenance, or process issues, ensuring compliance with health and safety standards.
· Lead maintenance of required safety signage, assist with incident reporting processes, and support the Safety Committee in training and compliance efforts.
Financial & Vendor Management
· Assist Director of Operations in reviewing, processing, and managing operational bills, vendor invoices, and clinic expenses.
· Assist Director of Operations in collections and follow-up of challenging or overdue patient accounts to maintain healthy cash flow.
Staff Support & Training
· Assist in onboarding new staff by coordinating operational and safety-related training.
· Support staff with day-to-day operational questions and serve as a point of contact for escalations.
· Participate in regular monthly staff meetings, collaborating with senior leadership on any necessary speaking/training points.
· Foster a culture of continuous improvement and innovation.
· Lead 2-3 hour long lunch and learns throughout the year, with a focus on safety and/or clinic effectiveness.
· Collaborate with HR and research law to ensure internal policies and practices are in compliance with labor laws.
· Foster a positive team environment by promoting clear communication and accountability across departments.
Collaboration & Strategic Support
· Work closely with the Director of Operations to review and manage service contracts and contractor agreements.
· Support the Director of Operations in developing, negotiating, and managing operational policies and vendor agreements.
· Participate in budget planning/cost-control initiatives.
· Collaborate with clinical leadership to ensure alignment between operations and patient care needs.
· Lead on communications and actions to bridge clinical staff feedback and the administrative support team’s focus on ensuring the clinic is operating at its highest level of organization and cleanliness, addressing concerns quickly and maintaining an optimal environment for staff and families.
· Contribute to risk management initiatives and participate in safety committee and incident reviews.
· Assist in patient intake form review for clarity, accuracy, thoroughness, and compliance.
· Perform management activities including interviewing, hiring, evaluating, and terminating department staff members in conjunction with the senior leadership team as needed.
Leadership Coverage
· Step in to provide operational leadership in the absence of the Director of Operations, ensuring continuity in decision-making and oversight.
· Assist the Director of Operations in identifying opportunities for business development, diversification, and growth through referral partners, volunteers, community events, and donor prospects as available.
CLINICAL RESPONSIBILITIES:
· Provide strengths based 1:1 direct care to patient’s birth – 21 years of age, regularly scheduling 28 arrived hours weekly, with 4 hours of documentation time, 2 hours paid lunch, 1 hour paid team time, additional time spent balancing the needs of the clinic and leadership responsibilities.
· Evaluation of children using standardized tools and clinical observation to meet insurance requirements.
· Completing all evaluation reports, plans of care, daily notes, and any other paperwork necessary in the treatment of children within 3-5 business days as outlined in Clinical Staff Expectations and Guidelines
· Ensuring accuracy and medical necessity in all medical documentation.
· Collaborate with child's care team as needed for best outcomes.
· Participation in specialty programming as desired: hippotherapy, aquatics therapy, outdoor therapy, group therapies, sensory gardening, and more; with additional training provided.
· Any other responsibilities necessary to ensure the effective and efficient functioning of the clinic.
MINOR DUTIES AND RESPONSIBILITIES
· Assist with scheduling support as needed for self and team.
· Assisting in the cleanliness of the clinic and administrative space.
· Assisting in identifying when items need to be purchased.
· Any other responsibilities necessary to ensure the effective and efficient functioning of the clinic.
Qualifications and Education Requirements
Master’s degree and at least 5 years of clinical experience with at least 3 in a supervisory or operational capacity, non-profit experience preferred.
Experience
· Outpatient rehabilitation operations and management
· Pediatric clinical experience
· Supervisory experience
· Non-profit experience preferred but not required
Key Competencies
· Passion for the mission and vision of the organization.
· Proven experience in operations management, preferably in a leadership role.
· Strong knowledge of rehabilitative services.
· Strong project management skills, with the ability to prioritize and triage tasks to meet deadlines.
· Excellent leadership abilities with a track record of building high-performing teams.
· Demonstrated success in process improvement initiatives.
· Strategic thinker with the ability to analyze complex problems and develop innovative solutions.
· Strong business acumen with a focus on financial performance.
· Ability to negotiate effectively and build strong relationships with stakeholders.
· Knowledge of nonprofit accounting, finance, legal, and regulatory issues.
· Strong problem-solving skills.
· Ability to work collaboratively with diverse teams and stakeholders.
· Ability to determine appropriate course of action in more complex situations.
· Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude.
· Ability to manage multiple and simultaneous responsibilities and to prioritize scheduling of work.
· Ability to maintain confidentiality of all medical, financial, and legal information.
· Ability to complete work assignments accurately and in a timely manner; updating those involved throughout focusing on collaborative workflow.
· Strong interpersonal skills and ability to communicate effectively, both orally and in writing.
· Ability to handle difficult situations involving patients, physicians, or others in a professional manner.
· Proficient Computer skills
· EMR experience
Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.
All applicants must have reliable transportation to work and have a demonstrated history of reliability in prior employment. Any candidate who is offered a position will be required to submit to a background check.
Website: https://reachftt.org/
Job Type: Full-time
Pay: $75,000.00 - $85,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Continuing education credits
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Professional development assistance
- Referral program
- Retirement plan
- Vision insurance
Education:
- Master's (Preferred)
Experience:
- occupational therapy: 3 years (Preferred)
Ability to Commute:
- Dover, NH 03820 (Preferred)
Work Location: In person
See All 20 Chief Operating Officer Jobs in New Hampshire
Find roles in New Hampshire that match your experience and apply in just a few clicks.
Find Chief Operating Officer JobsChief Operating Officer Jobs by City in New Hampshire
Where New Hampshire roles are concentrated, by current openings.
Chief Operating Officer Job Market in New Hampshire
A snapshot from current New Hampshire openings, updated as new roles post.
Who's Hiring
- BAE Systems USA2

- Amphenol1

- Circle K1

- RightWorks1R
- G5 Infrared1G
Top Industries Hiring
- Education2
- Technology & Software2
- Healthcare & Medical Services2
- Retail1
- Manufacturing1
What New Hampshire Employers Look For
The qualifications that appear most often in chief operating officer jobs across New Hampshire.
- Bachelor's degree in business administration, operations management, or a related field required
- Ten or more years of progressive leadership experience with demonstrated executive-level responsibility
- Proven ability to lead cross-functional teams and manage enterprise-wide operational performance
- Experience developing and executing strategic plans aligned with organizational growth objectives
- Strong financial acumen including budget oversight, forecasting, and P&L management
- Excellent communication skills for presenting to boards, investors, and senior stakeholders
Chief Operating Officer Jobs in New Hampshire: Frequently Asked Questions
How do you become a chief operating officer in New Hampshire?
The chief operating officer role in New Hampshire does not require a state-issued license or credential, so the path runs through progressive leadership experience and education. Most New Hampshire employers expect a bachelor's degree at minimum, with an MBA or equivalent graduate degree strongly preferred for enterprise-level roles. Candidates typically advance through director or vice president positions within healthcare, manufacturing, or technology organizations, the three sectors with the deepest COO hiring activity in the state.
How much do chief operating officers make in New Hampshire?
Chief operating officers in New Hampshire earn a median of about $168,590 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $103,990 for the lowest 10% to over $397,850 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire chief operating officers in New Hampshire?
New Hampshire chief operating officer roles are posted by BAE Systems USA, Amphenol, and Circle K and others right now, based on current listings on Migrate Mate as of July 2026. New Hampshire's mix of regional health systems, defense contractors, and growing technology firms creates steady demand for senior operations leadership across both the Nashua corridor and the greater Manchester area.
Which New Hampshire cities have the most chief operating officer jobs?
Nashua, Keene, and Derry are the New Hampshire cities with the most chief operating officer openings. Manchester anchors the most activity as the state's largest city and commercial center, home to major health systems and corporate headquarters, while Nashua draws from its proximity to the Massachusetts border and its concentration of technology and defense employers along the Route 3 corridor.
Are there remote chief operating officer jobs in New Hampshire?
Yes, but they're rare. The chief operating officer role is fundamentally an on-site leadership position requiring direct oversight of people, facilities, and operations. About 40% of chief operating officer openings tied to New Hampshire are remote or hybrid as of July 2026, and those tend to be with technology firms or holding companies where the COO manages strategic functions rather than physical operations.
How can I get hired as a chief operating officer in New Hampshire with little or no experience?
The most realistic path for candidates without direct COO experience is moving up from a director of operations or VP-level role within a New Hampshire organization. Large employers like Dartmouth Health and BAE Systems regularly promote from within and offer leadership development programs for high-potential managers. Building operational expertise in project management, budget ownership, and cross-departmental coordination, then pursuing an MBA through UNH or Southern New Hampshire University, significantly strengthens candidacy for a first COO appointment.
Where can I find and apply to chief operating officer jobs in New Hampshire?
You can find and apply to chief operating officer jobs in New Hampshire on Migrate Mate, which lists current openings across the state. Search the listings, identify roles that match your background and industry experience, and apply directly to the ones that fit.
See All 20 Chief Operating Officer Jobs in New Hampshire
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