COO Jobs in California
COO jobs in California represent one of the most active executive markets in the country, concentrated in technology, healthcare, biotech, and venture-backed consumer brands, with openings ranging from early-career operational leaders to senior executives overseeing thousands of employees. The heaviest hiring is in San Francisco, Los Angeles, and San Diego, where companies like Salesforce, Kaiser Permanente, and Qualcomm maintain deep operational leadership teams. The most in-demand specialties are scaling operations for high-growth startups, healthcare system administration, and supply chain optimization. Find a role that fits below and apply directly.
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Position Summary:
The Director of Clinical Operations guides the operational and clinical excellence of an assigned market. This role includes oversight of all elements of assigned market; including implementation, day- to-day oversight of key workflows on behalf of BlueSprig, providing strategic and tactical leadership, counsel, leadership, and coaching to center leaders to accomplish organizational objectives, including but not limited to clinical quality, compliance, revenue, client satisfaction, business development and growth objectives.
Travel Requirements: Have reliable means of transportation and ability to travel between centers within assigned market up to 5 days per week as well as meeting the requirements of our Motor Vehicle policy.
Travel to the Bay Area sites - Salinas and San Jose required 1x/week each. All other sites required 1x/quarter minimum, or more as site requires.
- Guiding, organizing, and monitoring the operations and clinical services provided in market, overseeing 6-10 centers within a defined geographic market; ensuring the efficiency, stability and the highest level of quality service is consistent enterprise-wide
- Leading and managing P&Ls for all centers within assigned market which includes training center leadership. Accountable for all financial aspects of the market including annual budgeted targets, such as productivity and revenue benchmarks
- Ensure BlueSprig is providing the highest quality of clinical services and client care through the delivery of clinical initiatives and ongoing clinical support, especially in the areas of direction, family guidance, and RBT supervision
- Setting specific, measurable standards, goals, and objectives to ensure fiscally and clinically responsible business growth and developing resources and methods to improve the effectiveness and efficiency of operational performance and quality of client care
- Managing center operations with support from Support Services (e.g., RCM, IT, HR, LPD, Facilities, Compliance, and Marketing) and developing and fostering effective inter-departmental collaboration to ensure an integrated approach to providing services and fulfilling the organization’s goals and objectives
- Support staff retention by ensuring a high level of engagement and a focus on positive career progression for individuals at all levels by developing then reviewing career progression opportunities for all direct reports, and auditing the reviews and career progression of center staff regularly
- Participating in the interviewing process for new center leadership, including selection, hiring, and onboarding, with a focus on internal promotion where at all plausible
- Oversight of assessment pipeline, recruiting pipeline, and the utilization of hours and census limits to ensure centers achieve growth and productivity targets
- Taking an active leadership role in planning and executing development of de novo centers as directed, with on-going support as needed
- Maintaining a safe and professional environment in the facilities and mitigating any potential risks, hazards, and nuisances
- Championing good communication processes and habits throughout centers/organization, so that flow of information is consistent and timely
- Provide crisis intervention training as needed and work to reduce the need for restraints and seclusion through collaboration with the RERT, Safeguarding Committee and Grand Rounds process
- Review and act on data relative to the status of clinical quality and compliance levels, remediation plans, recommendations and trends analysis that allows the business to meet clinical and compliance standards.
- Participating in the establishment and implementation of organizational policies and procedures, rules, processes, benefits, and organizational structure of the organization and ensuring compliance with internal policies and procedures and external requirements including the BACB, state and federal regulatory requirements, and payor requirements.
Qualifications:
- Board Certified Behavior Analyst (BCBA) in good standing with the BACB.
- 3+ years of professional leadership experience over multiple sites
Benefits:
- Competitive salary commensurate with experience
- Collaborative and team-oriented work environment
- Ongoing professional and career development
- Medical, dental, and vision benefits 30 days after hire
- Retirement plan
- Paid time off
- 9 paid holidays
- Flexible schedule
About BlueSprig
Our talented and passionate employees are a critical piece of the puzzle that deliver high-quality ABA therapy driven by our commitment to exceed industry standards of clinical outcomes.
We are a Certified Learning Organization committed to your ongoing professional development and offer Continuing Education Units CEUs, impactful conferences, and opportunities to be involved in innovative research and tireless advocacy efforts with experts in the ABA field.
We provide ABA therapy in 160+ centers across 17 states throughout the country. To find "jobs near me" visit our careers page.
If you would like to do some additional research on ABA therapy, feel free to listen to our ABA Unfiltered Podcast or enjoy our Autism Blogs.
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Where California roles are concentrated, by current openings.
COO Job Market in California
A snapshot from current California openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Biotechnology & Pharmaceuticals19
- Technology & Software17
- Healthcare & Medical Services12
- Education9
- Electronics & Hardware9
What California Employers Look For
The qualifications that appear most often in COO jobs across California.
- Bachelor's degree in business administration, operations, or a related field required
- Ten or more years of progressive leadership experience in operations or a related function
- Demonstrated experience scaling teams and processes inside a California-based high-growth organization
- Proficiency with enterprise resource planning systems and operational performance metrics
- Strong cross-functional collaboration skills across finance, product, and people teams
- MBA or equivalent advanced degree preferred by most mid-to-large California employers
COO Jobs in California: Frequently Asked Questions
How do you become a coo in California?
Becoming a coo in California typically starts with a bachelor's degree in business, operations, or a closely related field, followed by progressive leadership roles in operations, finance, or product management. California employers, particularly in technology and healthcare, strongly favor candidates who have an MBA from an accredited institution. There is no state-issued license specific to the coo role, but healthcare sector coos working within licensed facilities must understand California Department of Public Health compliance requirements.
Which companies hire coos in California?
Employers hiring coos in California right now include ABM Industries, Revolution Medicines, and California State University, based on current listings on Migrate Mate as of August 2026. California's concentration of venture-backed technology firms, large integrated health systems, and global consumer brands makes it one of the broadest markets for operational leadership roles in the country.
Which California cities have the most coo jobs?
San Francisco, Los Angeles, and San Diego account for the largest share of coo openings in California. San Francisco leads because of its density of technology and fintech headquarters, Los Angeles draws demand from media, healthcare, and consumer brands, and San Diego's biotech and defense sectors generate consistent need for operational leaders across mid-size and enterprise organizations.
Are there remote coo jobs in California?
Yes, though they are less common than in purely analytical roles because coos are typically expected to be present for cross-functional decision-making and culture leadership. About 47% of coo openings tied to California are remote or hybrid as of August 2026, with the fully remote roles most often found in software and SaaS companies that operate distributed teams. Strategic and board-facing responsibilities are most likely to be performed remotely.
How can I get hired as a coo in California with little or no experience?
The most realistic entry path is building operational leadership experience through director or VP-level roles in functions like finance, product, or people operations before stepping into a coo position. Large California health systems such as Kaiser Permanente and Dignity Health run administrative fellowship programs that prepare candidates for executive operational roles. Technology companies in the Bay Area frequently promote from within, making head of operations or chief of staff roles natural stepping stones. Earning an MBA from a California business school also accelerates the timeline significantly.
Where can I find and apply to coo jobs in California?
You can find and apply to coo jobs in California on Migrate Mate, which lists current California openings updated regularly. Search the available roles, find the ones that match your background and target market, and apply directly to the employers posting them.
See All 487+ COO Jobs in California
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