COO Jobs in Kentucky

Executive Director of Growth & Operations

Are you a hands-on business leader who knows how to turn vision into execution—and execution into measurable growth?

We are seeking an experienced Executive Director of Growth & Operations to lead two established, physician-led, cash-pay medical practices in Bowling Green, Kentucky. The practices specialize in medical weight management, hormone optimization, aesthetics, sexual wellness, and related health and wellness services.

This is a hands-on executive leadership opportunity overseeing two established practices with fewer than 20 employees combined. We are seeking a business-minded operator who enjoys direct involvement in staff leadership, financial performance, marketing, and growth— we are not looking for a large corporate executive or remote leadership position.

The ideal candidate will work closely with physician ownership while taking significant responsibility for daily operations, business performance, and continued growth. This position offers the opportunity to make a meaningful impact on two established businesses with significant growth potential.

What You'll Do

Operations & Team Leadership

• Oversee daily business operations across both practices.
• Lead, coach, and develop clinical and administrative employees, establishing clear expectations and accountability.
• Improve workflows, systems, productivity, and overall operational efficiency.
• Manage staffing, scheduling, vendor relationships, and operational resources.
• Build scalable systems that reduce ownership's involvement in routine business decisions.

Business Growth & Marketing

• Develop and execute strategies to increase patient acquisition, conversion, retention, referrals, and reactivation.
• Oversee marketing initiatives and vendors, ensuring measurable returns on investment.
• Identify opportunities to grow existing services, introduce new programs, and increase recurring revenue.
• Improve utilization and profitability of existing services, technology, and equipment.
• Monitor market trends, competitors, and opportunities for continued growth.

Financial & Performance Management

• Oversee budgets, expenses, payroll, margins, and profitability.
• Monitor key performance indicators (KPIs) and provide actionable reporting to ownership.
• Identify opportunities to improve revenue, control costs, and strengthen financial performance.
• Evaluate pricing, service-line profitability, marketing investments, and growth initiatives.
• Develop and implement strategies that produce measurable business results.

Who You Are

You are a proactive, accountable leader who recognizes problems, develops solutions, and follows through. You are comfortable balancing high-level business strategy with hands-on execution and thrive in an entrepreneurial environment where your contributions directly impact results.

We're Looking For:

• Proven leadership experience in healthcare, medical aesthetics, wellness, cosmetic dentistry, elective healthcare, hospitality, or another high-service, consumer-focused business.
• Experience in cash-pay healthcare or a similar consumer-driven business model strongly preferred.
• Demonstrated success managing operations, leading employees, and driving measurable business growth.
• Strong financial acumen, including experience with P&L management, budgeting, margins, and performance metrics.
• Hands-on experience with marketing strategy, lead generation, patient/customer conversion, and retention.
• Confidence addressing personnel challenges, improving accountability, and making operational decisions.
• Strong organizational, communication, analytical, and problem-solving skills.
• A resourceful, solutions-oriented approach with the ability to work independently and take ownership of results.

Why This Opportunity?

This is an opportunity to do more than maintain an established operation. You'll have the ability to help shape the future of two physician-led businesses, strengthen operations, develop the team, improve financial performance, and drive meaningful growth.

You'll work directly with ownership and have the autonomy to implement improvements, build systems, and make a measurable impact.

Position Details

• Location: Bowling Green, Kentucky
• Schedule: Full-time, on-site. Remote or hybrid arrangements are not available.
• Compensation: $95,000–$115,000 base salary, plus performance-based incentives tied to business growth and results.

If you're a business-minded leader who thrives on building teams, improving operations, solving problems, and creating measurable growth, we'd welcome the opportunity to speak with you.

Pay: $95,000.00 - $115,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Retirement plan
• Vision insurance

Application Question(s):

• This position oversees two established, physician-led, cash-pay medical practices with fewer than 20 total employees. It is a hands-on leadership role involving daily operations, staff management, marketing, financial performance, and business growth. Does this scope align with the type of position you are seeking?
• Do you have leadership experience in a cash-pay healthcare or consumer-focused service environment, such as medical aesthetics, med spas, cosmetic dentistry, medical weight loss, hormone/wellness clinics, plastic surgery, or a similar business?
• Have you had direct responsibility for P&L management, budgeting, expense control, financial reporting, and improving profitability?
• Have you been directly involved in developing or executing marketing and business-growth strategies, including lead generation, customer/patient conversion, retention, and measuring marketing results?
• How many years of experience do you have managing business operations, including direct responsibility for employees, operational performance, and business results?
• This is a full-time, on-site position in Bowling Green, KY. Remote and hybrid work are not available. Are you able to work on-site or willing to relocate?

Work Location: In person