COO Jobs in Baltimore, MD
COO jobs in Baltimore are concentrated in the Inner Harbor, Harbor East, and the biotech corridor around the Johns Hopkins Medical Campus, with strong demand in healthcare systems, financial services, and nonprofit management. Employers actively hiring include CareFirst BlueCross BlueShield, Office of the Attorney General, and Enterprise Mangement Solutions. See the openings below and apply to the ones that match your experience.
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The Director of Clinical Operations is responsible for overseeing the performance optimization of work groups, strategic planning, and performance improvement efforts for UMMC Perioperative & Procedural Services. This includes optimizing workflows, ensuring compliance with healthcare regulations, achieving financial metrics, and maintaining the highest standards of patient care. The Director collaborates closely with physicians, team members, nursing leaders, department heads, and other stakeholders to deliver excellent clinical services, improve patient outcomes, and foster a culture of innovation and continuous improvement.
Responsible for directing and facilitating the identification, implementation, and ongoing measurement of projects under limited guidance, which improves the effectiveness and quality of clinical care. Requires interpersonal skills, negotiation skills, focus on innovation, and the ability to balance multiple priorities. This is a tactical and facilitative role that requires a combination of focus and flexibility as well as a willingness to play an active, behind-the-scenes role.
Primary Responsibilities
- Operational Management: Ensure smooth coordination between clinical services and other departments including hospital operations departments through the optimization of workflow processes to enhance patient care and financial targets. Provide high level oversight of major improvement projects for PPS to include status of major project milestones, goals, and scope. Responsible for the creation and maintenance of a tracking dashboard. Independently identify and establish workgroups based upon needed improvements in operational flow or quality events. Lead work groups as needed. Establish and align performance metrics with organizational priorities to drive operational accountability and outcomes. Define and implement strategies to achieve AOP priorities and department goals.
- Technology and Products: Stay current with advancements in technology and healthcare practices within perioperative services to incorporate innovations in clinical care. Collaborate with Supply Chain, IT, Clinical Engineering, and service line leaders on equipment planning, procurement, and deployment.
- Lead Clinical Quality Value Analysis (CQVA) team
- Lead the implementation of new clinical systems or technologies, such as creating standard work, policies and procedures, and monitoring performance in collaboration with clinical directors and managers on initiatives such as:
- Implementation of Robotic Platforms
- Implementation of Clinical Trials for Clinical Products
- Managing the clinical components of Capital Projects
- Leadership and Strategy: Develop and implement strategies to improve the efficiency, quality, and profitability of clinical services. Provide leadership and direction to clinical managers ensuring alignment with the hospital’s mission and goals. Strategic partnership with hospitals operations to achieve clinical outcomes, including patient experience. Collaborate with senior leadership to develop long-term clinical operations plans. Responsible to drive the creation of annual strategic goals for Perioperative and Procedural Services.
- Quality Improvement and Compliance: Ensure all clinical operations adhere to federal, state, and local healthcare regulations, including Joint Commission standards. Strategic partnership on the development and implementation of quality improvement initiatives to enhance patient care and clinical outcomes.
- Coordination of Work team: Ensures workgroups are organized and well defined with dashboard, KPIs and work teams that drive the optimization of this service line. Maintains database outlining all projects to include status, and metrics.
- Perform other duties as assigned.
Work Experience
Education & Experience - Required
- Master’s degree in nursing, health care administration, or related field.
- At least 5 years of progressive leadership experience in a hospital or clinical setting. Strong understanding of hospital operations, clinical workflows, and healthcare regulations. Proven record of leading operational improvements
- PMP (Project Management Professional), Lean, Six Sigma, or equivalent process improvement certification preferred.
Knowledge, Skills, & Abilities
- Knowledge of healthcare regulations
- Understanding of clinical processes, patient care standards and medical terminology
- Awareness of qualityimprovement practices, patient safety initiatives and performance metrics
- Strong leadership and management skills to motivate and guide clinical teams
- Ability to identify issues and implement effective solutions
- Proficient in analyzing data to drive clinical improvements and operational efficiency
- Skilled in managing multiple projects, timelines and resources
- Ability to build relationships with staff, patients and other stakeholders
- Skills to manage and resolve conflicts effectively
- Ability to analyze and present data in clear concise manner
- Advanced leadership skills, including the ability to motivate and inspire staff to high performance levels, resolve conflict, establish alignment and clear direction, prioritize initiatives, optimize workflows, and create a goal-driven environment supported by well-defined procedures and performance metric
- Exhibit sound judgment and self-direction, operating confidently and constructively without the need for detailed guidance
- Proficient in project management tools (e.g., Smartsheet, MS Project)
- Advanced skill managing cross-functional, multi-dimensional teams and projects of the highest complexity which have business risk and impact.
- Expert analytical, critical thinking, strategic thinking, planning, organizational, and problem-solving skills.
- Advanced skill in the use of Microsoft Office Suite (e.g., Excel, Word, PowerPoint).
- Expert verbal, written, and interpersonal communication skills.
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COO Jobs in Baltimore: Frequently Asked Questions
How do I get a coo job in Baltimore?
Focus on Baltimore's dominant hiring sectors: large health systems, regional banks and financial services firms, and the city's substantial nonprofit sector anchored by universities and foundations. Roles concentrate in Harbor East, downtown, and around the medical campuses in East Baltimore. Candidates who demonstrate P&L ownership, cross-functional leadership, and familiarity with regulated industries move fastest here. A local professional network built through Baltimore business associations and board service also carries real weight.
Which companies hire coos in Baltimore?
Employers hiring coos in Baltimore right now include CareFirst BlueCross BlueShield, Office of the Attorney General, and Enterprise Mangement Solutions, based on current listings on Migrate Mate as of September 2026. Baltimore's market is anchored by major health systems, regional financial institutions, and a strong base of mid-size professional services and tech-enabled companies with headquarters or significant operations in the city.
Are there remote coo jobs in Baltimore?
Yes, though coo roles are less remote-friendly than individual contributor positions because the job typically requires direct oversight of operations, facilities, and teams. About 63% of coo openings tied to Baltimore are remote or hybrid as of September 2026, skewing toward companies in software, consulting, and financial services. Strategy and reporting functions transfer well to remote arrangements, while HR, facilities, and supply chain oversight generally require on-site presence.
How can I get a coo job in Baltimore with little or no experience?
The most realistic entry path in Baltimore is moving into operations management at one of the city's large health systems or university-affiliated institutions, which regularly hire operations directors and administrators who can advance. Nonprofit organizations headquartered in Baltimore also promote from director-level roles into COO positions at a higher rate than corporate employers. Building experience managing budgets, vendor relationships, and cross-departmental initiatives at mid-size Baltimore employers creates the operational record that local search committees look for.
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