COO Jobs in Ohio
COO jobs in Ohio are actively sought across healthcare systems, manufacturing, financial services, and technology, with demand ranging from emerging operations leaders to seasoned C-suite executives. Columbus, Cleveland, and Cincinnati anchor the largest concentrations of hiring, where established employers like Nationwide, Cleveland Clinic, and Procter & Gamble maintain deep operational leadership pipelines. The most in-demand specialties include healthcare operations, supply chain leadership, and financial services operations management. Find a role that fits below and apply directly.
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Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
Ensemble Health Partners is seeking a strategic and operationally focused Senior Director, Provisioning Operations to lead and advance provisioning operations supporting new client integrations and ongoing client needs. This role will provide experienced leadership across healthcare revenue cycle operations, access provisioning, client integrations, operational readiness, risk management, and process improvement.
The ideal candidate will bring deep expertise in revenue cycle management, cross-functional operations, provisioning, client integrations, and people leadership. This leader will partner closely with Human Resources, Operations, Technology, client-facing teams, and other stakeholders to build scalable processes, strengthen operational controls, improve the employee and client experience, and ensure individuals receive appropriate access when needed.
The successful candidate will be a seasoned, hands-on leader who can operate strategically while remaining willing to support detailed operational work. This individual must demonstrate sound judgment, executive presence, adaptability, and the ability to build trusted relationships across all levels of an organization.
Key Responsibilities
Provisioning Operations
- Provide strategic leadership and operational oversight for provisioning activities supporting new hires, existing employees, organizational changes, new client integrations, and ongoing client operations.
- Develop scalable provisioning processes, standards, controls, and best practices that support business growth and operational consistency.
- Oversee access provisioning workflows to help ensure individuals receive appropriate and timely access based on their roles and business responsibilities.
- Assess current provisioning processes, workflows, and operational structures to identify risks, gaps, and opportunities for improvement.
- Lead efforts to centralize and standardize provisioning activities across applicable business functions and client environments.
- Establish operating procedures, performance expectations, escalation processes, and accountability measures for provisioning operations.
- Support the development of a growing provisioning function, including establishing team structures, responsibilities, and leadership practices.
Client Integrations
- Lead provisioning-related activities for new client implementations, conversions, acquisitions, and operational transitions.
- Serve as a strategic operational partner throughout client onboarding and integration efforts.
- Collaborate with client stakeholders and internal teams to understand access requirements, operational workflows, timelines, and potential risks.
- Develop and oversee provisioning plans that support client readiness and successful operational transitions.
- Identify and resolve provisioning concerns that may affect implementation timelines, employee readiness, security, or the client experience.
- Provide ongoing leadership for provisioning activities supporting established client operations.
Cross-Functional Leadership
- Partner closely with Human Resources, Revenue Cycle Operations, Technology, Implementation, Client Services, and operational leadership teams.
- Connect cross-functional activities to create a coordinated, end-to-end provisioning experience.
- Lead stakeholders through complex operational decisions involving access, workflow dependencies, risk, and business requirements.
- Build trusted partnerships across internal teams and client organizations.
- Facilitate clear communication, accountability, and alignment among stakeholders with different operational responsibilities.
- Present provisioning updates, risks, recommendations, and performance insights to senior leadership and other key stakeholders.
Operational Excellence & Risk Management
- Evaluate operational workflows to identify access-related risks, process breakdowns, inefficiencies, and control gaps.
- Apply healthcare revenue cycle knowledge to understand access requirements and their impact on operational performance.
- Develop and implement solutions that improve provisioning speed, accuracy, consistency, and compliance.
- Establish metrics and reporting that provide visibility into service levels, risks, backlogs, quality, and operational performance.
- Support automation and technology initiatives that reduce manual work and improve the provisioning experience.
- Monitor process performance and lead corrective action plans when operational expectations are not met.
- Balance business needs, client expectations, security considerations, and risk-management requirements when making decisions.
People Leadership
- Build, develop, and lead a high-performing provisioning operations team.
- Establish a collaborative culture focused on accountability, continuous improvement, service, and operational excellence.
- Coach and develop team members while creating future leaders and scalable team capabilities.
- Lead effectively across all organizational levels, including individual contributors, operational leaders, executives, clients, and cross-functional partners.
- Remain willing to support both strategic initiatives and detailed operational work as the function grows.
- Promote a humble, confident, and solutions-oriented leadership approach that strengthens partnerships and minimizes organizational friction.
Required Qualifications
- Bachelor’s degree or an equivalent combination of education and relevant professional experience.
- Minimum of 10 years of progressive experience in healthcare operations, revenue cycle management, provisioning, access management, client integrations, implementation, technology operations, or a related field.
- Minimum of 5 years of progressive people-leadership experience, including responsibility for developing teams and other leaders.
- Previous experience operating at the Director level or in a comparable senior leadership role with responsibility for complex, cross-functional operations.
- Strong knowledge of healthcare revenue cycle operations and the systems, workflows, and access requirements that support revenue cycle functions.
- Experience leading provisioning, access-management, client-integration, implementation, operational-transformation, or centralized-operations initiatives.
- Demonstrated ability to develop and scale operational processes, controls, standards, and teams.
- Experience partnering with senior leaders and influencing stakeholders across Human Resources, Operations, Technology, and client-facing functions.
- Strong understanding of operational risk and the ability to evaluate access needs, workflow dependencies, and business impact.
- Demonstrated success leading complex initiatives with multiple stakeholders, competing priorities, and organization-wide impact.
- Strong executive presence, communication skills, judgment, and relationship-management capabilities.
- Ability to work effectively in a growing environment where responsibilities and processes continue to evolve.
- Willingness to remain hands-on and support detailed operational work when necessary.
- Ability to travel based on business and client needs.
Manager to Director AI Knowledge
Demonstrated advanced usage of AI and experience managing teams that use AI to support process and technology improvements. This includes encouraging the responsible exploration, experimentation, and application of AI to reduce friction, improve operational efficiency, and enhance employee, patient, and client experiences.
Preferred Qualifications
- Experience leading provisioning or access-management operations within a healthcare revenue cycle organization.
- Experience supporting large-scale healthcare client integrations, acquisitions, implementations, or operational transitions.
- Experience building or expanding a centralized operational function.
- Experience with identity and access management, role-based access, user lifecycle management, or access-governance processes.
- Experience supporting enterprise healthcare platforms, revenue cycle technologies, or client-specific systems.
- Knowledge of healthcare privacy, security, compliance, and minimum-necessary access principles.
- Experience leading teams in multi-state, national, or complex client-based healthcare environments.
- Experience with workflow automation, reporting, Power BI, Copilot, or other AI-enabled productivity and process-improvement tools.
- Project management, process improvement, technology, security, or healthcare revenue cycle certifications.
This position pays between $122,900- $184,350
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
- Innovation
- Work-Life Flexibility
- Leadership
- Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
- Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
- Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
- Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
- Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.
Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.
Employment Disclaimers – Ensemble
Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
Ensemble Health Partners is seeking a strategic and operationally focused Senior Director, Provisioning Operations to lead and advance provisioning operations supporting new client integrations and ongoing client needs. This role will provide experienced leadership across healthcare revenue cycle operations, access provisioning, client integrations, operational readiness, risk management, and process improvement.
The ideal candidate will bring deep expertise in revenue cycle management, cross-functional operations, provisioning, client integrations, and people leadership. This leader will partner closely with Human Resources, Operations, Technology, client-facing teams, and other stakeholders to build scalable processes, strengthen operational controls, improve the employee and client experience, and ensure individuals receive appropriate access when needed.
The successful candidate will be a seasoned, hands-on leader who can operate strategically while remaining willing to support detailed operational work. This individual must demonstrate sound judgment, executive presence, adaptability, and the ability to build trusted relationships across all levels of an organization.
Key Responsibilities
Provisioning Operations
- Provide strategic leadership and operational oversight for provisioning activities supporting new hires, existing employees, organizational changes, new client integrations, and ongoing client operations.
- Develop scalable provisioning processes, standards, controls, and best practices that support business growth and operational consistency.
- Oversee access provisioning workflows to help ensure individuals receive appropriate and timely access based on their roles and business responsibilities.
- Assess current provisioning processes, workflows, and operational structures to identify risks, gaps, and opportunities for improvement.
- Lead efforts to centralize and standardize provisioning activities across applicable business functions and client environments.
- Establish operating procedures, performance expectations, escalation processes, and accountability measures for provisioning operations.
- Support the development of a growing provisioning function, including establishing team structures, responsibilities, and leadership practices.
Client Integrations
- Lead provisioning-related activities for new client implementations, conversions, acquisitions, and operational transitions.
- Serve as a strategic operational partner throughout client onboarding and integration efforts.
- Collaborate with client stakeholders and internal teams to understand access requirements, operational workflows, timelines, and potential risks.
- Develop and oversee provisioning plans that support client readiness and successful operational transitions.
- Identify and resolve provisioning concerns that may affect implementation timelines, employee readiness, security, or the client experience.
- Provide ongoing leadership for provisioning activities supporting established client operations.
Cross-Functional Leadership
- Partner closely with Human Resources, Revenue Cycle Operations, Technology, Implementation, Client Services, and operational leadership teams.
- Connect cross-functional activities to create a coordinated, end-to-end provisioning experience.
- Lead stakeholders through complex operational decisions involving access, workflow dependencies, risk, and business requirements.
- Build trusted partnerships across internal teams and client organizations.
- Facilitate clear communication, accountability, and alignment among stakeholders with different operational responsibilities.
- Present provisioning updates, risks, recommendations, and performance insights to senior leadership and other key stakeholders.
Operational Excellence & Risk Management
- Evaluate operational workflows to identify access-related risks, process breakdowns, inefficiencies, and control gaps.
- Apply healthcare revenue cycle knowledge to understand access requirements and their impact on operational performance.
- Develop and implement solutions that improve provisioning speed, accuracy, consistency, and compliance.
- Establish metrics and reporting that provide visibility into service levels, risks, backlogs, quality, and operational performance.
- Support automation and technology initiatives that reduce manual work and improve the provisioning experience.
- Monitor process performance and lead corrective action plans when operational expectations are not met.
- Balance business needs, client expectations, security considerations, and risk-management requirements when making decisions.
People Leadership
- Build, develop, and lead a high-performing provisioning operations team.
- Establish a collaborative culture focused on accountability, continuous improvement, service, and operational excellence.
- Coach and develop team members while creating future leaders and scalable team capabilities.
- Lead effectively across all organizational levels, including individual contributors, operational leaders, executives, clients, and cross-functional partners.
- Remain willing to support both strategic initiatives and detailed operational work as the function grows.
- Promote a humble, confident, and solutions-oriented leadership approach that strengthens partnerships and minimizes organizational friction.
Required Qualifications
- Bachelor’s degree or an equivalent combination of education and relevant professional experience.
- Minimum of 10 years of progressive experience in healthcare operations, revenue cycle management, provisioning, access management, client integrations, implementation, technology operations, or a related field.
- Minimum of 5 years of progressive people-leadership experience, including responsibility for developing teams and other leaders.
- Previous experience operating at the Director level or in a comparable senior leadership role with responsibility for complex, cross-functional operations.
- Strong knowledge of healthcare revenue cycle operations and the systems, workflows, and access requirements that support revenue cycle functions.
- Experience leading provisioning, access-management, client-integration, implementation, operational-transformation, or centralized-operations initiatives.
- Demonstrated ability to develop and scale operational processes, controls, standards, and teams.
- Experience partnering with senior leaders and influencing stakeholders across Human Resources, Operations, Technology, and client-facing functions.
- Strong understanding of operational risk and the ability to evaluate access needs, workflow dependencies, and business impact.
- Demonstrated success leading complex initiatives with multiple stakeholders, competing priorities, and organization-wide impact.
- Strong executive presence, communication skills, judgment, and relationship-management capabilities.
- Ability to work effectively in a growing environment where responsibilities and processes continue to evolve.
- Willingness to remain hands-on and support detailed operational work when necessary.
- Ability to travel based on business and client needs.
Manager to Director AI Knowledge
Demonstrated advanced usage of AI and experience managing teams that use AI to support process and technology improvements. This includes encouraging the responsible exploration, experimentation, and application of AI to reduce friction, improve operational efficiency, and enhance employee, patient, and client experiences.
Preferred Qualifications
- Experience leading provisioning or access-management operations within a healthcare revenue cycle organization.
- Experience supporting large-scale healthcare client integrations, acquisitions, implementations, or operational transitions.
- Experience building or expanding a centralized operational function.
- Experience with identity and access management, role-based access, user lifecycle management, or access-governance processes.
- Experience supporting enterprise healthcare platforms, revenue cycle technologies, or client-specific systems.
- Knowledge of healthcare privacy, security, compliance, and minimum-necessary access principles.
- Experience leading teams in multi-state, national, or complex client-based healthcare environments.
- Experience with workflow automation, reporting, Power BI, Copilot, or other AI-enabled productivity and process-improvement tools.
- Project management, process improvement, technology, security, or healthcare revenue cycle certifications.
This position pays between $122,900- $184,350
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
- Innovation
- Work-Life Flexibility
- Leadership
- Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
- Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
- Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
- Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
- Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.
Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.
Employment Disclaimers – Ensemble
See All 119+ COO Jobs in Ohio
Find roles in Ohio that match your experience and apply in just a few clicks.
Find COO Jobs in OhioCOO Jobs by City in Ohio
Where Ohio roles are concentrated, by current openings.
COO Job Market in Ohio
A snapshot from current Ohio openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Manufacturing
What Ohio Employers Look For
The qualifications that appear most often in COO jobs across Ohio.
- Bachelor's degree in business administration, operations management, or a closely related field
- Ten or more years of progressive leadership experience in operations or a related function
- Demonstrated experience scaling teams or organizations through periods of significant growth
- Proficiency with enterprise resource planning systems and operational performance metrics
- Experience collaborating directly with a CEO or board to set and execute company strategy
- Strong background in financial oversight including budgeting, forecasting, and cost management
COO Jobs in Ohio: Frequently Asked Questions
How do you become a coo in Ohio?
There is no state-issued license required to work as a coo in Ohio, so the path runs through education and progressive leadership experience. Most Ohio employers expect a bachelor's degree in business, operations, or a related discipline, with an MBA increasingly preferred for senior roles. Candidates typically advance from director or VP of operations roles at Ohio-based companies before stepping into a coo position.
Which companies hire coos in Ohio?
Employers hiring coos in Ohio right now include AVI Foodsystems, DHL, and Levy, based on current listings on Migrate Mate as of November 2026. Ohio's concentration of Fortune 500 headquarters and major healthcare systems means coo openings appear regularly across both corporate and nonprofit sectors throughout the state.
Which Ohio cities have the most coo jobs?
Columbus, Cincinnati, and Cleveland have the most coo openings in Ohio. Columbus leads due to its dense cluster of corporate headquarters, insurance companies, and fast-growing technology firms, while Cleveland's large healthcare systems and manufacturing base drive consistent demand, and Cincinnati benefits from the regional presence of major consumer goods and financial services employers.
Are there remote coo jobs in Ohio?
Yes, but they're rare. The coo role is fundamentally hands-on, requiring direct oversight of people, facilities, and day-to-day operations, which limits full remote arrangements. About 53% of coo openings tied to Ohio are remote or hybrid as of November 2026, and those tend to cluster in technology or professional services companies where operations leadership is less facility-dependent.
How can I get hired as a coo in Ohio with little or no experience?
The most realistic entry path is building an operations management foundation first, targeting director-level or VP of operations roles at mid-size Ohio companies before pursuing a coo title. Large Ohio healthcare systems and manufacturers often run internal leadership development programs that fast-track high performers from operations manager roles. Adjacent titles like director of strategy, VP of business operations, or general manager at Ohio-based regional firms are the most common stepping stones.
Where can I find and apply to coo jobs in Ohio?
You can find and apply to coo jobs in Ohio on Migrate Mate, which lists current Ohio openings updated regularly. Search the listings for roles that match your background and apply directly to the ones that fit.
See All 119+ COO Jobs in Ohio
Find roles in Ohio that match your experience and apply in just a few clicks.
Find COO Jobs in Ohio