COO Jobs in San Antonio, TX
COO jobs in San Antonio are concentrated in the Medical Center, downtown, and the North Central corridor, with strong demand across healthcare, defense contracting, and financial services. Employers hiring right now include Aramark, Concentra, and PurposeMed. Find a role that fits below and apply directly.
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Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at a time. Join us at Concentra and see how your clinical competency and compassion can make a meaningful difference in the lives of the patients you serve.
The Center Operations Director (COD) is responsible for ensuring an optimal level of care and customer service is delivered to all customers. The COD leads and manages all center support staff and oversees the daily operations of the medical facility. The COD is also responsible for coordinating center activities, general facility management, overseeing patient flow throughout the center, and supporting the medical and therapy providers in the delivery of patient care. Daily interaction with colleagues and patients is required through hands-on center activity including patient registration, check-out and patient care.
- Spends 80% of their time performing patient facilitation, ensuring every patient and client is provided with exceptional experience, leads by example, and holds staff accountable to service delivery standards
- Support day-to-day execution of the medical model by collaborating with and supporting clinicians to drive optimal clinical outcomes and case closure
- Work with clinicians to support staff competency regarding all patient care needs
- Create a professional and collaborative working environment with full colleague participation that promotes teamwork, quality, exceptional outcomes, continuous improvement, reward and recognition, and patient safety
- Manage key operations metrics and holds staff accountable on Turn Around Time (TAT), Net
- Patient Experience Rating (NPER), Pearl C4 and other metrics as determined by senior leadership
- Work with leadership to identify gaps and implement process improvement to ensure optimal patient care
- Ensure compliance with state regulations, reporting and facility/equipment meets the standards for optimal patient care
- Coordinate scheduling (including patients, clinicians, and staff) with clinical leadership to ensure efficient and effective clinical support, optimal turnaround times, and exceptional patient experience
- Monitor center status, provide wait time communication, perform “white board” patient management, and provide service package expectations
- Coordinate and prepare material for Center Leadership Team (CLT) meetings with the goal of improving quality, patient safety, and outlier management. Ensure ongoing development to achieve the center's business plan.
- Maintain and cultivate relationships with center clients and payers while responding to requests within 24 hours
- Work with Director of Operations (DO), Associate Director of Operation (ADO), and CLT to manage clinical and support staffing levels and proficiencies that will optimize patient satisfaction, workflows, and efficiencies
- Develop colleague success through all aspects of the talent life cycle for center staff including recruiting, hiring, onboarding, orientation, mentoring/development, engagement, retention, performance management and succession planning
- Drive consistent center communication that will result in optimal patient/customer care, satisfaction, and business outcomes
- Accountable for center financial drivers (NPER, TAT, Total Visits, Net Revenue) and review of key indicator reports in order achieve annual business plan
- Maintain accountability for implementing and consistently maintaining center initiatives and workflows
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
- Bachelor's degree preferred
- Some college courses from an accredited college or university or equivalent education and experience
- In lieu of higher education, the ratio is 1:1 meaning one year of college equals one year of work experience and vice versa
Job-Related Experience
- Customarily has at least three or more years of work leadership or operations management experience
- Prior healthcare experience and/or customer service-related experience preferred
Job-Related Skills/Competencies
- Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
- Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
- Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
- The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
- Strong service mentality and a focus on achieving all aspects of defined service standards
- Excellent telephone and personal etiquette
- Warm, positive, energetic, and professional demeanor
- Effective oral and written communication skills
- Tactful and diplomatic communication style
- Working knowledge of principles and practices of personnel recruitment, selection, coaching and other aspects of performance management
- Performance assessment skills
- Continued focus on self-development
- Proficient in computer applications such as Word and Excel
- Ability to coordinate and prioritize multiple tasks and work on multiple projects/tasks simultaneously in a fast-paced environment without direct supervision
- Ability to identify areas of opportunity, develop a plan of action to improve, implement and evaluate plan effectively
- Ability to resolve colleague, client, and patient issues in an effective and timely manner
- 401(k) Retirement Plan with Employer Match
- Medical, Vision, Prescription, Telehealth, & Dental Plans
- Life & Disability Insurance
- Paid Time Off & Extended Illness Days Offered
- Colleague Referral Bonus Program
- Tuition Reimbursement
- Commuter Benefits
- Dependent Care Spending Account
- Employee Discounts
Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.
See All 334+ COO Jobs in San Antonio
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Find COO JobsCOO Job Market in San Antonio
Who's Hiring
- Aramark21

- Concentra21

- PurposeMed21

- ATHRA SYSTEMS21

- The SSA21

COO Jobs in San Antonio: Frequently Asked Questions
How do I get a coo job in San Antonio?
Target San Antonio's highest-density hiring sectors: healthcare systems anchored around the South Texas Medical Center, defense and government contracting firms near Joint Base San Antonio, and financial services companies headquartered downtown. Candidates who can show P&L ownership and cross-functional leadership in those sectors move fastest. Networking through the San Antonio Chamber of Commerce and local industry groups also gives a meaningful edge over applicants applying cold.
Which companies hire coos in San Antonio?
Employers hiring coos in San Antonio right now include Aramark, Concentra, and PurposeMed, based on current listings on Migrate Mate as of August 2026. San Antonio's employer mix skews toward large health systems, military-adjacent contractors, and regional banks, alongside a growing set of tech-enabled companies establishing operations in the city.
Are there remote coo jobs in San Antonio?
Yes, though coo roles are less remote-friendly than individual contributor positions because the role typically requires direct oversight of people, facilities, and cross-functional coordination. About 40% of coo openings tied to San Antonio are remote or hybrid as of August 2026, with hybrid arrangements more common than fully remote. Strategic and advisory-focused coo roles at tech companies and consulting firms tend to offer the most location flexibility.
How can I get a coo job in San Antonio with little or no experience?
The most realistic path is moving into a director of operations or VP of operations role first, particularly at mid-size San Antonio employers in healthcare administration, logistics, or defense services, where internal promotion to coo is common. Local organizations like university health systems and regional insurers frequently post senior operations roles that serve as a direct pipeline. Building a record of measurable process improvements and team leadership in those environments is what converts an operations career into a coo candidacy.
See All 334+ COO Jobs in San Antonio
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