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 The University of Texas at San Antonio, DaVita, and Flyttr. Find a role that fits below and apply directly.
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Showing 5 of 315+ COO jobs
D4C Dental Brands | Multi-Site Dental & Orthodontic Operations
This is an in-the-field leadership position requiring regular travel to assigned practices throughout the Texas market. This is NOT a work-from-home or remote position.
D4C Dental Brands is seeking an experienced Regional Operations Director to oversee and support multiple dental and orthodontic practices across the Texas market.
This key leadership role is responsible for the operational and financial performance of multiple practices, including P&L accountability, development of Practice Managers, staffing, budgeting, process improvement, and overall practice performance.
Qualifications:
- Bachelor’s degree in healthcare or related field required; Master’s degree preferred.
- 5+ years of healthcare operations management experience.
- Multi-site management experience required.
- Strong leadership and team-development experience.
- Experience with budgets, financial statements, and P&L performance.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
- Ability and willingness to travel regularly to assigned dental and orthodontic practices.
Key Responsibilities:
- Oversee operational and financial performance of assigned practices.
- Manage, coach, and develop Practice Managers.
- Monitor budgets, operating statements, staffing, and practice performance.
- Identify opportunities for operational and process improvement.
- Ensure compliance with company policies, procedures, and training programs.
- Support hiring, training, and development of practice leadership and support teams.
- Oversee facility projects, relocations, remodels, de novo openings, and new affiliations.
- Partner with clinical and operational leadership to resolve practice and patient-service issues.
- Monitor market trends and support strategic growth initiatives.
Position Requirements
This position is not remote or work from home.
Relocation package available for qualified candidates.
Interested in learning more? Apply or reach out to me directly for additional information.
D4C Dental Brands | Multi-Site Dental & Orthodontic Operations
This is an in-the-field leadership position requiring regular travel to assigned practices throughout the Texas market. This is NOT a work-from-home or remote position.
D4C Dental Brands is seeking an experienced Regional Operations Director to oversee and support multiple dental and orthodontic practices across the Texas market.
This key leadership role is responsible for the operational and financial performance of multiple practices, including P&L accountability, development of Practice Managers, staffing, budgeting, process improvement, and overall practice performance.
Qualifications:
- Bachelor’s degree in healthcare or related field required; Master’s degree preferred.
- 5+ years of healthcare operations management experience.
- Multi-site management experience required.
- Strong leadership and team-development experience.
- Experience with budgets, financial statements, and P&L performance.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
- Ability and willingness to travel regularly to assigned dental and orthodontic practices.
Key Responsibilities:
- Oversee operational and financial performance of assigned practices.
- Manage, coach, and develop Practice Managers.
- Monitor budgets, operating statements, staffing, and practice performance.
- Identify opportunities for operational and process improvement.
- Ensure compliance with company policies, procedures, and training programs.
- Support hiring, training, and development of practice leadership and support teams.
- Oversee facility projects, relocations, remodels, de novo openings, and new affiliations.
- Partner with clinical and operational leadership to resolve practice and patient-service issues.
- Monitor market trends and support strategic growth initiatives.
Position Requirements
This position is not remote or work from home.
Relocation package available for qualified candidates.
Interested in learning more? Apply or reach out to me directly for additional information.
See All 315+ COO Jobs in San Antonio
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Find COO JobsCOO Job Market in San Antonio
Who's Hiring
- The University of Texas at San Antonio32
- DaVita16
- Flyttr16F
- Sevita16
- Aramark16
Top Industries Hiring
- Banking & Financial Services
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 The University of Texas at San Antonio, DaVita, and Flyttr, based on current listings on Migrate Mate as of September 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 80% of coo openings tied to San Antonio are remote or hybrid as of September 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.
Which industries hire the most coos in San Antonio?
The sectors hiring the most coos in San Antonio are Banking & Financial Services, based on current listings on Migrate Mate as of September 2026. San Antonio's economy is shaped by its large military presence, one of the country's major medical districts, and an expanding cybersecurity and financial services base, which together drive consistent coo demand across those fields.
See All 315+ COO Jobs in San Antonio
Find roles in San Antonio that match your experience and apply in just a few clicks.
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