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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Overview

Open roles334+
Top employerAramark
Work type60% On-site
Top credentialBachelor's degree
Companies hiring16

Showing 5 of 334+ COO jobs

Concentra
Center Operations Director - Toyota
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Concentra
Added 5d ago
Center Operations Director - Toyota
Concentra
San Antonio, Texas
Procurement & Purchasing
Procurement & Supply Chain
Supply Chain
Bachelor's degree
10,000+

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Thomas J. Henry Law, PLLC
Group Director - Legal Operations
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Thomas J. Henry Law, PLLC
Added 1w ago
Group Director - Legal Operations
Thomas J. Henry Law, PLLC
San Antonio, Texas
Business Operations
Performance Marketing
Project Management
$350k - $450k/yr
501-1,000

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The University of Texas at San Antonio
Director or Senior Director of Development, Operations and Advancement Services
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The University of Texas at San Antonio
Added 1w ago
Director or Senior Director of Development, Operations and Advancement Services
The University of Texas at San Antonio
San Antonio, Texas
Procurement & Purchasing
Procurement & Supply Chain
Supply Chain
Bachelor's degree
1,001-5,000

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University of Texas Health Science Center at San Antonio
Director, Pharmacy Operations
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University of Texas Health Science Center at San Antonio
Added 2w ago
Director, Pharmacy Operations
University of Texas Health Science Center at San Antonio
San Antonio, Texas
Communications
Content & Communications
Public Relations (PR)

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PurposeMed
Director of Pharmacy Operations
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PurposeMed
Added 3w ago
Director of Pharmacy Operations
PurposeMed
San Antonio, Texas
Allied Health
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$180k - $210k/yr
Remote (US)
Overseeing health insurance pre-certification
201-500

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See All 334+ 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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COO Job Market in San Antonio

Who's Hiring

  • Aramark
    Aramark21
  • Concentra
    Concentra21
  • PurposeMed
    PurposeMed21
  • ATHRA SYSTEMS
    ATHRA SYSTEMS21
  • The SSA
    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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