Chief Operating Officer

Chief Operating Officer (COO) River & Coast Women’s Care | Jacksonville & St. Johns, Florida Full-time | On-site

River & Coast Women’s Care is seeking an experienced Chief Operating Officer to lead operations and support the continued growth of our physician-led women’s healthcare practice.

Our services span obstetrics, gynecology, midwifery, minimally invasive and robotic surgery, imaging, procedure center, aesthetics and wellness. We are looking for a hands-on executive who can build strong teams, improve financial performance, and turn growth plans into well-run operations.

The Opportunity:

Reporting directly to the physician owner, the COO will oversee practice operations, financial performance, staffing, and organizational growth. This leader will hold department managers accountable for results while giving them the structure, support, and authority to lead their teams.

The ideal candidate is comfortable moving between strategic planning and day-to-day problem-solving and has successfully led a growing medical practice or healthcare organization.

● Lead operations across practice locations, ensuring efficient workflows and a consistently excellent patient experience.

● Establish clear responsibilities, performance expectations, KPIs, and accountability for managers and staff.

● Oversee budgeting, expense management, staffing productivity, and financial reporting.

● Partner with billing leadership to improve collections, reduce denials, and strengthen revenue cycle performance.

● Improve patient access, scheduling, referral conversion, and provider utilization.

● Develop and maintain leadership dashboards with measurable goals and regular performance reviews.

● Lead provider recruitment logistics, onboarding, and operational readiness for new hires.

● Build scalable systems, policies, and workflows that support additional providers, locations, and services.

● Support hospital relationships, strategic partnerships, and expansion projects.

● Coordinate with clinical leadership to maintain quality, compliance, and patient safety.

Qualifications:

● Significant progressive healthcare operations leadership experience, including responsibility for multiple departments, managers, and financial results.

● Demonstrated success leading a medical practice, physician group, or comparable outpatient healthcare organization. Demonstrated executive leadership, senior leadership, and executive-level team management.

● Strong working knowledge of revenue cycle management, practice financials, staffing models, and operational performance metrics.

● Proven ability to implement change, develop managers, and improve measurable outcomes.

● Excellent judgment, communication, and follow-through.

● Bachelor’s degree in business, healthcare administration, or a related field preferred; MBA or MHA a plus.

● Experience with OB/GYN, multispecialty practices, ancillary services, or multi-location expansion strongly preferred.

Who Will Thrive Here

You take ownership, address problems directly, and follow through. You know how to support physicians while holding teams accountable. You can bring structure to a growing organization, make decisions using data, and maintain a culture where patients and employees feel respected.

Compensation

Compensation will be based on experience and scope of responsibility, with a performance incentive structure tied to clearly defined operational and financial goals.

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Relocation assistance
• Retirement plan
• Tuition reimbursement
• Vision insurance

Work Location: In person