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Urrly
Houston, Texas · Remote OK

Vice President of Operations, Multi-Site Physician Practices

OperationsFull-Time

Listed compensation

$130k-$145k

The week · per this posting · weekdays assumed

Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.

Posted 1mo ago

Job Description

Build the operating system for a growing multi-site physician-practice platform. This is a hands-on VP role for an operator who can improve performance, integrate practices, develop leaders, and give the CEO a dependable operating partner.

The Opportunity

A specialty healthcare platform is hiring a Vice President of Operations to turn growth plans into consistent results across practices and markets. You will report directly to the CEO, partner closely with physicians and functional leaders, and bring clear priorities, simple operating rhythms, and measurable accountability to a distributed organization.

The role offers real enterprise scope and a path toward Senior Vice President and COO responsibility as the platform grows and performance warrants.

What You Will Own

  • Own day-to-day operating and financial performance across practices and markets.
  • Build KPI reviews, SOPs, decision rights, meeting cadences, and escalation paths that leaders use.
  • Improve staffing, scheduling, patient access, revenue cycle, patient experience, and site-level results.
  • Lead integrations of practices, markets, systems, and service lines from planning through adoption.
  • Hire, coach, and hold practice, market, regional, and functional leaders accountable.
  • Partner with physicians, the CEO, finance, HR, recruiting, IT and EMR, compliance, facilities, legal, and marketing to convert strategy into execution.

What Success Looks Like

  • Establish clear visibility into operating and financial performance across every practice and market.
  • Stabilize the highest-priority operating gaps and reduce avoidable CEO escalations.
  • Create a repeatable integration playbook that protects continuity and accelerates adoption.
  • Strengthen field leadership and build reliable follow-through below the executive level.

What You Bring

  • Multi-site outpatient physician-practice or comparable ambulatory operating ownership.
  • Direct accountability for operating and financial KPIs, with measurable improvement.
  • Candidate-owned leadership of practice, market, service-line, acquisition, or major-system integrations.
  • Direct leadership of distributed practice, market, regional, or functional operating leaders.
  • Practical fluency in staffing, scheduling, patient access, revenue cycle, EMR workflows, and site-level economics.
  • The judgment to earn trust with physicians and executives while driving clear accountability.

Experience in an MSO, PPM, PE-backed healthcare-services business, specialty-clinic network, ASC, urgent care, dental, or similar ambulatory platform is strongly preferred. Exact podiatry or vascular experience is not required. A bachelor's degree or equivalent relevant experience is expected. A master's degree is preferred.

Compensation and Location

The base salary range is $130,000 to $145,000, plus an objective performance bonus of up to 30%. At full bonus attainment, potential annual cash compensation ranges from approximately $169,000 to $188,500. Bonus compensation is performance-based and not guaranteed.

This is a field-based role, not a fully remote position. Houston, Texas is the primary market, with Atlanta, Georgia as a secondary option. The Vice President must maintain meaningful in-market presence and travel regularly across practices and markets.

How We Evaluate

At Urrly, we use a structured review process to assess candidates against the same job-related criteria. We do not score personality, polish, age, accent, or other protected or subjective traits.

Apply now and get a response within 24 hours.

Key Responsibilities

The Vice President of Operations will oversee day-to-day financial and operational performance across a multi-site physician platform. They are responsible for building scalable operating systems, leading practice integrations, and coaching leadership teams to ensure consistent results.

Requirements

Candidates must have extensive experience in multi-site ambulatory or physician-practice operations with a proven track record of managing financial and operational KPIs. A bachelor's degree is required, while a master's degree is preferred.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
10+ years of experience

Key Skills

Operations managementFinancial performance managementMulti-site managementStrategic planningProcess improvementLeadership developmentRevenue cycle managementStaffing and schedulingIntegration managementHealthcare operationsKPI developmentChange managementPhysician partnershipAmbulatory care management

Operations — Physician Career Context

Urrly holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 81/100, 5 active listings.

Physician pay on WeekdayDoc is up 1.7% vs. the prior quarter (through Sep 2026).

How many Physician jobs are remote?
MeasureThis jobMarket
Listed pay$130k–$145kPhysician median $238k (middle half $216k–$254k)29 comparable listings, Oct 2026
Sign-on & loan repaymentnot statedUS Physician listings: 25% state a sign-on bonus (median $50k) · 15% offer loan repayment22,660 active listings, Oct 2026
Physician pay trend+1.7% vs prior quarter—through Sep 2026
Urrlysilver tier, 81/100Top Employers work-life index5 active listings
Sources: WeekdayDoc live listing index, Top Employers work-life index; as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$138k midpoint, that is roughly $6k–$10k a year versus a typical 4–7% state rate.

Work-life snapshot

median 5.1this job 4.5
Better work-life than 40% of Physician roles listings

Listing-based score, 0–10, across 22,616 comparable listings. Shaded area = the share scoring below this one.

  • Remote