19th August, 2026
Director of Medical Practice Operations
Location: Mostly Field-Based (10+ Medical Clinics across VA & MD)
Headquarters located in Loudoun County
Reports To: Chief Executive Officer (CEO)
Direct reports: 4-5 from day 1
The Opportunity
Our client is seeking a hands-on Director of Medical Practice Operations to lead daily execution across our 10+ specialty healthcare clinics. This high-visibility role centers on coaching department managers, unifying clinical and administrative operations, and establishing scalable management systems that build long-term accountability while reducing operational reliance on company founders. This a business operations role, not a clinical!!
Core Responsibilities
- Multi-Site Leadership & Development: Maintain a visible field presence across all locations. Direct, mentor, and hold department managers accountable to ensure consistent operating standards and local problem resolution.
- Operations: Serve as the primary operational partner for physicians. Optimize scheduling templates, clinic capacity, patient flow, and specialty workflows—including ancillary services and DME operations.
- Systems, Scorecards & SOPs: Establish disciplined weekly management routines, operational scorecards, and standardized SOPs to track performance and eliminate operational bottlenecks.
- Cross-Functional Execution: Collaborate with Finance, RCM, HR, and IT to align practice operations with revenue targets, compliance requirements, and staffing models.
- Expansion & Playbooks: Build repeatable operating playbooks to support future site launches, acquisitions, and platform growth.
Requirements - Experience: 7+ years of progressive healthcare operations experience with 3+ in a leadership role within multi-site healthcare, ambulatory networks, or specialty practices. (physical different site locations)
- Specialty Healthcare & Ancillary Operations: Experience leading multi-site specialty practices, ambulatory networks, or diagnostic-driven clinics. Open to any specialty with multiple locations (different physical locations)
- Operations Expertise: Demonstrated success managing multi-site department leaders, specialty clinical workflows, and integrated ancillary/DME services.
- Process Improvements: Experience in standardizing workflows, build KPIs/scorecards, SOP’s and drive accountability for multi-site operations.
- Experience from Multi-Site Leadership: Demonstrated experience leading department managers and cross-functional teams across multiple physical medical facility locations.
- Create training programs for all level of employees from scratch
- Highly skilled at partnering with physicians, interpreting financial/operational data, and translating metrics into clear team actions.
- Financial & EBITDA Growth: Heavy focus on driving revenue growth and expanding EBITDA (improving bottom-line practice profitability).
- De Novo Expansion: Prioritizing candidates with proven experience opening and scaling new (de novo) clinic locations from the ground up.
- Technology and EHR: Hands-on experience with eClinicalWorks or a comparable EMR and practice management system. Proficient in Excel reports and Power BI
- Education: Bachelor’s degree in Healthcare Administration, Business, Operations, or a related field.
Compensation: Salary based on experience + bonus, PTO, holidays off, 401k plan and more. ( this can be addresses in the 1st interview)
Apply: Please send your updated resume to Paulak@usattg.com for immediate consideration.
At ttg, "We believe in making a difference One Person at a Time," ttg OPT.
"ttg Talent Solutions is an Equal Opportunity Employer and recruiting agency. We are committed to creating an inclusive and diverse work environment and welcome applications from all qualified candidates regardless of race, color, religion, gender, sexual orientation, national origin, age, disability, or veteran status. Please note that all offers of employment are contingent upon the successful completion of a drug test and background check. We maintain a drug- and substance-free workplace to ensure the safety and well-being of all employees.
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