Position Summary

This is a high-intensity, high-reward role. You will operate directly under the Chief of Staff, with visibility across every department and challenge in the hospital. You'll take ownership of some of our highest-priority strategic and operational initiatives — not just building the roadmap, but executing it.

This is a role for someone who wants to move from strategy slides to operational action. You'll work in the trenches with clinicians, department heads, and business leaders to rebuild hospital functions from the ground up — and you'll be held accountable for real outcomes.

The work is relentless, high-impact, and career-defining. In return, you'll gain the kind of end-to-end P&L, operational, and leadership experience that accelerates your path to becoming a COO, CSO, or CEO of a hospital or health system.

Essential Duties and Responsibilities

• Own Strategic Execution

Drive and implement initiatives across service line expansions, hospital acquisitions, joint ventures, and cost turnaround programs. You'll lead the process — from ideation and modeling to implementation and performance tracking.

• Operate as an Internal COO

Sit at the table with leadership and take on operational challenges that span revenue cycle, inpatient throughput, ER capacity, surgical services, and outpatient growth. You're not just recommending — you're running the play.

• Build Financial Intelligence

Develop detailed financial models, operational KPIs, service line P&Ls, and executive dashboards. Use this data to surface insights, influence decisions, and hold teams accountable.

• Drive Cross-Functional Impact

Partner with clinical, administrative, and support functions to improve outcomes and efficiency. From OR scheduling workflows to payer contract negotiations — you'll be embedded in the heart of operations.

• Report to the C-Suite

Present findings, progress, and recommendations to executive leadership and the board. Your voice will carry weight — and your performance will drive real organizational change.

Knowledge, Skills, and Abilities

• Highly analytical and financially fluent — you can build robust models, but more importantly, you can use them to drive decisions
• Operate with a founder's mentality: you see inefficiencies and act on them, you take ownership when things go wrong, and you don't stop until it's fixed
• Insatiably curious — you want to understand how a hospital works top-to-bottom, and you're excited to get deep into the operations, finance, and clinical workflows
• Ready to grind — this role will demand long hours, intellectual rigor, and emotional maturity. You must thrive in high-stakes, high-pressure environments
• Hungry for leadership — you aspire to be a hospital executive and want a role that builds toward that every day

Education & Experience

• 2–3 years of experience at a top-tier private equity firm, investment bank, or management consulting firm (healthcare or operations experience a plus but not required)