Associate Director of Operations

Annie Aesthetic; Issaquah (WA); On-site; USD 95,000 - 130,000; Full time

Benefits offered by this job

Health insurance

401(k)

Paid time off

Employee discount on clinic products &

Equity potential

Job summary

Annie Aesthetic is seeking an Associate Director of Operations to lead day-to-day clinic operations across a fast-growing multi-site platform. You will start with direct accountability for 1–2 clinics in Issaquah, WA, with a defined path to a full Director of Operations as scope and performance scale.

This role emphasizes hands-on leadership, KPI ownership, systems management (EMR Zenoti, payroll, inventory), and revenue growth across locations, with equity potential and strong career

Qualifications

• Experience leading operations across multiple sites or clinics.
• Strong track record of driving revenue and cost efficiency.
• Ability to coach and develop clinical and admin teams.
• Comfortable in a fast-paced, growth-focused environment.

Responsibilities

• Lead operational and financial performance for assigned clinic locations.
• Track KPIs and establish accountability rhythms with clinic staff.
• Partner with executive team on reporting and performance reviews.
• Be in-person, day-to-day leader of the clinic and staff.
• Identify opportunities to improve revenue, client experience, and efficiency.
• Own core clinic systems (EMR Zenoti, payroll, inventory) and ensure timely execution.
• Support vendor relationships and ensure compliance with licenses and standards.

Skills

Operations leadership

Multi-site management

Financial acumen

Hands-on leadership

Tools

Zenoti (EMR)

Job description

About Annie Aesthetic

Annie Aesthetic is one of the fastest-growing private equity-backed platforms in medical aesthetics and wellness. We acquire outstanding practices and accelerate their growth through proven operating systems, purpose-built technology, and a values-driven, performance-oriented culture. At the center of our model is a people-first partnership approach designed to help exceptional teams deliver extraordinary patient experiences.

We are hiring an Associate Director of Operations to develop into a true business leader across our portfolio. The Associate Director of Operations will start with direct operational accountability for 1-2 clinics with a defined path to a full Director of Operations seat as scope and performance scale. The Director role entails responsibility over roughly 7-8 clinics.

This role is built for a high-caliber operator interested in being a leader in this multi-site structure — someone energized by ownership, hungry to grow into running real businesses at scale, and ready to prove it in-clinic before scaling up.

What You’ll Own

Clinic Performance & Financial Accountability

• Lead operational and financial performance for your assigned clinic, with growing accountability to revenue, margin, and KPI outcomes as you take on additional locations
• Track KPIs at the clinic level; build accountability rhythms with clinic staff and leadership
• Partner with the Annie Aesthetic executive team on reporting and performance review as your scope expands

Operational Leadership

• Be the in-person, day-to-day leader of your clinic — team, client experience, and operations
• Coach and develop clinic staff, building the management skills that translate to a multi-site role
• Identify opportunities to improve revenue, client experience, and operational efficiency at your clinic(s)

Systems Management & Day-to-Day Execution

• Own the hands-on, Associate-level execution of core clinic systems — including EMR (Zenoti), payroll, and inventory management
• Support implementation and ongoing troubleshooting of these systems at the clinic level, not just oversight
• Ensure day-to-day administrative and operational tasks are completed accurately and on time

Vendor & Compliance Support

• Support vendor relationships (clinical/medical suppliers, marketing partners, facilities) at your clinic(s)
• Help ensure your clinic(s) maintain full compliance with applicable business licenses, permits, and clinical standards

Ideal Profile

We are looking for a driven, humble, and highly capable operator early in their leadership trajectory. The strongest candidates will bring:

• 4–8 years of operational experience, ideally in client-facing management or multi-site environments
• Demonstrated track record of taking on more responsibility over time — this role is built for someone on their way up
• Strong financial acumen paired with high EQ — comfortable with numbers and comfortable leading people
• Comfort being hands-on and in-clinic the majority of the week, especially in the first several months
• Appetite for a fast-paced, high-growth environment

Benefits

• $95,000-$130,000 + equity potential with good performance
• Clear career growth path
• Health insurance
• 401(k)
• Paid time off
• Employee discount on clinic products and services