Chief Operating Officer

Foggremington; Fresno (CA); On-site; USD 120,000 - 180,000; Full time

Job summary

Foggremington is looking for a Chief Operating Officer (COO) in Fresno, California. The COO will oversee operational management across Patient Services and Clinic departments, ensuring excellence in patient care delivery. Responsibilities include creating operational strategies, mentoring staff, managing budgets, and ensuring compliance with healthcare regulations. The ideal candidate has 7+ years in healthcare management and strong leadership skills. Join Foggremington to drive quality assurance and strategic planning in a dynamic environment.

Qualifications

• 7+ years of experience in healthcare management required.
• 3-5 years leading management-level teams needed.
• Experience overseeing operational teams of 30+ staff is key.

Responsibilities

• Oversee day-to-day operations of departments.
• Use data analysis to improve workflows and efficiencies.
• Create a patient-centric culture and improve patient experiences.

Skills

Leadership

Strategic planning

Operational management

Data analysis

Healthcare management

Budgeting

Interpersonal communication

Education

Bachelor’s degree in Business Administration or related

Master’s degree preferred

Tools

Microsoft 365

Job description

Position Summary

The Chief Operating Officer (COO) is a key executive overseeing the practice's operational management and strategic direction. The COO manages day‑to‑day operations of Patient Service and Clinic departments, ensuring timely, accurate and courteous delivery of patient care. Responsibilities include creating and implementing operational SOPs, training, performance metrics, referral and authorization processes, insurance compliance, and clinical standards of excellence.

The COO is also a driver of quality assurance, collaborating with the Executive team and business owners on strategic planning and data‑driven decisions.

Departments / Operational Units

1. Patient Services: Scheduling, medical reception
2. Clinic: Optometry, ophthalmology, surgery scheduling, contact lenses
3. Quality Assurance: Risk management and compliance, patient experience, auditing

Essential Functions, Duties, and Responsibilities

• Operational Management – oversee day‑to‑day operations of departments, develop strategies, policies, procedures, and training programs to deliver excellent patient care and operational efficiencies.
• Continuous Improvement – use data analysis to extract insights, identify trends, streamline workflows, and implement technology solutions to optimize operations and revenue.
• Team Leadership and Development – mentor staff, foster collaboration, conduct performance evaluations and provide feedback.
• Personnel Management and Employee Experience – create a positive work environment through onboarding, development opportunities, recognition, work‑life balance, engagement, and communication.
• Patient Experience – work with the CEO to cultivate a patient‑centric culture, improve appointment scheduling, check‑in/out processes, patient education, and follow‑up procedures.
• Quality Assurance and Risk Management – implement QA programs, mitigate risks related to patient safety and data security, and address compliance concerns.
• Regulatory Compliance – ensure adherence to all applicable laws, regulations, and industry standards, and update procedures accordingly.
• Financial Acumen – monitor financial performance, budgeting, and resource allocation; identify cost‑saving measures and revenue opportunities.
• Technology Utilization – stay current on emerging technologies, including artificial intelligence, to enhance efficiency and care.
• Facilities Management – collaborate with CFO on maintenance operations, safety regulations, preventive maintenance plans, vendor relationships, and budgeting.
• Vendor Management – negotiate contracts, evaluate vendor performance, resolve issues, and streamline processes.

Additional Responsibilities

• Participate in ongoing professional development.
• Maintain compliance with federal and state healthcare programs.
• Protect ePHI and demonstrate HIPAA compliance.
• Present a positive view of the organization to the community.
• May be scheduled to work at different locations and may drive on company business.
• Must have a valid California driver’s license.
• Comply with all organizational policies and procedures, including workplace safety and infection control.
• Maintain punctual and regular attendance.
• Additional duties may be assigned at the discretion of management.

Requirements

Education & Experience

• Required: Bachelor’s degree in Business Administration, Healthcare Administration, Health Sciences, or related discipline, or comparable experience.
• Preferred: Master’s degree in Business Administration, Healthcare Administration, Public Administration, Finance, or related discipline.
• 7+ years of experience in healthcare management (operations, administration, etc.).
• 3‑5 years of experience leading management‑level teams.
• 2‑4 years of experience overseeing operational teams of 30+ staff.
• Experience leading teams in complex, multi‑unit organizations.
• Experience leading change initiatives at department or multi‑department level.
• Experience in developing and administering multi‑million dollar budgets.
• Personnel management experience, including employee engagement, recruitment, retention, coaching, and performance improvement.

Knowledge, Skills, and Abilities

• Understanding of operational processes in a medical/clinical practice office.
• Ability to modernize ambulatory operations through AI and process improvement.
• Knowledge of policy and SOP development, accounting for regulations and multi‑department processes.
• Expert proficiency in Microsoft 365 (Word, Excel, Outlook) with advanced Excel skills.
• Systems thinking, process improvement, change leadership, and organizational development.
• Patient experience principles across the patient journey.
• Facility maintenance and safety regulation knowledge.
• Strong leadership, strategic thinking, and decision‑making skills.
• Excellent communication and interpersonal abilities.
• Budgeting, revenue cycle management, and financial reporting knowledge.
• Meticulous attention to detail in financial reporting and compliance.
• Adaptability to fast‑paced environment and multiple priorities.
• Ability to lead and mentor a diverse team and foster collaboration.
• Commitment to excellent patient care and patient experience enhancement.
• Strong ethical standards and adherence to industry regulations.

FRE Standards of Patient Care

• Respect – treat all patients with respect and dignity.
• Communication – communicate clearly and effectively.
• Safety – ensure the safety of all patients and staff.
• Quality – provide quality care and services.
• Privacy – respect patient privacy.
• Accessibility – ensure all patients can access care.

Environmental Conditions

• Indoors in a typical office environment approx. 95% of the time.
• Frequent computer use at workstation up to two hours.
• Fast pace with unscheduled interruptions.
• Occasional movement between work locations.

Physical Demands

• Use one or two hands to grasp, move, and handle objects.
• Use fingers to grasp or assemble very small objects.
• Walk, sit, stand, stoop, crouch, and climb stairs.
• Move and lift up to 10 pounds.
• See differences between colors, shades, and brightness.
• Maintain regular and consistent attendance.