Human Resources Director (PE-Backed Healthcare MSO)

John Evans Recruiting; Arkansas; On-site; USD 150,000 - 220,000; Full time

Job summary

John Evans Recruiting is conducting a search for a hands-on HR Director for a high-growth, physician-led healthcare management services organization backed by private equity. The organization brings together medical aesthetics and med spa practices across multiple states.

The ideal candidate has led enterprise-wide HR implementations in complex, multi-site environments and can deliver results as the first-ever HR hire for this organization.

Qualifications

• 10+ years of progressive HR experience including leadership.
• Experience building or scaling HR infrastructure and handbook rollout.
• Benefits redesign, onboarding, and standardized performance reviews experience.
• Healthcare MSO, multi-site, PE-backed and M&A integration work preferred.
• Hands-on HR systems experience including onboarding, HRIS and payroll coordination.
• Multi-state employment law knowledge and compliance.
• Executive presence with ability to influence physicians and practice leaders.

Responsibilities

• Build and scale HR infrastructure, policies, workflows, and operating rhythms across practices and states.
• Lead development and launch of a standardized employee handbook aligned with policy and state requirements.
• Standardize onboarding, HR documentation, employee communications, and HRIS processes.
• Own enterprise-wide benefits transition including vendor coordination and enrollment.
• Design and implement annual performance reviews and merit cycles with Finance and practice leadership.
• Establish scalable compensation and performance management practices for a growing platform.
• Lead people-related integration of newly acquired practices including onboarding, benefits, payroll, policies, systems, and culture.
• Build trust with physicians and practice leaders while driving consistent processes and accountability.
• Maintain visible field presence through regular practice visits and direct engagement with local teams.

Skills

Executive presence

Project management

Change management

Leadership

Healthcare HR

Tools

HRIS

Payroll systems

Job description

John Evans Recruiting is conducting a search for a hands‑on HR Director for a high‑growth, physician‑led healthcare management services organization (MSO) backed by private equity. The organization brings together medical aesthetics and med spa practices across multiple states.

With approximately 250 employees across 11 locations and continued acquisitions anticipated, the organization needs an executive‑level HR builder who can establish consistent people practices across a growing platform- not simply advise on strategy. The ideal candidate has personally led enterprise‑wide HR implementations in complex, multi‑site environments and can deliver results as a first‑ever HR hire for this organization.

The immediate mandate includes standardizing an employee handbook, transitioning employees to a new benefits plan, and implementing consistent annual performance reviews and merit increases, alongside the integration of newly acquired practices. The organization anticipates integrating 4-7 practices over a 3-4-month period.

Success requires strong project ownership, prioritization, effective delegation, and credibility with physicians and former practice owners.

Key Responsibilities

HR Infrastructure and Standardization

• Build and scale practical HR infrastructure, policies, workflows, and operating rhythms across multiple practices and states.
• Personally lead development and launch of a standardized employee handbook, aligning local practices with company‑wide policies and applicable state requirements.
• Standardize onboarding, HR documentation, employee communications, and HRIS processes.

Benefits, Performance and Compensation

• Own the planning and execution of an enterprise‑wide benefits transition, including vendor coordination, employee communication, enrollment, and issue resolution.
• Design and implement a consistent annual performance review process and merit increase cycle, partnering with Finance and practice leadership on timelines, approvals, and execution.
• Establish scalable compensation and performance management practices that support a growing multi‑site platform.

Acquisition and Practice Integration

• Lead the people‑related integration of newly acquired practices, including onboarding, benefits, payroll, policies, systems, and culture.
• Build trust with physicians, practice leaders, and former owners while driving consistent processes and accountability.
• Maintain a visible field presence through regular practice visits and direct engagement with local teams.

Leadership and Compliance

• Set priorities and personally execute high‑impact initiatives while delegating repeatable work to a lean HR team.
• Advise executive leadership and partner with Operations, Finance, Legal, and physician stakeholders.
• Oversee employee relations, multi‑state compliance, and practical change management across the platform.

Qualifications

• 10+ years of progressive HR experience, including HR leadership, with evidence of personally building or scaling HR infrastructure.
• Demonstrated ownership of benefits redesign or transitions, employee handbook rollout, and standardized performance review and merit processes.
• Experience in multi‑site healthcare, physician practices, medical aesthetics, med spas, wellness services, or a healthcare MSO; PE‑backed and M&A integration experience strongly preferred.
• Proven ability to integrate acquired practices and align HR policies, systems, and employee programs across locations.
• Hands‑on HR systems and operations experience, including onboarding, HRIS and payroll coordination.
• Working knowledge of multi‑state employment law, employee relations, and compliance.
• Executive presence, sound judgment, strong project management, and the ability to influence physicians and practice leadership while executing independently.

Location and Travel

Candidates based in Arkansas and Oklahoma preferred. The successful candidate must be able and willing to travel regularly to practices nationally to maintain a strong, hands‑on field presence. Specific travel expectations will be discussed during the interview process.