When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.Reporting to the President of Lahey Clinic, the Chief Operating Officer (COO) is a senior vice president responsible for leading and executing organizational strategy and overseeing day-to-day operations. The COO ensures alignment with Lahey’s goals by delivering a high-quality, patient-centered care experience supported by safe, efficient, and effective operations.Working closely with the President and senior leadership team, the COO drives operational excellence, strengthens organizational performance, and advances strategic priorities. This role requires regular communication with the President regarding major initiatives, operational performance, and issues affecting the health system, community, or institutional direction.The COO leads the Senior Leadership Team in operational execution, strategic and operational planning, and goal setting. The role ensures strong collaboration across departments and clinical areas throughout Beth Israel Lahey Health (BILH) to enhance patient satisfaction, clinical quality, and operational efficiency. The COO also fosters a culture of accountability, teamwork, engagement, and continuous improvement.The ideal candidate is an experienced, collaborative leader with deep expertise in hospital and ambulatory operations, quality improvement, facilities, and real estate, and a track record of inspiring innovation and high performance.Job Description:Primary ResponsibilitiesWithin the first year, align with BILH strategy to define next steps for organizational design across Lahey Clinic and BILHBuild credibility and trust across leadership, physicians, clinicians, and staff through visible, transparent communication and engagementEstablish strong relationships with key stakeholders, including front-line staff, and maintain a consistent presence across departmentsDevelop a deep understanding of Lahey, BILH, its culture, community, market dynamics, and competitive landscapeServe as a visible advocate for patients, employees, and the communityReinforce a culture of accountability and teamwork using clear performance metrics and data-driven decision-makingConduct a comprehensive assessment of operations and prioritize improvement opportunitiesPartner with leadership to enhance patient experience and clinical qualitySupport the development and growth of key service lines aligned with community needs and organizational goalsKey ResponsibilitiesOperational LeadershipPlan, direct, and evaluate hospital operations to ensure efficiency, quality, and compliance with organizational and regulatory standardsLead implementation of strategic and operational plans in partnership with senior leadershipAlign and optimize resources to achieve organizational goals, manage budgets, and address performance variancesStrategy & GrowthCollaborate on strategic planning, business development, and service line expansionEvaluate market opportunities, demographics, and performance data to guide growth and investment decisionsDevelop and measure ROI and effectiveness of programs and initiativesPerformance ManagementEstablish and monitor key performance indicators and benchmarking metricsOversee reporting processes and communicate results to executive stakeholdersPromote continuous improvement and adoption of best practicesGovernance & ComplianceEnsure compliance with regulatory, legal, and accreditation standardsStay current on healthcare trends, regulations, and industry practices and assess their impact on operationsLeadership & Talent DevelopmentLead, develop, and evaluate senior and matrixed leadersEstablish performance expectations and foster leadership developmentPromote a culture of accountability, engagement, and collaborationProvide strategic direction and mentorship to a team of leaders, strengthening operational performance, leadership capability, and alignment with enterprise priorities across clinical, academic, and administrative domainsExternal EngagementRepresent Lahey within the community and across the BILH systemBuild strong relationships with community stakeholders and enhance organizational reputationRequired QualificationsMaster’s degree in healthcare administration, business administration, or a related field (clinical background preferred)Prior experience as a Chief Operating Officer, preferredMinimum of 10 years in healthcare leadership, including at least 5 years in an executive role within a multi-hospital systemDemonstrated success leading within a matrixed organizationExperience in service line operations, program development, and physician relationsKnowledge, Skills, and AbilitiesDeep knowledge of hospital and health system operations, strategic planning, and performance improvementCommand of the operational frameworks that underpin academic medicine, including trainee integration into clinical workflows, compensation structures, and funding models that support the teaching mission.Experience with population health management, ACO models, and risk-based contractingKnowledge of managed care, including capitation and alternative payment modelsExpertise in financial management, budgeting, and resource allocationStrong understanding of regulatory requirements and compliance standardsExperience with organizational design and transformationFamiliarity with the New Hampshire healthcare landscape, regulations, and market dynamicsExperience driving community engagement through business development and clinical program deploymentStrong analytical, communication, and presentation skillsAbility to influence, negotiate, and build alignment across diverse stakeholdersProven ability to lead and develop teams and achieve measurable resultsAdditional Focus AreasStrengthen partnerships across clinical, operational, and executive teamsBalance internal operational excellence with external community leadership and engagementPay Range:$500,000.00 USD - $520,000.00 USDThe pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time . In addition to base compensation, this position may be eligible for additional compensation, which may include performance-based incentive bonuses.As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/Disabled