Director of Operations/Practice Administrator

Job description

Position Summary

We are seeking a Director of Operations / Practice Administrator to lead the day-to-day business operations of our practice. This is a senior leadership role responsible for financial oversight, human resources, employee benefits administration, office operations, and overall practice management. The ideal candidate is a strong, experienced operations and people leader — a clinical or dental background is not required. We are looking first and foremost for proven management, financial, and HR leadership skills.

Key Responsibilities

Financial Management

Oversee all practice finances, including budgeting, cash flow, accounts payable/receivable, and financial reporting

Manage relationships with accountants, bookkeepers, and financial institutions

Monitor practice profitability and identify opportunities for operational efficiency and cost control

Oversee payroll processing and compliance

Monitor and oversee P&L statements, labor costs, budgets, vendor expenses, and operational KPIs

Human Resources & Benefits Administration

Manage full-cycle HR functions: recruiting, hiring, onboarding, performance management, and offboarding — a great OMFS office requires a great team, and you'll establish clear expectations throughout the organization

Administer employee benefits programs, including the practice's 401(k) plan

Ensure compliance with federal, state, and local employment laws (CA-specific compliance a plus)

Handle employee relations matters, conflict resolution, and disciplinary processes

Develop and maintain employee policies, handbooks, and procedures

Practice & Office Operations

Oversee daily office operations to ensure smooth, efficient patient flow and workplace functioning

Manage staff scheduling and performance evaluations

Manage vendor relationships, supply ordering, and facilities/equipment management

Implement and improve operational systems, workflows, and practice management software

Ensure compliance with OSHA, HIPAA, and other regulatory requirements

Support scheduling, patient billing/insurance processes, and front-office oversight

Assist the front office team when needed

Leadership

Serve as a direct liaison between practice ownership/doctors and staff

Lead, mentor, and manage a team of approximately 15+ employees

Drive practice growth initiatives and strategic planning alongside ownership

Develop department leaders

Lead management meetings

We want a leader who is:

Positive without being permissive

Accountable without being punitive

Professional without being corporate

Fun without tolerating drama

Our employees should know what is expected of them, receive feedback about their performance, have opportunities to grow, and know that problems will be addressed fairly and consistently.

Working With Ownership

This position reports directly to the doctor-owners. We are clinically focused surgeons and entrepreneurs who care deeply about our patients, employees, referring doctors, and community. We move quickly, generate ideas, and continually look for ways to improve.

The right leader will complement us by bringing structure, organization, financial discipline, follow-through, and accountability to the organization. We do not want someone who simply agrees with us — we want someone whose judgment we trust.

Qualifications

Required

3+ years of experience in practice management, business operations, or office administration leadership (medical, dental, or other professional services setting)

Demonstrated experience managing finances, budgets, and financial reporting

Experience with HR functions, including benefits administration and employee relations

Strong leadership and team management skills

Excellent communication, organizational, and problem-solving abilities

Proficiency with office/practice management software and standard business tools (e.g., QuickBooks, Microsoft Office/Excel, typing, 10-key)

Preferred (Not Required)

Experience in a dental, medical, or healthcare practice setting

Bachelor's degree or better in Business Administration, Healthcare Administration, or a related field, or equivalent in experience

Knowledge of California employment law and healthcare compliance regulations (HIPAA, OSHA)

Experience with dental/medical practice management or EHR software

Who We Are Looking For

Practice Administrator

Medical Group Administrator

Director of Operations

Chief Operating Officer

Dental Group Administrator

Healthcare Executive

ASC Administrator

Controller with significant operational leadership experience

Law Firm Administrator

Professional Services Administrator

Senior HR/Operations Leader

You May Be a Great Fit If...

You have successfully led a team of 15 or more employees

You understand a profit-and-loss statement and enjoy figuring out why the numbers changed

You have managed payroll, budgets, HR, and employee performance

You are comfortable having difficult conversations

You believe employees deserve both support and accountability

You don't tolerate workplace gossip, bullying, cliques, or chronic negativity — but you also don't create a culture where employees are afraid to speak

You can resolve conflict without becoming part of it

You can identify talented people and help them become leaders

You are comfortable telling an owner when you believe something should be done differently

You don't need to be micromanaged

When you discover a problem, your instinct is to investigate it and bring forward a solution

You enjoy building systems that make an organization run better

You would be excited to help build an exceptional organization rather than simply maintain one

What Success Looks Like

Within your first year, we want you to know the organization well enough to operate independently. That means building strong leaders, creating accountability, improving financial visibility, strengthening HR systems, reducing unnecessary workplace conflict, improving operational efficiency, and helping us develop the infrastructure necessary for continued growth.

If you are an experienced leader who loves people, understands business, and wants the opportunity to make a meaningful impact on a successful physician-owned organization, we would like to meet you.

Compensation & Benefits

Salary: Competitive Salary, commensurate with experience, demonstrated leadership ability, and qualifications

Eligible for the practice performance bonus

401(k) with match

Health insurance

Paid time off / holidays — 3 weeks

Professional development and executive-education opportunities supported

Relocation assistance may be available for an exceptional candidate

Job Details

Location: Modesto, CA (on-site)

Job Type: Full-time (Salary)

Reports To: Practice Owners/Surgeons

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Worksite address

modesto, CA, 95351, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.