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Gofractional

Fractional Chief Operating Officer (COO)

santa monica, CA

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Job description

Fractional Chief Operating Officer (COO) – Dermatology Practice (Santa Monica, CA)

This is an in-person (not remote), hands-on role ideal for someone who thrives in a fast-paced, service-driven healthcare environment and enjoys building systems, leading teams, and driving measurable results.

Estimated commitment: ~20-25 hours per week

Key Responsibilities

1. Operational Leadership & Oversight

Oversee day-to-day operations of front and back office teams

Ensure smooth clinic flow, provider support, and patient experience

Identify inefficiencies and implement scalable systems and workflows

Maintain a high standard of professionalism and accountability across staff

2. Financial & Performance Management

Monitor key metrics

Identify revenue leakage (uncollected balances, underutilized schedules, etc.)

Partner with billing and accounting teams to improve collections and reduce A/R

Provide regular reporting and actionable insights to ownership

Use data-driven insights to make informed decisions and drive continuous improvement.

3. Staffing, Culture & Accountability

Oversee staffing structure, scheduling, and coverage

Address performance issues proactively and professionally

Implement clear expectations, KPIs, and accountability systems for team members

Support hiring, onboarding, and training processes

Foster a positive but high-performance culture

4. Systems & Process Optimization

Evaluate and improve existing systems (EMR, scheduling, patient communication tools)

Implement standard operating procedures (SOPs) across departments

Reduce waste (supplies, time, inefficiencies)

Improve coordination between front and back office teams

5. Vendor & Cost Management

Review vendor contracts and expenses (software, supplies, services)

Identify opportunities to reduce overhead without compromising quality

Negotiate and manage vendor relationships

6. Social Media and Marketing:

Oversee and improve the practice's social media presence.

Qualifications

Proven experience as a Chief Operating Officer or similar role in a healthcare setting, preferably within dermatology or a related field.

Excellent financial acumen with a track record of improving revenue and reducing costs.

Demonstrated ability to lead and inspire a diverse team.

Exceptional communication and interpersonal skills.

Strategic thinker with a track record of successful planning and execution.

Compensation

1099 compensation will be tailored based on experience and may include performance-based incentives tied to key operational and financial metrics.

Work Location: In person, 2001 Santa Monica Boulevard, Santa Monica, CA 90404

Job Type: Part-time

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Worksite address

santa monica, CA, 90403, US

Who can apply

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

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