Chief Operating Officer (COO)

Chief Operating Officer (COO) - 

Private Equity–Backed Ophthalmology MSO | Multi-Site Operations | ASC Leadership | EBITDA Growth. This is a direct hire position. 

Location: Hauppauge, Long Island (Suffolk County, NY) | Tri-State Area Preferred

The Opportunity:

A rapidly expanding private equity–backed Management Services Organization (MSO) specializing in ophthalmology is seeking a seasoned, C-suite-level Chief Operating Officer (COO) to lead enterprise-wide operations across multiple physician practices and ambulatory surgery centers (ASCs).

Headquartered in Hauppauge, Long Island (Suffolk County), the organization is executing a disciplined buy-and-build growth strategy and preparing for its next equity event. The COO will serve as the primary execution leader of the value creation plan — driving EBITDA expansion, operational standardization, and scalable infrastructure across the platform.

This is a highly visible leadership role with direct reporting to the Board and private equity sponsor.

What You Will Own:

Enterprise EBITDA & Performance Optimization:

• Full accountability for enterprise EBITDA performance
• Margin expansion through labor efficiency, provider productivity, and ASC throughput optimization
• Surgical block utilization and case flow improvement across ASCs
• Cost discipline initiatives while maintaining clinical excellence

Multi-Site Operational Leadership:

• Oversight of geographically dispersed ophthalmology practices and ASCs
• Implementation of standardized operating models and KPI dashboards
• Elimination of performance variability across locations
• Development of repeatable operational playbooks

Private Equity & Investor Reporting:

• Direct reporting to Board and PE stakeholders
• Preparation and delivery of investor-level presentations
• Support upcoming equity partnership activity
• Translation of operational strategy into measurable financial outcomes

M&A Integration & Platform Scale:

• Lead operational diligence for acquisitions
• Own post-close integration and synergy capture
• Drive same-store growth across legacy practices
• Support expansion initiatives across ASC and clinic footprint

Physician & Executive Alignment:

• Align physician leaders around productivity and access standards
• Balance autonomy with non-negotiable operational and financial metrics
• Lead executive and site leadership teams with accountability and clarity

Required:

• Current or former Chief Operating Officer (or true C-suite equivalent)
• Experience within a private equity–backed, multi-site healthcare organization
• Strong operational leadership across ambulatory or surgical environments
• Demonstrated Board and PE reporting experience
• Proven ability to present to investors at a senior executive level

Preferred:

• Ophthalmology experience (strong plus, not mandatory)
• Ambulatory Surgery Center (ASC) leadership
• Track record of EBITDA growth in a buy-and-build MSO model

Location & Travel Expectations:

• Home base: Hauppauge, Long Island (Suffolk County, NY)
• Candidates located within Manhattan, New Jersey, or Connecticut preferred
• Full-time, on-site leadership presence expected
• Frequent travel to multiple ASCs and practice locations
• No relocation offered; overnight stays covered if within commuting distance
• Potential for partial remote flexibility after initial integration period

Compensation:

• Base Salary: $300,000 – $325,000
• Performance-based bonus (negotiable)
• No equity at present; potential future opportunity tied to new equity partner.

Why This Role Is Compelling:

• Direct seat at the executive table of a PE-backed ophthalmology platform
• Strategic leadership role ahead of new equity event
• High-margin ASC environment with significant growth upside
• Visible position with Board and investor exposure
• Competitive executive compensation

Call to Action:

If you are a decisive, metrics-driven healthcare executive with multi-site operational depth and private equity exposure, this is an opportunity to lead meaningful platform growth in a high-demand specialty.

Submit your resume highlighting:

• Multi-site scope (number of locations/ASCs)
• EBITDA responsibility
• Private equity reporting experience
• Investor presentation experience

About the area: