Assistant Vice President, Physical Therapy & Occupational Therapy

Genesis Orthopedics & Sports Medicine•St. Charles, IL

4h•Onsite

About The Position

Genesis has built a full-spectrum MSK platform including surgery, therapy, and imaging, operating across 16 clinics in Chicagoland, serving Medicaid patients at scale. The company is now focused on integrating rehabilitation into this platform to be tightly integrated, protocol-driven, financially sustainable, and deeply accessible. The Assistant Vice President (AVP) of PT & OT is a critical operational leadership role responsible for owning all aspects of Physical Therapy and Occupational Therapy, including strategy, operations, finance, talent, clinical quality, and growth across a rapidly expanding multi-site therapy operation. The AVP will report directly to the COO, manage Clinic Managers and therapy office staff, and bridge clinical excellence with operational performance. This role is not purely administrative, requiring the AVP to maintain 10–25% direct clinical productivity to stay connected to clinical practice and model expectations.

Requirements

Licensed PT or OT in Illinois (or getting there)
7+ years of progressive leadership experience in rehabilitation services
Real multi-site operational chops
Understand outpatient therapy economics, billing, and reimbursement well enough to own a P&L and defend it
An operator who came up through the clinic
Ability to read a dashboard and read a patient
A builder who sees the gap and feels the urgency to close it
Runs toward data, doesn't manage by instinct alone
Builds dashboards, tracks KPIs, and holds teams accountable to metrics that actually connect to patient outcomes and financial performance
Develops people (Clinic Managers)
Mission-aligned (serving Medicaid or underinsured patients at the same standard as everyone else)
Bachelor’s degree required
Multi-site operational leadership experience
Strong understanding of outpatient therapy economics, billing, and reimbursement
Licensed clinician (PT/OT) within Illinois upon hire date
Operational rigor and execution discipline
Data-driven leadership and dashboard fluency
Talent development and coaching excellence
Growth orientation with strong attention to access and retention
Ability to integrate clinical quality with financial performance
Strong communication and physician partnership skills

Nice To Haves

Orthopedic or MSK experience
Experience in value-based care models (bundles, capitation, episodic payments)
Familiarity with Illinois Medicaid and commercial payer dynamics
Advanced degree (DPT, OTD, MBA, MHA, or related) strongly preferred
Demonstrated success scaling therapy operations

Responsibilities

Own day-to-day operations across all PT/OT clinics: staffing, scheduling, patient throughput, and workflow standardization that actually scales
Integrate therapy seamlessly with orthopedic clinics — reducing referral leakage and keeping patients inside the Genesis care pathway
Build coverage models that work: in-person, hybrid, and tele-rehabilitation where the evidence and the patient population support it
Expand the PT/OT footprint across Chicago and surrounding markets — identifying new locations based on referral patterns and payer mix
Build systems that ruthlessly optimize speed-to-first-visit and patient retention
Extend hours, add sites, and remove every friction point that stands between a patient and their first appointment
Partner with Genesis surgeons, PM&R physicians, and APPs to build protocol-driven rehabilitation pathways by diagnosis and procedure
Embed PT/OT early — prehabilitation, conservative management, post-operative care — so therapy is part of the patient journey from the start, not an afterthought
Align utilization with evidence-based guidelines and value-based care objectives
Own the P&L for PT/OT service lines: revenue, expenses, contribution margin
Optimize therapist productivity and reimbursement performance
Build prior authorization discipline — timely submissions, minimal denials, tight alignment between approved visits and care plans
Drive conservative management strategies that reduce total cost of care — for the patient and the system
Build and continuously refine operational dashboards that give leadership real-time visibility into what's working and what isn't
Define and own KPIs across the therapy organization: visits per case, units per visit, therapist productivity, days to first visit, cancellation rates, referral conversion, authorization turnaround, functional outcomes, patient satisfaction
Create a culture of data transparency where every Clinic Manager knows their numbers and owns their performance
Recruit, develop, and retain high-performing PT and OT clinicians and leaders across all markets
Build and maintain academic partnerships with PT/OT programs to keep the hiring pipeline full
Coach Clinic Managers to operational, financial, and clinical success
Develop scalable staffing models — effective utilization of PTAs, COTAs, and support staff — that grow with the platform
Run 90-day OKRs for yourself and your direct reports, aligned to the broader organizational priorities
Drive disciplined execution against growth, operational, and financial targets — quarter after quarter
Maintain 10–25% direct clinical productivity

Benefits

Competitive base salary + performance/productivity bonus
Health insurance
Dental insurance
Vision insurance
401(k) with matching
Paid time off
Continuing education funds
License reimbursement
Disability insurance
Life insurance
Flexible schedule
Professional development opportunities
Direct line to the COO and a seat at the table where the platform strategy gets built