Assistant Vice President, Physical Therapy & Occupational Therapy

Genesis Orthopedics & Sports Medicine • Oak Brook, IL

4h • Onsite

About The Position

Genesis has built a full-spectrum MSK platform across 16 clinics in Chicagoland, serving Medicaid patients at scale. The company is now focused on integrating rehabilitation into a tightly integrated, protocol-driven, financially sustainable, and deeply accessible platform. 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. This role reports directly to the COO and involves managing Clinic Managers and therapy office staff, balancing clinical excellence with operational performance. The AVP will also 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 mentality, seeing the gap and feeling the urgency to close it
• Runs toward data, builds dashboards, tracks KPIs, and holds teams accountable to metrics
• Develops people, ensuring Clinic Managers become better operators
• Mission-aligned, committed to serving Medicaid or underinsured patients at the same standard as everyone else
• Bachelor’s degree required
• Licensed clinician (PT/OT) within Illinois upon hire date

Nice To Haves

• Experience in orthopedic or musculoskeletal care settings
• 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)
• 401(k) 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

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 1-10 employees