Chief Operating Officer (COO)

Longitude Rx•Dallas, TX

19h

About The Position

Joining Longitude Rx means stepping into an exciting chapter with an early-stage company that’s boldly reshaping the future of specialty pharmacy. We are building innovative solutions that empower health systems, reduce barriers to care, and improve the lives of patients. As part of our mission-driven team, you’ll have the opportunity to make a direct impact, helping reimagine how specialty pharmacy serves providers and patients. The Chief Operating Officer (COO) is a key member of the Longitude Rx executive leadership team responsible for translating the company’s vision into scalable operations that drive revenue, margin, and partner outcomes. This role owns the operational engine of the business, ensuring Longitude Rx delivers consistently across customer success, service delivery, and revenue-generating operational initiatives while building the infrastructure needed to scale. This leader is accountable for driving operational contributions to revenue growth and EBITDA, with a focus on delivering high-impact services that support both revenue expansion and margin improvement. The COO will ensure execution against client-level revenue and performance targets, partner closely with Finance on forecasting accuracy and cost discipline, and design repeatable, scalable operating models that enable consistent delivery and long-term growth. Core areas of focus include initiatives that strengthen market access, optimize provider and patient engagement, enhance distribution and care delivery models, and unlock value through data-driven insights and advisory services. This role requires an operator with deep experience leading complex healthcare operations at scale. The COO must think strategically while remaining closely connected to execution, serving as the architect of the workflows, operating models, and cross-functional connections that allow Longitude Rx to grow in a disciplined, sustainable manner. The COO will serve as a true extension of the CEO, taking on substantial operational leadership across the business.

Requirements

Master’s degree required, preferably an MBA or other related field.
Minimum 10 years of progressive leadership experience in healthcare operations, specialty pharmacy, health system operations, or a related field, including significant responsibility for scaling operations, driving revenue-linked execution, and leading cross-functional teams in complex environments.
Equivalent combination of education and experience in lieu of degree or years of experience may be considered, provided the candidate can demonstrate the knowledge, skills, and abilities to successfully perform the duties of the role.
Demonstrated success operating at scale within a complex healthcare or pharmacy-related environment.
Strong operational leadership capabilities, with the ability to design workflows, structures, and delivery models that support revenue growth and long-term scalability.
Proven ability to translate high-level strategy into repeatable execution across multiple teams and functions.
Strong financial acumen, including experience partnering on forecasting accuracy, cost discipline, and operational contribution to EBITDA.
Experience leading customer success, service delivery, and revenue-generating operational functions.
Ability to connect data, technology, staffing, and workflows to create actionable and sustainable operating models.
Exceptional leadership, judgment, and organizational design capability, with the presence and caliber to serve as a true extension of the CEO.
Strategic thinker with a strong operator mindset and a hands-on understanding of how to drive execution in a scalable way.
Willingness to travel as needed.

Responsibilities

Own operational contribution to revenue growth and margin performance across the business.
Drive execution against client-level revenue and performance targets, ensuring operational teams are aligned to business priorities and measurable outcomes.
Translate strategic opportunities into executable operating plans that produce revenue today while building for scale tomorrow.
Partner with Finance to improve forecasting accuracy, support disciplined cost management, and ensure operational decisions align with EBITDA goals.
Oversee operational execution tied to Horizon 1 revenue and margin opportunities, including targeted script capture, market access, provider engagement, MSOT implementation, alternative distribution models, 340B optimization, and medication therapy management.
Lead the operational functions responsible for customer success and service delivery, ensuring strong execution and a high-quality partner experience across health system relationships.
Ensure Longitude Rx delivers reliably and consistently against partner commitments, with clear accountability for outcomes, issue resolution, and operational follow-through.
Build operating structures that support both client-specific needs and enterprise-wide consistency, avoiding one-off solutions that limit scale.
Partner with internal leaders to ensure service delivery models are effective, sustainable, and aligned to revenue and margin objectives.
Translate CEO and Strategy vision into operational design, ensuring business priorities are connected across teams, workflows, systems, and decision-making.
Connect the work of Operations, Data & Analytics, Technology, Market Access, and partner-facing teams to ensure opportunities are visible, actionable, and measurable.
Partner closely with analytics and platform leadership to ensure data and technology enable operational intervention, opportunity tracking, and accurate billing support.
Ensure the business has the reporting, workflow visibility, and operational coordination needed to identify where interventions should occur, deploy resources effectively, and capture revenue opportunities.
Design and implement scalable workflows, operating structures, and support models that allow Longitude Rx to grow efficiently across systems and services.
Serve as the architect of the operational model, ensuring the company is not simply achieving revenue in isolated ways, but building the infrastructure to sustain and expand performance over time.
Develop repeatable processes that connect teams, systems, data, and workflows in a way that supports both present execution and future scale.
Lead the design of centralized and scalable support models, including hub-based structures where appropriate, to improve consistency, efficiency, and operating leverage.
Operationalize opportunities generated through commercial and strategic efforts, ensuring Longitude Rx can successfully execute once new business or access pathways are secured.
Partner with commercial leadership to ensure opportunities such as limited distribution drugs and related initiatives are not only won, but operationally implemented in a way that drives revenue and partner value.
Build the processes, staffing approaches, and intervention models needed to support execution across clients, providers, and therapeutic opportunities.
Ensure operational readiness for current and future growth initiatives while maintaining focus on sustainability and scale.
Provide executive-level operational leadership across the organization, serving as a significant extension of the CEO in day-to-day business execution.
Lead through other senior operators, while maintaining accountability for the broader design, connection, and sustainability of the operating model.
Establish clarity around how work should be structured, how teams should interact, and how resources should be deployed to support revenue, margin, and client outcomes.
Bring strong operational judgment, leadership presence, and disciplined execution to one of the company’s most important leadership positions.