Chief Operating Officer

Eastern Nephrology Associates • Greenville, NC

5d

About The Position

Eastern Nephrology Associates (ENA) is a physician-owned, physician-led nephrology practice delivering total kidney care across a large regional footprint. We serve patients through 14 offices, support care across 46 dialysis centers, operate two vascular access centers, and maintain robust clinical research and transplant support. The opportunity This is a true enterprise operations role in a physician-governed practice where operational clarity directly affects patient care, provider experience, and growth. The COO sets the operating standard across a wide geography, aligns leaders to one playbook, and builds a system that scales without noise or drama. Role scope The COO oversees daily operations, clinical support functions, practice infrastructure, and cross-site coordination to ensure high-quality patient care, regulatory compliance, financial sustainability, and an exceptional provider and staff experience. This leader drives operational excellence while advancing ENA’s long-term vision in kidney disease management, dialysis services, value-based care, and research. What makes ENA different Physician ownership and governance mean decisions are close to the work and expectations are high. The right COO earns trust through clarity, follow-through, and measurable improvement, not big speeches. If you like building systems that make clinical teams’ lives easier and outcomes better, you will have room to do real work here. What we are looking for A proven, multi-site ambulatory operator who can lead through physician governance and deliver measurable outcomes with professionalism and steadiness.

Requirements

• Senior operations leadership in a multi-site ambulatory medical group or specialty practice, with accountability for access, staffing models, workflows, and results
• Strong partnership with physician owners and leaders, including navigating pushback and driving decisions to closure
• Track record of developing leaders and building a culture of accountability without damaging culture
• Comfortable making and owning hard calls (staffing, access, quality, complaints, vendors)

Nice To Haves

• Working knowledge of dialysis workflows and CKD/ESRD care, value-based kidney care is a plus
• Master’s degree preferred (MHA, MBA, MPH, MSN, or similar)

Responsibilities

• Multi-site operations across clinics, dialysis rounding operations, and ancillary services
• Standardization of workflows, policies, and operating rhythms across locations
• Performance management: dashboards, access, productivity, quality, patient experience, staffing stability
• Patient access: scheduling, referral flow, call performance, capacity planning
• Cross-functional alignment across physicians, APPs, nursing, clinic leaders, and support teams
• Growth execution: operational planning for expansion, new services, and value-based care readiness
• Compliance and risk: audit readiness, credentialing support, documentation standards, complaint response
• Technology enablement: EHR optimization, analytics, interoperability, telehealth, patient engagement tools
• People leadership: develop managers and directors, set expectations, drive accountability, strengthen culture

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Number of Employees: 11-50 employees