Chief Operating Officer (COO)

Wellness and Equity Alliance LLCLos Angeles, CA
$170,000 - $240,000Onsite

About The Position

The Chief Operating Officer (COO) is a hands-on, in-person executive leader based in Southern California, responsible for the operational performance, clinical integration, and financial optimization of WEA's multi-state healthcare operations. This role requires exceptional leadership, deep healthcare operations expertise, and a track record of building and enforcing integrated clinical systems across diverse care settings. The COO will work on-site to directly implement operational infrastructure, enforce compliance and quality standards, and drive revenue optimization strategies that support WEA's mission and long-term sustainability. This is not a remote or fractional role — the COO must be physically present to lead cross-functional teams, engage directly with regional operations, and maintain close, real-time oversight of clinical and administrative functions.

Requirements

  • Bachelor's degree in Healthcare Administration, Business Administration, or a related field required.
  • Minimum 7+ years of progressive leadership experience in healthcare operations, with at least 5 years in a senior/executive leadership role.
  • Demonstrated success implementing and enforcing integrated clinical operations across multiple service lines or regions.
  • Proven experience optimizing revenue cycles, contract performance, or reimbursement strategies within a healthcare organization.
  • Strong understanding of multi-state healthcare regulatory environments, licensing, and compliance requirements.
  • Excellent financial acumen, including budget oversight and data-driven decision-making.
  • Exceptional leadership, communication, and stakeholder management skills.
  • Must be based in or willing to relocate to Southern California; this is a 100% in-person position.

Nice To Haves

  • A master’s degree in a relevant field is strongly preferred.
  • Experience with mobile health, street medicine, tribal health, or reentry program operations.
  • Familiarity with managed care contracts, public health funding structures, and grant compliance.
  • A track record of scaling operations across multiple states or regions.
  • Flexible, adaptive, and resilient leadership style suited to a fast-paced, mission-driven environment.
  • Commitment to mentoring staff and building sustainable leadership pipelines.
  • Alignment with WEA's mission of health equity and service to historically marginalized populations.

Responsibilities

  • Provide strategic direction and hands-on leadership to regional teams, ensuring full alignment with organizational goals
  • Directly implement and enforce integrated clinical operations across all program lines, including: HIV street medicine, mobile unit-based school health centers, reentry programs focused on substance use treatment, tribal health programs, public health extension services
  • Ensure clinical programs are stood up, operated, and demobilized efficiently, consistently, and in compliance with contractual and regulatory requirements
  • Serve as the primary operational interface across divisions, translating executive decisions into on-the-ground execution
  • Develop, implement, and enforce policies and procedures that standardize and integrate clinical operations across regions and program types
  • Represent WEA to external stakeholders — including payers, regulatory bodies, and community partners — regarding operational performance and capacity
  • Partner closely with the Controller/CFO to oversee operational budgets, identify cost efficiencies, and ensure fiscal discipline across all programs
  • Develop and execute strategies to optimize revenue streams, including contract performance, billing efficiency, reimbursement capture, and grant/contract compliance
  • Analyze operational and financial data to identify trends, risks, and growth opportunities that inform strategic and budgetary decisions
  • Support contract negotiations and renewals by ensuring operational capacity and performance data align with revenue goals
  • Directly supervise: Regional Director of Operations, National Director of Administrative Operations, Public Information Officer/Chief Pharmacy Officer
  • Lead, coach, and develop regional directors and project managers, ensuring accountability, performance, and professional growth.
  • Establish clear reporting structures and communication channels across regional operations leads.
  • Delegate authority appropriately to build a scalable, accountable management structure.
  • Lead the launch of new clinical and operational programs, defining objectives, deliverables, timelines, and success metrics in partnership with cross-functional teams.
  • Oversee smooth handoff and transition of programs to regional teams post-launch, ensuring continuity and sustained performance.
  • Track key performance metrics for all launched programs to assess impact and guide future strategy.
  • Ensure full compliance with federal, state, and local regulations, including HIPAA, OSHA, and payer/contract-specific requirements.
  • Develop and enforce performance metrics and quality improvement processes across all clinical and administrative functions.
  • Conduct regular data analysis and site monitoring to proactively identify and resolve compliance or performance gaps.
  • Build and maintain strong relationships with clinics, managed care partners, government agencies, and regulatory bodies.
  • Act as a key liaison between internal teams and external stakeholders to ensure coordinated, efficient service delivery.

Benefits

  • Compensation range: $170,000–$240,000/year
  • Opportunity to collaborate with cross-functional leaders across Behavioral Health, Medical, Street Medicine, Public Health, Rural Health, and Tribal Health initiatives.
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