Director of Strategic Operations

Truss Vet • Cary, NC

1d

About The Position

As Director of Strategic Operations, your mission is to constantly improve our clinics and successfully launch new ones. You’ll own key operational playbooks, lead strategic initiatives, build scalable systems, and ensure our clinics are staffed, equipped, compliant, and optimized to deliver excellent care and team experiences from Day 1 and beyond. This role blends strategy with execution; you’ll be building systems one day and spending time in clinics the next.

Requirements

• 5+ years of multi-site operational and/or management experience in a fast-growing healthcare services business (ideally veterinary)

Nice To Haves

• 5+ years in the pet healthcare ecosystem preferred
• Four-year degree preferred but not required
• You’re proactive, highly organized, analytical, and detail-oriented—but still a strong people leader
• You thrive in fast-paced, growing environments and enjoy building systems from the ground up
• You enjoy working cross-functionally and influencing without authority
• You’re equally comfortable thinking strategically and executing tactically
• You like spending time in clinics and believe the best operational improvements come from being close to the work
• You’re energized by solving complex problems and continuously improving how things are done
• You are based in NC or willing to relocate

Responsibilities

• Lead, manage, and hold accountable direct reports while partnering cross-functionally with Clinic Operations, Medical Leadership, Marketing, Real Estate, Talent, and Executive Leadership to identify issues and drive improvement initiatives
• Own and execute the repeatable, on-time launch of new clinics, including partnering with Real Estate on construction timelines, Talent on recruiting plans, ensuring clinics are fully staffed and stocked, and leading site setup week through Day 1
• Partner with the CEO and CMO on strategic initiatives, including special projects and the rollout of culture, talent, and training programs
• Spend time in clinics to evaluate, optimize, and implement workflow improvements in partnership with Clinic Leadership, Regional Leadership, Clinic Ops, and Medical Leadership
• Identify, prioritize, and execute projects that improve operational efficiency, scalability, and clinic performance, including maintaining and improving task management systems
• Own pricing strategy across clinics, including pricing analysis, competitive research, and implementation of pricing changes
• Design, manage, and optimize team and client feedback systems, surveys, and simplified reporting and analytics dashboards to ensure teams have access to the right metrics
• Own Technology and IT operations supporting clinic performance, including PIMS, inventory purchasing and management systems, and third-party software (scheduling, texting, phones, scribing, payments, IT)
• Define, document, and maintain medical, legal, licensing, and regulatory compliance processes, ensuring all clinics remain compliant as requirements evolve

Benefits

• Competitive salary
• Health, vision, and dental insurance
• Short- and long-term disability coverage, life insurance, accident insurance, and critical illness insurance
• Paid time off (PTO)
• Mental wellness subscription
• Parental leave
• 401K + match
• Commitment to professional and personal development through mentorship
• Pet care discounts

What This Job Offers

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