Regional Manager of Operations, Mid-West Region

Alliance Animal Health•Chicago, IL

8h•$125,000 - $135,000•Onsite

About The Position

Alliance Animal Health is seeking a Regional Manager of Operations to support and grow a portfolio of specialty, emergency, and urgent care veterinary hospitals across its Mid-West region. The role provides operational oversight and regional business support, working directly with Practice Managers, Hospital Administrators, Medical Directors, veterinary partners, and central support teams. It combines hands-on field leadership with responsibility for hospital operations, financial performance, leadership development, and regional initiatives. The Regional Manager will regularly visit hospitals, build relationships with their teams, coach leaders, assess operational challenges, and help implement practical, sustainable improvements. The role supports varied hospital models, including extended-hour and overnight services, while respecting each hospital's culture, clinical services, and medical autonomy. The position also partners with the Regional Vice President and central teams on hospital growth, integrations, service expansions, and operational priorities. The territory includes Nebraska, Iowa, Illinois, Missouri, Wisconsin, New York, and additional markets as the region expands. The role is regional and field-based; candidates located within the territory are preferred, and Chicago is identified as ideal. Significant regional travel, including regular hospital visits and overnight travel, is required. The position reports to the Regional Vice President, Specialty, Emergency & Urgent Care. The listed base salary range is $125,000–$135,000.

Requirements

At least 5 years of progressive veterinary hospital operations experience, preferably in emergency, specialty, urgent care, or a combination of these environments.
At least 2 years of multisite leadership experience or comparable senior-level management experience within a large, complex veterinary hospital.
Demonstrated success improving hospital financial performance, operational efficiency, and team engagement.
Strong financial acumen, including P&L management, budgeting, labor management, forecasting, and expense control.
Experience coaching and developing Practice Managers, Hospital Administrators, or other hospital leaders.
Understanding of veterinary hospital staffing models, veterinarian productivity, clinical workflows, and operational performance metrics.
Ability to build strong relationships with veterinary professionals, medical leadership, and hospital partners.
Excellent communication, problem-solving, organizational, and leadership skills.
Ability to manage competing priorities across multiple hospitals and geographic markets.
Bachelor's degree in business, healthcare administration, veterinary management, or a related field, or equivalent professional experience.
Willingness and ability to travel extensively throughout the assigned region.
Must live within the listed states, as specified in the Position Details.

Nice To Haves

At least 7 years of veterinary hospital leadership experience, particularly in specialty, emergency, or urgent care.
Previous experience as a Regional Manager, Area Manager, Hospital Administrator, Director of Operations, or senior veterinary practice leader.
Experience overseeing multiple hospitals, large multidisciplinary teams, or 24-hour emergency operations.
Experience supporting hospital integrations, new hospital openings, service expansions, or operational turnarounds.
Familiarity with veterinary practice management systems, financial reporting, and performance analytics.
CVPM, MBA, MHA, or similar professional credentials.
Location within the Mid-West territory; Chicago, Illinois is ideal.

Responsibilities

Provide operational oversight and support for multiple specialty, emergency, and urgent care hospitals throughout the Mid-West region.
Partner with hospital leadership to improve workflows, staffing efficiency, patient access, and operational performance.
Set consistent operational expectations while respecting each hospital's culture, clinical services, and business needs.
Identify operational challenges and work with hospital teams to implement sustainable solutions.
Maintain a strong field presence through hospital visits, leadership meetings, and ongoing communication.
Own regional financial performance, including revenue growth, EBITDA, labor management, expense control, and profitability.
Partner with hospital leaders to develop and execute budgets, forecasts, and financial improvement plans.
Monitor key performance indicators, including revenue, transactions, average transaction charges, labor costs, staffing productivity, and client experience metrics.
Identify opportunities to improve efficiency, manage expenses, and support sustainable growth; translate financial data into actionable priorities.
Coach and mentor Practice Managers, Hospital Administrators, and department leaders in leadership and business management.
Establish clear expectations, accountability, and follow-through across hospital teams.
Support leadership development, succession planning, and employee engagement initiatives.
Partner with Human Resources and Talent Acquisition on recruiting, retention, performance management, and staffing strategies.
Help hospital leaders navigate challenging conversations, organizational changes, and complex operational situations.
Support staffing, scheduling, workflow, and financial models for emergency, specialty, and urgent care hospitals.
Partner with medical leadership to improve veterinarian scheduling, clinical support staffing, patient flow, and operational efficiency.
Identify opportunities to improve appointment availability, service utilization, and access to veterinary care.
Support hospitals in managing extended hours, overnight services, and fluctuating caseloads.
Collaborate with medical leaders to remove operational barriers while respecting clinical decision-making and medical autonomy.
Build trusted relationships with Medical Directors, veterinary partners, and hospital leadership teams, and provide reliable operational support.
Partner with Marketing and hospital teams to strengthen community awareness, referring veterinarian relationships, and hospital reputation.
Support improvements to client communication, service accessibility, and the overall client experience.
Help hospitals identify opportunities for referral growth, client retention, and stronger community relationships.
Partner with the Regional Vice President to execute regional priorities and operational improvement initiatives.
Support new hospital integrations, leadership transitions, service expansions, and operational readiness as the region grows.
Collaborate with Finance, Marketing, Human Resources, Talent Acquisition, IT, and other central support teams.
Share best practices across hospitals and contribute to the development of the Specialty, Emergency & Urgent Care network.
Help shape operational processes and leadership resources that support long-term regional growth.