Regional Manager of Operations, Mid-West Region

Alliance Animal Health•Saint Louis, MO

About The Position

The Regional Manager of Operations supports and grows a diverse portfolio of specialty, emergency, and urgent care veterinary hospitals across the Mid-West region. The role works directly with Practice Managers, Hospital Administrators, Medical Directors, veterinary partners, and central support teams to strengthen operations, improve financial performance, develop hospital leaders, and enhance experiences for clients, patients, and referring veterinarians. It combines hands-on field leadership with regional business oversight, including regular hospital visits, leadership meetings, coaching, problem-solving, and implementation of operational initiatives. The position oversees regional hospital operations and financial performance, including revenue growth, EBITDA, labor, expenses, budgets, forecasts, and profitability. It supports hospital staffing, workflows, patient access, veterinarian scheduling, clinical support staffing, service utilization, and the distinct operational demands of extended hours, overnight services, and fluctuating caseloads. The manager partners with medical leadership while respecting clinical decision-making and each hospital’s culture and medical autonomy. The role also develops hospital leaders, supports recruiting and retention, strengthens veterinary and client relationships, and contributes to regional growth initiatives such as integrations, leadership transitions, service expansions, and new operational processes. The territory includes Nebraska, Iowa, Illinois, Missouri, Wisconsin, New York, and additional markets as the region expands. The position is regional and field-based; candidates must live within the listed states, with Chicago preferred, and significant regional travel, including overnight travel, is required.

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 territory states; Chicago, Illinois is preferred.

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.

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 daily workflows, staffing efficiency, patient access, and overall 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 regular 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 performance indicators such as 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 for hospital leadership teams.
Coach and mentor Practice Managers, Hospital Administrators, and department leaders.
Establish expectations, accountability, and consistent 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, workflows, and financial models across 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 teams 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.
Serve as an operational resource who listens, communicates openly, and follows through on commitments.
Partner with Marketing and hospital teams to strengthen community awareness, referring veterinarian relationships, and hospital reputation.
Support initiatives that improve client communication, service accessibility, and 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.