Regional Vice President of Operations

Sharps Medical Waste Services•East Region, PA

About The Position

Come join the largest independent Medical Waste Service Provider in the country for an exciting opportunity in our Operations team in the East Region! We provide essential environmental services to healthcare facilities and commercial partners nationwide. Join a stable, growing industry that offers long-term career development across 35+ locations. The Regional Vice President of Operations is responsible for full P&L and operational leadership across a multi-site, multi-state region. This role owns execution across route-based operations, treatment facilities, and field teams, ensuring consistent delivery of safety, service, and financial performance. This leader will act as the primary operational owner for the region, translating enterprise strategy into disciplined, measurable execution at the local level while driving standardization, efficiency, and accountability across all locations.

Requirements

10–15+ years of experience in: Route-based operations Logistics / transportation Environmental services, waste, or industrial services strongly preferred
Bachelor’s degree or equivalent experience required, MBA or advanced degree preferred.
Proven leadership of multi-site, multi-state operations with P&L accountability
Demonstrated track record of: Operational turnaround and performance improvement Cost reduction and EBITDA expansion Leading through change in complex environments
Experience in private equity-backed, high-growth, or highly disciplined operating environments strongly preferred
Ability to travel up to 50-75% of the time
Operational rigor and execution discipline
Strong financial acumen and P&L ownership mindset
Ability to simplify complexity and drive standardization
Talent assessment, coaching, and team-building capability
Bias for action and results orientation
Ability to operate with urgency in a fast-paced, evolving environment
Strong communication and cross-functional leadership skills

Nice To Haves

MBA or advanced degree preferred.
Experience in private equity-backed, high-growth, or highly disciplined operating environments strongly preferred
10–15+ years of experience in: Route-based operations Logistics / transportation Environmental services, waste, or industrial services strongly preferred

Responsibilities

Regional Operational Leadership
Own all day-to-day operations across the assigned region
Drive performance across key KPIs, including: Route efficiency / stops per day Cost per stop / cost per pound On-time service and fulfillment Safety performance (DOT, OSHA, RCRA, internal metrics) Customer retention and service quality
Ensure consistent execution of standardized operating procedures across all sites
Drive continuous improvement initiatives focused on productivity, routing optimization, and service reliability
P&L Ownership & Cost Discipline
Own regional financial performance, including revenue, cost structure, and EBITDA delivery
Lead budgeting, forecasting, and rigorous variance management
Identify and execute cost optimization opportunities across: Labor productivity Fleet utilization and maintenance Third-party logistics Procurement and supplies
Drive a culture of financial accountability at all levels of the organization
Team Leadership & Talent Development
Lead, coach, and develop: District Managers / General Managers, Site leaders, & Route-based leadership teams
Build a high-performance, accountability-driven culture
Assess talent continuously and make upgrades where needed to strengthen the organization
Develop succession plans and leadership bench strength across the region
Safety & Regulatory Compliance
Ensure strict adherence to all federal, state, and local regulations governing medical and hazardous waste (including DOT, OSHA, EPA/RCRA)
Champion a zero-incident safety culture across all operations
Lead incident response, root cause analysis, and corrective action planning
Partner with Safety and Compliance teams to ensure audit readiness and regulatory excellence
Acquisition Integration & Standardization
Lead operational integration of newly acquired businesses within the region
Standardize processes, systems, and performance expectations post-acquisition
Drive rapid realization of synergies and elimination of redundancies
Ensure seamless integration of teams, culture, and operating practices
Customer & Market Execution
Maintain executive-level relationships with key regional customers and health systems
Partner closely with Sales to support growth, new business onboarding, and service readiness
Ensure strong service delivery to drive customer retention and contract renewal
Act as escalation point for critical customer issues and ensure timely resolution