VP of Operations, Texas Market

Palm Medical Centers•Fort Worth, TX

About The Position

Palm Primary Care ("Palm") is a physician-led primary care medical group with a growing presence across Florida and North Texas. Our model is centered on delivering high-quality, value-based care with a strong emphasis on patient outcomes, provider satisfaction, and operational excellence. As a group operating across Medicare Advantage, Medicaid, ACA, and commercial populations under both risk-based and fee-for-service contracts, we are focused on building a scalable, high-performing platform that aligns clinical quality, patient experience, and financial performance. Position Overview The VP of Operations, Texas Market (the “VP”) serves as the senior operational leader for Palm’s Texas market, responsible for clinic performance, provider engagement, and execution of market priorities. This role partners closely with the CEO, COO, the senior medical leader, and corporate leadership to translate strategy into execution, drive financial and operational performance, and ensure strong alignment between clinical and operational teams. The VP plays a critical role in scaling the market through disciplined execution, strong provider relationships, and successful integration of new clinics and providers. Some travel within the Texas market may be required to support clinic operations and growth initiatives.

Requirements

Bachelor’s degree in business, finance, or health administration (Master’s preferred).
8–12+ years of multi-site healthcare operations leadership, preferably in primary care settin
Knowledge of E/M coding, CPT/HCPCS, ICD-10, and Medicare risk adjustment.
Proven ability to collaborate and build relationship with providers and clinic staff
Strong financial acumen and experience managing and achieving financial performance
Proven ability to create process standardization across multiple sites
Familiarity with Medicare Advantage and value-based care models
Strong leadership, analytical, and communication skills

Responsibilities

Lead day-to-day operations across all Texas clinics, ensuring performance across access, productivity, staffing, and patient experience
Provide leadership and development to regional staff and clinic teams, establishing clear expectations, accountability, and operating cadence
Identify performance gaps and implement operational improvements to drive consistency, efficiency, and scalability across the market
Partner with the COO and CEO to drive overall Texas market financial performance, including revenue growth, cost management, and clinic-level profitability
Translate financial goals into actionable plans and hold teams accountable for execution
Monitor performance trends and proactively identify opportunities to improve margins and efficiency
Key leader responsible for driving provider performance, engagement, and accountability
Partner closely with the Market medical leader, with shared accountability for provider outcomes across quality, productivity, and growth
Build strong, trust-based relationships with providers and clinic administrators, ensuring alignment between operational support and clinical expectations
Actively address performance gaps and ensure providers are supported with appropriate staffing, workflows, and infrastructure
Partner with Revenue Cycle leadership to ensure strong alignment between clinic operations and billing performance
Drive accountability at the clinic level for front-end execution, documentation quality, and charge capture
Support initiatives that improve cash flow, reduce denials, and strengthen overall revenue integrity
Partner with Business Development to support execution of growth initiatives, including new clinic development and acquisitions
Maintain a strong local market presence, building relationships and identifying provider and partnership opportunities
Support provider recruiting efforts and ensure a strong onboarding experience
Lead operational integration of new clinics and providers, working closely with corporate teams to ensure successful ramp and performance
Work closely with the COO, CFO, Compliance Officer, and other corporate leaders to align market operations with enterprise priorities
Partner with Finance, Revenue Cycle, Clinical, HR, and other teams to ensure coordinated execution across the organization
Serve as the primary operational link between the Texas market and corporate leadership