Full job description
Job Title: Senior Director of Operations
Department: Support
Reports to: CEO, Exec Team
Employment Type: Full-Time
Job Overview:
The Senior Director of Operations is the operational architect responsible for transforming Rivertown Dental’s multi-location structure into a scalable, high-performance platform. This leader integrates teams, systems, and financial levers to create an organization capable of sustained, enterprise-level expansion.
Acting as the CEO’s primary execution partner and second-in-command, this role converts strategic vision into operational reality. They establish the mechanisms, processes, and performance standards that elevate every department, while ensuring Rivertown delivers a consistent, differentiated, and exceptional patient experience across all locations.
This role is designed with a defined pathway into future COO responsibilities as enterprise scope, operational complexity, and demonstrated leadership performance warrant expansion.
About Rivertown Dental:
Welcome to Rivertown Dental, a modern, team-first, privately-owned practice where we are on a mission to change the landscape of dentistry. We are equipped with the latest dental technology, a full suite of in-house specialty services, as well as abundant opportunities for growth and development.
We pride ourselves on a world-class culture that allows our team to focus on self-care, so that they can better serve their team, patients and community!
Performance Objectives ( including but not limited to ):
ORGANIZATIONAL LEADERSHIP & INTEGRATION
● Serve as the operational bridge between the CEO, senior leadership, and site-level leadership.
● Translate organizational vision into clear execution plans, measurable scorecards, and weekly operating rhythms.
● Lead and enforce accountability structures, ensuring leaders consistently hit targets and uphold standards.
● Build organizational clarity—removing ambiguity, resolving constraints, and eliminating legacy practices that inhibit scale.
● Develop, coach, and elevate the leadership bench, ensuring every department is led by a high-performance operator.
CLINICAL OPERATIONS OVERSIGHT
● Ensure clinical workflows, training programs, and compliance meet the highest quality and regulatory standards.
● Manage clinical scheduling frameworks, provider capacity, and case-flow efficiency.
● Standardize clinical systems, equipment protocols, supplies, and SOPs to support predictability, profitability, and growth.
● Protect clinical excellence while ensuring alignment with operational and financial objectives.
ADMINISTRATIVE & FRONT-OFFICE OPERATIONS Oversight
● Ensure revenue cycle integrity, insurance processes, patient flow, and front-office performance.
● Enforce consistent SOP execution across all locations—no variation unless strategically justified.
● Implement process optimizations that reduce friction, improve efficiency, and increase throughput.
PEOPLE LEADERSHIP & CULTURE
● Set and enforce performance standards that raise the floor of behavior, contribution, and accountability organization-wide.
● Address underperformance quickly and constructively, replacing or upgrading talent where needed.
● Model servant leadership, operational excellence, and cultural alignment in every interaction.
● Anticipate team health issues before they escalate; solve root problems rather than symptoms.
TRAINING & DEVELOPMENT
● Architect scalable onboarding and training systems that reduce ramp time and create predictable performance.
● Support the senior leaders in building curricula, certifications, and capability ladders that match Rivertown’s growth trajectory.
● Ensure leadership development and skill acquisition occurs consistently across all roles and locations.
OPERATIONAL & FINANCIAL MANAGEMENT
● Own operational scorecards and lead weekly and monthly reviews of leading and lagging indicators.
● Drive financial discipline across operations—reducing waste, increasing efficiency, and expanding EBITDA through operational excellence.
● Identify, measure, and optimize the financial levers that influence throughput, profitability, utilization, and patient lifetime value.
● Ensure every operational decision supports scalability and enterprise value creation.
PATIENT EXPERIENCE & CARE QUALITY
● Ensure every touchpoint of the patient journey reflects Rivertown’s standards, values, and brand promise.
● Create process-driven workflows that reduce wait times, eliminate bottlenecks, and increase case acceptance.
● Monitor patient satisfaction and partner with leaders to drive continual improvement.
Education & Experience:
● Bachelor’s degree preferred; MBA or advanced leadership/healthcare/business degree highly valued.
● Demonstrated commitment to personal and professional development and ongoing leadership growth.
● Proven track record leading multi-site operations and integrating acquisitions, including due diligence through operational and cultural integration.
● Experience driving EBITDA growth in a scaling healthcare, dental, or multi-site service organization.
● Success managing or materially contributing to an organization at enterprise scale, with the ability to elevate infrastructure and performance beyond current-state operations.
● Mastery of systems, scorecards, KPIs, and repeatable operating mechanisms that produce predictable outcomes.
● Ability to travel between multiple practice locations.
● Demonstrated ability to create and deliver a 30-60-90 Day Operational Plan.
Capabilities/Key Competencies:
● Builds operational systems, not workarounds
● Thrives in speed, clarity, and execution—not consensus
● Loves accountability, metrics, and visible progress
● Raises standards, replaces mediocre performance, and builds high-caliber teams
● Treats EBITDA, capacity, and operational leverage as strategic weapons
● Operates with emotional discipline—low drag, high decisiveness
● Views organizational identity, culture, and capability as the true moat
Pay: $180,000.00 - $220,000.00 per year
Benefits:
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