Fractional Chief Operations Officer (COO)

Fractional Chief Operating Officer (COO) – Dermatology Practice (Santa Monica, CA)

Pure Dermatology and Skin Surgery Center is a trusted dermatology practice located in Santa Monica, CA. We are a team of four dedicated providers committed to delivering exceptional cosmetic, medical and surgical care to our patients.

We are seeking a highly skilled and experienced individual to join our team and work closely with our physician owner.

This is an in-person (not remote), hands-on role ideal for someone who thrives in a fast-paced, service-driven healthcare environment and enjoys building systems, leading teams, and driving measurable results.

Role Overview

The Fractional COO will work directly with the owner to optimize operations, improve profitability, reduce inefficiencies, reduce day-to-day owner involvement and strengthen team performance while maintaining a high-touch, "white-glove" patient experience.

Estimated commitment: ~20-25 hours per week

Key Responsibilities

1. Operational Leadership & Oversight

• Oversee day-to-day operations of front and back office teams

• Ensure smooth clinic flow, provider support, and patient experience

• Identify inefficiencies and implement scalable systems and workflows

• Maintain a high standard of professionalism and accountability across staff

2. Financial & Performance Management

• Monitor key metrics

• Identify revenue leakage (uncollected balances, underutilized schedules, etc.)

• Partner with billing and accounting teams to improve collections and reduce A/R

• Provide regular reporting and actionable insights to ownership

• Use data-driven insights to make informed decisions and drive continuous improvement.

3. Staffing, Culture & Accountability

• Oversee staffing structure, scheduling, and coverage

• Address performance issues proactively and professionally

• Implement clear expectations, KPIs, and accountability systems for team members

• Support hiring, onboarding, and training processes

• Foster a positive but high-performance culture

4. Systems & Process Optimization

• Evaluate and improve existing systems (EMR, scheduling, patient communication tools)

• Implement standard operating procedures (SOPs) across departments

• Reduce waste (supplies, time, inefficiencies)

• Improve coordination between front and back office teams

5. Vendor & Cost Management

• Review vendor contracts and expenses (software, supplies, services)

• Identify opportunities to reduce overhead without compromising quality

• Negotiate and manage vendor relationships

6. Social Media and Marketing:

• Oversee and improve the practice's social media presence.

Qualifications:

• Proven experience as a Chief Operating Officer or similar role in a healthcare setting, preferably within dermatology or a related field.

• Excellent financial acumen with a track record of improving revenue and reducing costs.

• Demonstrated ability to lead and inspire a diverse team.

• Exceptional communication and interpersonal skills.

• Strategic thinker with a track record of successful planning and execution.

Compensation

• 1099 compensation will be tailored based on experience and may include performance-based incentives tied to key operational and financial metrics.

How to Apply

Please email your resume and cover letter detailing your relevant experience to parrishsadeghi@gmail.com.

To ensure our clinical team can remain focused on patient care, please do not call or contact the office regarding this position. All inquiries should be sent by email only.

Job Type: Part-time

Work Location: In person