Regional Director of Operations

Job Title: Regional Director of Operations Reports To: Director of Operations FLSA Status: Exempt Job Type: Full-Time with regular travel to assigned practice locations Position Summary The Regional Director of Operations (RDO) provides high-level operational leadership and strategic oversight for a portfolio of at least 15 dental practices, representing significant aggregate EBITDA volume and diverse market conditions.

The RDO directly manages Regional Managers and Office Managers, driving operational consistency, financial performance, and alignment with company objectives. This role is both strategic and hands-on, requiring advanced financial acumen, strong people leadership, and the ability to implement enterprise initiatives effectively across a large, complex region.

The RDO acts as a primary field partner to the Director of Operations, contributing to strategic planning, operational innovation, and cross-functional collaboration to achieve growth and profitability targets. Must be located in South Florida, Texas or Missouri, Key Responsibilities Operational Leadership Oversee day-to-day operations across a portfolio of at least 15 practices, ensuring adherence to IDS standards, policies, and performance expectations.

Lead, coach, and develop Regional Managers and Office Managers to build strong, capable leadership teams within each location. Ensure consistent execution of operational workflows, patient experience standards, and compliance requirements. Financial Performance Monitor and drive key financial metrics, including revenue growth, EBITDA performance, expense management, and AR improvement.

Partner with Finance to develop accurate forecasting and budgeting for assigned markets. Identify and act on opportunities to optimize profitability and operational efficiency across the portfolio. People Leadership & Development Provide regular performance coaching and career development for Regional Managers and Office Managers.

Foster a positive and accountable culture, emphasizing continuous improvement and leadership excellence. Support succession planning and leadership readiness for key operational roles. Strategic & Cross-Functional Collaboration Partner with corporate departments (HR, Finance, RCM, Procurement, Clinical, Marketing, M&A) to implement enterprise initiatives at the regional level.

Serve as a key point of escalation for complex operational, compliance, or personnel issues within the portfolio. Contribute to enterprise-level operational planning and strategic decision-making in partnership with the Director of Operations. Integration & Growth Lead the integration of newly acquired practices within the assigned region, ensuring cultural alignment and operational readiness.

Support market expansion efforts through operational due diligence, onboarding, and performance ramp-up.

Qualifications

Bachelor’s degree in Business Administration, Healthcare Management, or related field required; MBA or advanced degree preferred. Minimum of 8–10 years of multi-site operational leadership experience, preferably in a dental service organization (DSO) or multi-unit healthcare environment. Proven track record of managing at least 15 locations or equivalent in aggregate business volume.

Strong financial acumen with experience in budgeting, forecasting, and P&L management. Exceptional leadership, coaching, and team development skills. Strong problem-solving ability with a track record of improving operational performance. Excellent communication and collaboration skills with the ability to influence at all levels of the organization.

Willingness to travel regularly within assigned markets, up to 75%. Competencies Strategic Leadership – Ability to translate enterprise goals into regional execution plans. Financial Expertise – Skilled at interpreting financial reports and driving results through informed decision-making. Operational Excellence – Commitment to process optimization and continuous improvement.

People Development – Proven ability to grow and develop leaders at multiple management levels. Collaboration & Influence – Ability to work effectively across corporate departments and field leadership teams. Change Management – Adept at leading teams through transitions, integrations, and organizational change. Work Environment & Travel Full-time remote with travel up to 75%.

Must be located in South Florida, Texas or Missouri, able to work across time zones and communicate with remote teams. Able to sit or stand for extended periods while working at a computer.