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:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance