Strategic COO Orthopedics & Spine Operations

Description

About Boulder Centre for Orthopedics & Spine

Boulder Centre for Orthopedics & Spine (BCO) is a physician-owned, independent orthopedic practice serving patients throughout Boulder County and the surrounding communities. With clinics in Boulder and Broomfield and two ambulatory surgery centers, BCO provides comprehensive, high-quality musculoskeletal care across a broad range of specialties and services.

Department: Executive Leadership

Reports to: The Chief Operating Officer

Schedule/Type: Full-Time, Exempt

Leadership Scope: Provides executive leadership and oversight for clinic operations, marketing, facilities, therapy, imaging, DME, ambulatory surgery centers, information technology, and related managed service providers.

Wage: $125,000 - $175,000 annually (commensurate with experience)

Bonus Eligibility: Yes

Requirements

Position Summary

Boulder Centre for Orthopedics & Spine is seeking an experienced and strategic Chief Operating Officer (COO) to provide executive leadership across the organization’s operational and administrative functions.

Reporting directly to the Chief Executive Officer, the COO will be a key partner to the CEO and physician leadership in developing and executing BCO’s strategic priorities and will have broad accountability for the practice’s operational, financial, and administrative performance.

The COO will oversee a diverse portfolio that includes clinic operations, revenue cycle, human resources, compliance, marketing and business development, facilities, information technology, therapy, imaging, DME, and executive oversight of BCO’s affiliated ambulatory surgery centers.

This position is responsible for balancing day-to-day operational excellence with long-term growth, while supporting BCO’s commitment to high-quality, cost-effective musculoskeletal care and preserving the organization’s independent, physician-led model.

Key Responsibilities

Strategy & Growth

• Partner with the CEO and physician leadership to develop, communicate, and execute BCO’s strategic plan and annual operating priorities.
• Lead market and competitive analysis, including patient demographics, referral patterns, market opportunities, and competitor positioning.
• Evaluate opportunities for geographic expansion, new service lines, ancillary services, and additional clinic locations.
• Develop business cases, financial analyses, and pro formas for physician and Board review.
• Support physician recruitment, onboarding, and practice development in partnership with the CEO and physician leadership.

Practice Operations

• Provide executive oversight of BCO’s clinic operations in Boulder and Broomfield, including front office, call center, back office, imaging, DME, and therapy services.
• Drive improvements in provider and clinic utilization, patient access, operational throughput, and patient experience.
• Establish meaningful operating metrics and dashboards and hold department leaders accountable for performance.
• Identify opportunities to improve workflows, efficiency, service delivery, and cross-functional collaboration.
• Lead organizational adoption of technology and process improvements, including EHR/practice management optimization and AI-enabled tools.
• Ensure patient concerns and operational issues are addressed effectively and consistently.

Financial Performance & Revenue Cycle

• Partner with the CEO and CFO in developing and managing annual operating and capital budgets.
• Monitor financial and operational performance and implement corrective actions when needed.
• Analyze revenue cycle performance, payer mix, productivity, costs, and other key financial and operational drivers.
• Translate complex financial and operational data into actionable recommendations for executive and physician leadership.

Ambulatory Surgery…