Director of Operations​/Practice Administrator

Position Summary

We are seeking a Director of Operations / Practice Administrator to lead the day-to-day business operations of our practice. This is a senior leadership role responsible for financial oversight, human resources, employee benefits administration, office operations, and overall practice management. The ideal candidate is a strong, experienced operations and people leader — a clinical or dental background is not required. We are looking first and foremost for proven management, financial, and HR leadership skills.

• Oversee all practice finances, including budgeting, cash flow, accounts payable/receivable, and financial reporting
• Manage relationships with accountants, bookkeepers, and financial institutions
• Monitor practice profitability and identify opportunities for operational efficiency and cost control
• Oversee payroll processing and compliance
• Monitor and oversee P&L statements, labor costs, budgets, vendor expenses, and operational KPIs

• Manage full-cycle HR functions: recruiting, hiring, onboarding, performance management, and offboarding — a great OMFS office requires a great team, and you'll establish clear expectations throughout the organization
• Administer employee benefits programs, including the practice's 401(k) plan
• Ensure compliance with federal, state, and local employment laws (CA-specific compliance a plus)
• Handle employee relations matters, conflict resolution, and disciplinary processes
• Develop and maintain employee policies, handbooks, and procedures

• Oversee daily office operations to ensure smooth, efficient patient flow and workplace functioning
• Manage staff scheduling and performance evaluations
• Manage vendor relationships, supply ordering, and facilities/equipment management
• Implement and improve operational systems, workflows, and practice management software
• Ensure compliance with OSHA, HIPAA, and other regulatory requirements
• Support scheduling, patient billing/insurance processes, and front-office oversight
• Assist the front office team when needed

• Serve as a direct liaison between practice ownership/doctors and staff
• Lead, mentor, and manage a team of approximately 15+ employees
• Drive practice growth initiatives and strategic planning alongside ownership
• Develop department leaders
• Lead management meetings

• Positive without being permissive
• Accountable without being punitive
• Professional without being corporate
• Fun without tolerating drama

Our employees should know what is expected of them, receive feedback about their performance, have opportunities to grow, and know that problems will be addressed fairly and consistently.

This position reports directly to the doctor-owners. We are clinically focused surgeons and entrepreneurs who care deeply about our patients, employees, referring doctors, and community. We move quickly, generate ideas, and continually look for ways to improve.

The right leader will complement us by bringing structure, organization, financial discipline, follow-through, and accountability to the organization. We do not want someone who simply agrees with us — we want someone whose judgment we trust.

• 3+ years of experience in practice management, business operations, or office administration leadership (medical, dental, or other professional services setting)
• Demonstrated experience managing finances, budgets, and financial reporting
• Experience with HR functions, including benefits administration and employee relations
• Strong leadership and team management skills
• Excellent communication, organizational, and problem-solving abilities
• Proficiency with office/practice management software and standard business tools (e.g., Quick Books, Microsoft Office/Excel, typing, 10-key)

• Experience in a dental, medical, or healthcare practice setting
• Bachelor's degree or better in Business Administration, Healthcare Administration, or a related field, or equivalent in experience
• Knowledge of California employment law and healthcare compliance regulations (HIPAA, OSHA)
• Experience…