PE Portfolio Operations

Annie Aesthetic is one of the fastest-growing private equity platforms in medical aesthetics — a multi-brand, multi-site operating company spanning medspas and functional health clinics across the United States. We acquire best-in-class practices, integrate them into a high-performance operating model, and build them into durable, growing businesses.

We are hiring a Director of Operations to serve as a true business owner across our portfolio. This is not a corporate staff role. The Director of Operations will have direct operational accountability for a subset of portfolio companies, drive cross-brand performance standards, and be a key member on the Annie Aesthetic executive team as we scale.

This role is built for a high-caliber operator who is energized by complexity, hungry to own outcomes, and ready to run real businesses at real scale.

We take a hands-on, operator-led approach — providing each portfolio company with financial, operational, and strategic resources to drive sustainable, long-term growth. Our team is lean, execution-focused, and deeply embedded in the day-to-day of the businesses we own.

• Own operational and financial performance across a defined set of portfolio companies, with accountability to revenue growth, margin management, and EBITDA outcomes
• Set and track KPIs across clinic locations; build accountability rhythms with Clinic Managers and brand leadership
• Partner with the Annie Aesthetic ELT and finance team on reporting, forecasting, and business performance review

• Oversee day-to-day operations across multiple clinic locations and brands — in-person presence expected at key sites
• Coach and develop Clinic Managers and brand operators, elevating their ability to own their locations and their numbers
• Build and maintain the meeting cadences, documentation systems, SOPs, and remote management infrastructure that allow the portfolio to scale without heroics

• Lead operational integration of newly acquired clinics into the Annie Aesthetic platform — from onboarding and systems setup to staffing and culture alignment
• Partner with deal team and finance on diligence, operational modeling, and 100-day planning for new acquisitions

• Identify and execute growth levers across revenue, client experience, and operational efficiency — including service menu, retention programs, and provider productivity
• Develop cross-functional project plans and strategic frameworks in partnership with brand founders and the Annie executive team
• Evaluate and launch new service lines (including functional health) across the portfolio

• Manage third-party vendor relationships including pharma/clinical suppliers, marketing partners, technology, and facilities across brands
• Partner with the technology and data team to optimize EMR utilization (Zenoti) and clinical reporting across the portfolio
• Ensure each clinic maintains full compliance with applicable business licenses, permits, and clinical standards across all operating states

We are looking for a driven, humble, and highly capable operator. The strongest candidates will bring:

• MBA from a top program; search fund, PE-backed operating role, or management consulting background preferred
• 5+ years of operational experience — ideally in multi-site, M&A-integration, or high-growth environments
• Demonstrated track record of owning outcomes in fast-paced, ambiguous environments with limited resources
• Strong financial acumen — comfortable owning a P&L and translating numbers into operational decisions
• Exceptional people leadership skills across all levels of an organization, including clinic-level…