PE Portfolio Operations

Annie Aesthetic

$125K — $150K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • MBA from a top program preferred
  • 5+ years of operational experience in multi-site or high-growth environments
  • Proven track record of owning outcomes in fast-paced settings
  • Strong financial acumen with P&L management experience
  • Exceptional leadership skills across organizational levels
  • Advanced proficiency in Excel and familiarity with EMR/CRM systems
  • Willingness to travel to clinic locations frequently

Responsibilities

  • Own operational and financial performance across portfolio companies
  • Set strategic KPIs and build accountability rhythms with clinic management
  • Oversee day-to-day operations at multiple clinic locations
  • Coach and develop Clinic Managers to enhance operational ownership
  • Lead the integration of newly acquired clinics into the platform
  • Identify and execute growth strategies including new service lines
  • Manage vendor relationships and ensure compliance across clinics

Benefits

  • Performance-based bonus tied to portfolio business outcomes
  • Equity participation in the portfolio
  • Health reimbursement plan
  • 401(k) plan
  • Flexible schedule with autonomy
  • Travel coverage for clinics in the Western US, expected at 50%
Full Job Description
THE OPPORTUNITY

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 to the Annie Aesthetic executive team as we scale.

This role is built for a high-caliber operator - someone coming out of a top MBA program, search fund, or PE-backed operating environment - who is energized by complexity, hungry to own outcomes, and ready to run real businesses at real scale.

WHAT YOU'LL OWN

Portfolio Performance & P&L Ownership

  • 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


Operational Leadership

  • 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


Integration & Acquisitions

  • 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


Strategy & Growth

  • 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


Vendor & Compliance Management

  • 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


IDEAL PROFILE

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 strongly 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 staff and senior founders
  • Advanced Excel/data skills; EMR, CRM, or other multi-site technology experience is a plus
  • Comfortable traveling to clinic locations; mix of in-person site presence and remote team management is expected
  • Ability to start as soon as possible, but at least within approximately one month of offer


COMPENSATION & BENEFITS

  • Competitive base salary commensurate with experience
  • Performance-based bonus tied to portfolio business outcomes
  • Equity participation in the portfolio
  • Health reimbursement plan
  • 401(k)
  • Flexible schedule with autonomy to structure your time around results
  • This role will cover clinics in the Western US. Travel will be roughly 50%.


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