Regional Manager of Operations, Mid-West Region

Job Description

As our Regional Manager of Operations, Mid-West, you'll play an important role in supporting and growing a diverse portfolio of emergency, specialty, and urgent care hospitals.

You'll work directly with Practice Managers, Hospital Administrators, Medical Directors, and veterinary partners to strengthen daily operations, improve financial performance, develop hospital leaders, and create exceptional experiences for clients, patients, and referring veterinarians.

This role combines hands-on operational leadership with regional business oversight. You'll spend time in hospitals, build relationships with teams, understand the challenges they face, and help develop practical solutions that improve performance.

You'll also partner closely with our Regional Vice President and central support teams to implement operational initiatives, support hospital growth, and identify opportunities across the region.

This isn't a role for someone who wants to manage hospitals from behind a spreadsheet. We're looking for someone who enjoys being in the field, coaching leaders, solving problems, and helping teams turn great ideas into measurable results.

Most importantly, we're looking for a leader who understands that successful hospitals are built through strong relationships, engaged teams, sound business decisions, and consistent execution.

What You'll Do

Lead Regional Hospital Operations

• Provide operational oversight and support for multiple specialty, emergency, and urgent care hospitals throughout the Mid-West region.
• Partner with hospital leadership to improve daily workflows, staffing efficiency, patient access, and overall operational performance.
• Establish consistent operational expectations while respecting each hospital's unique culture, clinical services, and business needs.
• Identify operational challenges early and work collaboratively with hospital teams to implement sustainable solutions.
• Maintain a strong field presence through regular hospital visits, leadership meetings, and ongoing communication.

Drive Financial & Business Performance

• Take ownership of regional financial performance, including revenue growth, EBITDA, labor management, expense control, and profitability.
• Partner with hospital leaders to develop and execute budgets, forecasts, and financial improvement plans.
• Monitor key performance indicators, including revenue, transactions, average transaction charges, labor costs, staffing productivity, and client experience metrics.
• Identify opportunities to improve hospital efficiency, manage expenses, and support sustainable growth.
• Translate financial data into clear, actionable priorities for hospital leadership teams.

Develop & Empower Hospital Leaders

• Coach and mentor Practice Managers, Hospital Administrators, and department leaders to strengthen their leadership and business management skills.
• Establish clear expectations, accountability, and consistent follow-through across hospital teams.
• Support leadership development, succession planning, and employee engagement initiatives.
• Partner with Human Resources and Talent Acquisition on recruiting, retention, performance management, and staffing strategies.
• Help hospital leaders navigate challenging conversations, organizational changes, and complex operational situations.

Support Emergency, Specialty & Urgent Care Operations

• Understand and support the different staffing, scheduling, workflow, and financial models across emergency, specialty, and urgent care hospitals.
• Partner with medical leadership to improve veterinarian scheduling, clinical support staffing, patient flow, and operational efficiency.
• Identify opportunities to improve appointment availability, service utilization, and access to veterinary care.
• Support hospital teams in managing the operational demands of extended hours, overnight services, and fluctuating caseloads.
• Collaborate with medical leaders to remove operational barriers while respecting clinical decision-making and medical autonomy.

Strengthen Veterinary Partnerships & Client Experience

• Build trusted relationships with Medical Directors, veterinary partners, and hospital leadership teams.
• Serve as a reliable operational resource who listens, communicates openly, and follows through on commitments.
• Partner with Marketing and hospital teams to strengthen community awareness, referring veterinarian relationships, and hospital reputation.
• Support initiatives that improve client communication, service accessibility, and the overall client experience.
• Help hospitals identify opportunities for referral growth, client retention, and stronger community relationships.

Support Regional Growth & Strategic Initiatives

• Partner with the Regional Vice President to execute regional priorities and operational improvement initiatives.
• Support new hospital integrations, leadership transitions, service expansions, and operational readiness as the region grows.
• Collaborate with Finance, Marketing, Human Resources, Talent Acquisition, IT, and other central support teams to ensure hospitals receive timely and effective support.
• Share best practices across hospitals and contribute to the continued development of our Specialty, Emergency & Urgent Care network.
• Help shape operational processes and leadership resources that support long-term regional growth.

Qualifications

We're looking for an experienced, collaborative leader who understands the business of veterinary medicine and genuinely enjoys helping people succeed.

Required Experience & Qualifications

• 5+ years of progressive veterinary hospital operations experience, preferably within emergency, specialty, urgent care, or a combination of these environments.
• 2+ years of multisite leadership experience or comparable senior-level management experience within a large, complex veterinary hospital.
• Demonstrated success improving hospital financial performance, operational efficiency, and team engagement.
• Strong financial acumen, including P&L management, budgeting, labor management, forecasting, and expense control.
• Experience coaching and developing Practice Managers, Hospital Administrators, or other hospital leaders.
• Understanding of veterinary hospital staffing models, veterinarian productivity, clinical workflows, and operational performance metrics.
• Ability to build strong relationships with veterinary professionals, medical leadership, and hospital partners.
• Excellent communication, problem-solving, organizational, and leadership skills.
• Ability to manage competing priorities across multiple hospitals and geographic markets.
• Bachelor's degree in business, healthcare administration, veterinary management, or a related field, or equivalent professional experience.
• Willingness and ability to travel extensively throughout the assigned region.

Even Better If You Bring

• 7+ years of veterinary hospital leadership experience, particularly within specialty, emergency, or urgent care.
• Previous experience as a Regional Manager, Area Manager, Hospital Administrator, Director of Operations, or senior veterinary practice leader.
• Experience overseeing multiple hospitals, large multidisciplinary teams, or 24-hour emergency operations.
• Experience supporting hospital integrations, new hospital openings, service expansions, or operational turnarounds.
• Familiarity with veterinary practice management systems, financial reporting, and performance analytics.
• CVPM, MBA, MHA, or similar professional credentials.

Additional Information

What Success Looks Like

Successful Regional Managers at Alliance do more than oversee hospital performance. They build relationships, develop leaders, and help hospitals consistently move forward.

In this role, success means:

• Hospital leaders feel supported, empowered, and accountable for their results.
• Hospitals demonstrate measurable improvements in financial and operational performance.
• Teams are engaged, staffing is aligned with business needs, and employee retention remains a priority.
• Veterinary partners and Medical Directors view Operations as a trusted and valuable business partner.
• Client experience, referral relationships, and hospital reputation continue to strengthen.
• Regional priorities are executed consistently, with clear communication and follow-through.

Position Details

Position: Regional Manager of Operations, Mid-West Region

Division: Specialty, Emergency & Urgent Care

Employment Type: Full-Time

Territory: Nebraska, Iowa, Illinois, Missouri, Wisconsin, New York, and additional markets as the region expands.

Location: Regional / Field-Based. Candidates located within the Mid-West territory preferred. (Must live within these states, Chicago, IL ideal)

Travel: Significant regional travel required, including regular hospital visits and overnight travel.

Reports To: Regional Vice President, Specialty, Emergency & Urgent Care

Ready to Make an Impact?

If you're an experienced veterinary operations leader who enjoys developing people, building strong relationships, and helping hospitals succeed, we'd love to meet you.

This is an opportunity to join a growing team, bring your ideas to the table, and make a meaningful difference in the future of specialty, emergency, and urgent care veterinary medicine.

Bring your experience, your leadership, and your passion for veterinary medicine to Alliance Animal Health.

Base Salary Range: $125,000 - $135,000