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Associate Chief Operating Officer Jobs (NOW HIRING)

MBR Partners

COO

Dallas, TX

$200K - $250K/yr

The Chief Operating Officer (COO) will be responsible for the overall financial and operational performance of the company. The company's performance is measured through operating profit and ...

Ratliff

Chief Operating Officer

Cleveland, OH · On-site

The Chief Operating Officer (COO) provides executive leadership and operational oversight for a multi-campus Continuing Care Retirement Community. Reporting to the CEO, the COO is responsible for ...

Zócalo Health

Chief Operating Officer

Seattle, WA · Remote

$275K/yr

Chief Operating Officer Remote, Seattle Preferred (Full Time) Compensation: $275,000 annually About Us Zócalo Health is a tech-enabled, community-oriented primary care organization serving people ...

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Associate Chief Operating Officer information

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How much do associate chief operating officer jobs pay per hour?

As of Jun 26, 2026, the average hourly pay for associate chief operating officer in the United States is $25.60, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $26.92 per hour, depending on experience, location, and employer.

What is a typical COO salary?

A typical Chief Operating Officer (COO) salary varies based on industry, company size, and location, but generally ranges from $150,000 to over $300,000 annually. Executive experience, strategic skills, and additional compensation such as bonuses and stock options often influence total earnings.

What are the key skills and qualifications needed to thrive as an Associate Chief Operating Officer, and why are they important?

To thrive as an Associate Chief Operating Officer, you need expertise in operations management, strategic planning, and financial oversight, typically supported by a relevant bachelor’s or master’s degree. Familiarity with enterprise resource planning (ERP) systems, data analytics tools, and industry-specific compliance frameworks is often required. Exceptional leadership, communication, and problem-solving skills help drive organizational performance and foster collaboration across departments. These competencies are crucial for optimizing operations, ensuring regulatory compliance, and achieving organizational goals.

What are some common challenges faced by an Associate Chief Operating Officer, and how can they be addressed?

An Associate Chief Operating Officer (ACOO) often faces challenges such as balancing multiple priorities, managing cross-departmental collaboration, and ensuring operational efficiency while supporting organizational goals. ACOOs must be adept at problem-solving, effective communication, and building consensus among diverse teams. Addressing these challenges typically involves developing strong relationships with department heads, implementing clear processes, and maintaining flexibility to adapt to shifting business needs. Proactive leadership and a commitment to continuous improvement are key to thriving in this role.

Is a cao higher than a COO?

A Chief Administrative Officer (CAO) and a Chief Operating Officer (COO) are both executive roles, but their hierarchy depends on the organization. In some companies, the CAO reports directly to the CEO and may be considered senior, overseeing administrative functions, while the COO typically manages daily operations. The specific ranking varies by company structure and industry standards.

What is the difference between Associate Chief Operating Officer vs Chief Operating Officer?

AspectAssociate Chief Operating OfficerChief Operating Officer
ResponsibilitiesSupports and assists in overseeing daily operations, often focusing on specific departments or projectsLeads overall company operations, sets strategic goals, and manages executive teams
Experience & CredentialsTypically requires 5-10 years of management experience, relevant industry certificationsExtensive leadership experience, advanced degrees, and executive-level credentials
Work EnvironmentCollaborative, reporting to COO or CEO, involved in operational tasksExecutive setting, strategic planning, decision-making authority

The Associate Chief Operating Officer is a senior management role supporting the COO in daily operations, often with a focus on specific areas. The COO holds broader strategic and leadership responsibilities, guiding the company's overall operational success. Both roles require strong management skills and industry experience, but the COO has a higher level of authority and strategic influence.

What are Associate Chief Operating Officers?

Associate Chief Operating Officers (Associate COOs) are senior executives who support the Chief Operating Officer in managing the daily operations of an organization. They often oversee multiple departments, streamline processes, and implement strategic initiatives to improve efficiency and achieve organizational goals. Associate COOs collaborate with other leaders to ensure that the company's operations align with its mission, vision, and objectives. Their role may also include supervising teams, managing budgets, and ensuring compliance with policies and regulations.

What is the highest COO salary?

The highest COO salaries can exceed $1 million annually, especially in large corporations or industries like finance and technology. Compensation often includes base salary, bonuses, stock options, and other incentives, reflecting the executive's experience and company size.

What is a COO associate?

A COO associate is a professional who supports the Chief Operating Officer in managing daily operations, strategic planning, and process improvements within an organization. This role often involves data analysis, project management, and collaboration with various departments to ensure operational efficiency.
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Associate Chief Operating Officer jobs near you
Infographic showing various Associate Chief Operating Officer job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $53,254 per year, or $25.6 per hour.
Chief Operating Officer (COO)

Chief Operating Officer (COO)

National Coalition Of Healthcare Recruiters

Hauppauge, NY

$300K - $325K/yr

Full-time

Posted 25 days ago

Job description

(Only QUALIFIED Healthcare Professionals accepted) Hospital/Clinic - ASC Ambulatory Surgery Center - Chief Operating Officer (COO) -
Private EquityBacked Ophthalmology MSO | Multi-Site Operations | ASC Leadership | EBITDA Growth. This is a direct hire position.
Location: Hauppauge, Long Island (Suffolk County, NY) | Tri-State Area Preferred.
The Opportunity:
A rapidly expanding private equitybacked Management Services Organization (MSO) specializing in ophthalmology is seeking a seasoned, C-suite-level Chief Operating Officer (COO) to lead enterprise-wide operations across multiple physician practices and ambulatory surgery centers (ASCs).
Headquartered in Hauppauge, Long Island (Suffolk County), the organization is executing a disciplined buy-and-build growth strategy and preparing for its next equity event. The COO will serve as the primary execution leader of the value creation plan driving EBITDA expansion, operational standardization, and scalable infrastructure across the platform.
This is a highly visible leadership role with direct reporting to the Board and private equity sponsor.
What You Will Own:
Enterprise EBITDA & Performance Optimization:
Full accountability for enterprise EBITDA performance.
Margin expansion through labor efficiency, provider productivity, and ASC throughput optimization
Surgical block utilization and case flow improvement across ASCs
Cost discipline initiatives while maintaining clinical excellence
Multi-Site Operational Leadership:
Oversight of geographically dispersed ophthalmology practices and ASCs
Implementation of standardized operating models and KPI dashboards
Elimination of performance variability across locations
Development of repeatable operational playbooks
Private Equity & Investor Reporting:
Direct reporting to Board and PE stakeholders
Preparation and delivery of investor-level presentations.
Support upcoming equity partnership activity
Translation of operational strategy into measurable financial outcomes
M&A Integration & Platform Scale:
Lead operational diligence for acquisitions
Own post-close integration and synergy capture
Drive same-store growth across legacy practices
Support expansion initiatives across ASC and clinic footprint
Physician & Executive Alignment:
Align physician leaders around productivity and access standards
Balance autonomy with non-negotiable operational and financial metrics
Lead executive and site leadership teams with accountability and clarity
Required:
Current or former Chief Operating Officer (or true C-suite equivalent)
Experience within a private equitybacked, multi-site healthcare organization
Strong operational leadership across ambulatory or surgical environments
Demonstrated Board and PE reporting experience.
Proven ability to present to investors at a senior executive level
Preferred:
Ophthalmology experience (strong plus, not mandatory)
Ambulatory Surgery Center (ASC) leadership
Track record of EBITDA growth in a buy-and-build MSO model
Location & Travel Expectations:
Home base: Hauppauge, Long Island (Suffolk County, NY).
Candidates located within Manhattan, New Jersey, or Connecticut preferred
Full-time, on-site leadership presence expected.
Frequent travel to multiple ASCs and practice locations.
No relocation offered; overnight stays covered if within commuting distance.
Potential for partial remote flexibility after initial integration period.
Compensation:
Base Salary: $300,000 $325,000
Performance-based bonus (negotiable)
No equity at present; potential future opportunity tied to new equity partner.
Why This Role Is Compelling:
Direct seat at the executive table of a PE-backed ophthalmology platform
Strategic leadership role ahead of new equity event.
High-margin ASC environment with significant growth upside.
Visible position with Board and investor exposure.
Competitive executive compensation.
Call to Action:
If you are a decisive, metrics-driven healthcare executive with multi-site operational depth,this role is for you
National Coalition Of Healthcare Recruiters logo

About National Coalition Of Healthcare Recruiters

Sourced by ZipRecruiter

The National Coalition of Healthcare Recruiters (NCHCR) is an established company based in Blennerhassett, West Virginia that operates within the healthcare industry. With a commitment to maintaining high standards of professionalism, they offer specialized recruitment services to healthcare professionals and institutions across the country. Operating as a coalition, they implement a powerful networking platform to connect employers and job seekers in the healthcare sector. The organization’s mission revolves around ensuring that healthcare services across the nation have access to the best talent available and potential candidates can find rewarding opportunities.

Industry

Recruiting and staffing services

Company size

1 - 10 Employees

Headquarters location

Blennerhassett, WV, US

Year founded

2005

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