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Director Practice Operations Jobs (NOW HIRING)

Practice Director

Newton Center, MA · On-site

$120K - $130K/yr

The Practice Director provides leadership to the Practice's business operations by ensuring that the Practice has effective and efficient managers and support staff who consistently achieve the ...

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$34K

$107.7K

$179.5K

How much do director practice operations jobs pay per year?

As of May 31, 2026, the average yearly pay for director practice operations in the United States is $107,680.00, according to ZipRecruiter salary data. Most workers in this role earn between $75,500.00 and $135,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Director of Practice Operations, and why are they important?

To thrive as a Director of Practice Operations, you need strong leadership, healthcare management expertise, and a background in business administration or a related field, often supported by a bachelor’s or master’s degree. Familiarity with practice management software, electronic health records (EHR), and regulatory compliance systems is typically required. Exceptional communication, problem-solving abilities, and organizational skills distinguish top performers in this role. These competencies are crucial for ensuring efficient clinic operations, regulatory adherence, and high-quality patient care.

What are some common challenges faced by a Director of Practice Operations, and how can they be effectively managed?

A Director of Practice Operations often faces challenges such as balancing operational efficiency with high-quality patient care, managing diverse teams, and adapting to rapid changes in healthcare regulations. Success in this role typically requires strong communication skills, the ability to implement process improvements, and expertise in change management. Building collaborative relationships with clinical and administrative staff, regularly reviewing workflows, and staying updated on industry best practices can help address these challenges and drive overall practice success.

What are Director Practice Operations?

A Director of Practice Operations is a senior management professional responsible for overseeing the daily operations of medical practices or healthcare clinics. They ensure that the practice runs efficiently by managing staff, budgeting, compliance, and patient services. Their role may include implementing policies, optimizing workflows, and maintaining quality standards to improve both patient care and business performance. Typically, they work closely with physicians, administrative teams, and other healthcare leaders to meet organizational goals and regulatory requirements.

What is the difference between Director Practice Operations vs Practice Manager?

AspectDirector Practice OperationsPractice Manager
ResponsibilitiesOversees multiple practices or departments, strategic planning, high-level decision makingManages daily operations of a single practice, staff supervision, patient flow
CredentialsOften requires advanced degrees (e.g., MBA, healthcare administration), extensive experienceTypically requires healthcare management experience, certifications like CMA or CPC
Work EnvironmentCorporate or multi-site healthcare settings, executive levelSingle practice or clinic, operational focus

The main difference is that a Director Practice Operations focuses on strategic oversight across multiple practices, while a Practice Manager handles daily operations within a single practice. The director role involves higher-level planning and decision-making, often requiring advanced credentials, whereas the practice manager concentrates on staff management and patient services.

More about Director Practice Operations jobs
What cities are hiring for Director Practice Operations jobs? Cities with the most Director Practice Operations job openings:
What are the most commonly searched types of Practice Operations jobs? The most popular types of Practice Operations jobs are:
What states have the most Director Practice Operations jobs? States with the most job openings for Director Practice Operations jobs include:
What job categories do people searching Director Practice Operations jobs look for? The top searched job categories for Director Practice Operations jobs are:
Infographic showing various Director Practice Operations job openings in the United States as of May 2026, with employment types broken down into 94% Full Time, 4% Part Time, and 2% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $107,680 per year, or $51.8 per hour.

Practice Operations Manager

RMJ Consultant LLC

Houston, TX • On-site

Full-time

Posted 5 hours ago


Job description

About RMJ Consultant

RMJ Consultant is a fast-growing, multi-service accounting and tax advisory firm based in Houston, TX. We provide tax preparation, tax planning, tax resolution, bookkeeping, CFO advisory, and advanced financial strategy services to business owners and high-income professionals.

We are entering a scale and acquisition phase, with plans to grow through both organic expansion and firm acquisitions. We are seeking a senior operator who can run the firm day-to-day, build systems, lead teams, and drive performance—allowing the Founder to focus on growth, capital, and strategy.

Role Summary

The Director of Operations / Managing Director will serve as the #2 executive and be responsible for running RMJ Consultant’s operations end-to-end. This role owns execution, people, systems, and performance.

This is not an administrative office manager role. The ideal candidate has a strong accounting or tax firm background, understands how professional service firms operate, and can both lead strategically and execute tactically when needed.

Key Responsibilities

Firm Operations & Execution

  • Oversee all daily operations of the accounting and tax practice

  • Ensure timely, accurate delivery of tax preparation, planning, bookkeeping, and advisory services

  • Manage workflows during tax season and off-season

  • Handle complex client escalations and operational decision-making

  • Step into technical or review work when required

SOPs, Systems & Process Design

  • Build, document, and maintain SOPs for:

    • Tax preparation & review

    • Tax planning & advisory

    • Bookkeeping & CFO services

    • Client onboarding & communication

    • Quality control and compliance

  • Reduce founder dependency through systemization

  • Implement operational tools and workflows to improve efficiency

KPIs, Performance & Profitability

  • Design and track KPIs including:

    • Revenue per client

    • Turnaround time

    • Error and rework rates

    • Client retention

    • Upsell and cross-sell conversion

  • Monitor margins and operational efficiency

  • Deliver weekly and monthly performance reports to leadership

Team Leadership & Talent Management

  • Lead and manage staff (tax preparers, bookkeepers, VAs, contractors)

  • Onboard, train, and develop team members

  • Enforce accountability, quality standards, and firm culture

  • Participate in hiring, performance management, and termination decisions

Growth & Expansion Support

  • Support implementation of higher-value services (tax planning, tax resolution, CFO advisory, insurance integration where compliant)

  • Assist with onboarding and integration of acquired firms

  • Prepare RMJ Consultant to scale from hundreds to thousands of clients annually

  • Help position the firm as acquisition-ready and institution-grade

Qualifications

Required

  • 5+ years of experience in an accounting or tax firm environment

  • Strong understanding of tax operations and professional services workflows

  • Proven experience managing teams and firm operations

  • Ability to both lead strategically and execute hands-on when needed

Strongly Preferred

  • CPA or Enrolled Agent (EA)

  • Prior role as Operations Manager, Practice Manager, Senior Manager, or Director

  • Experience in a $1M+ revenue accounting or tax firm

  • Exposure to tax planning, advisory, or firm acquisitions