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Fractional Chief Operating Officer Jobs in Raleigh, NC

Well

Chief Medical Officer

Chapel Hill, NC · On-site

$320K/yr

Reporting directly to the President (with operational alignment to the COO), this role sits at the intersection of clinical science, regulatory integrity, product innovation and commercial growth.

Cache Ventures

VP of Operations

Raleigh, NC · On-site +1

Not corporate COO * Not process theater * Not a founder babysitter * Not maintenance mode We want a builder. Someone who has: * Cleaned up messy CRMs * Killed fake optimism in forecasts * Reduced ...

Cache Ventures

VP of Operations

Raleigh, NC · Remote

Not corporate COO * Not process theater * Not a founder babysitter * Not maintenance mode We want a builder. Someone who has: * Cleaned up messy CRMs * Killed fake optimism in forecasts * Reduced ...

Cache Ventures

VP of Operations

Raleigh, NC · Remote

Not corporate COO * Not process theater * Not a founder babysitter * Not maintenance mode We want a builder. Someone who has: * Cleaned up messy CRMs * Killed fake optimism in forecasts * Reduced ...

Cache Ventures

Director of Operations

Raleigh, NC · Remote

Not corporate COO * Not process theater * Not a founder babysitter * Not maintenance mode We want a builder. Someone who has: * Cleaned up messy CRMs * Killed fake optimism in forecasts * Reduced ...

Cache Ventures

Head of Operations

Raleigh, NC · Remote

Not corporate COO * Not process theater * Not a founder babysitter * Not maintenance mode We want a builder. Someone who has: * Cleaned up messy CRMs * Killed fake optimism in forecasts * Reduced ...

Cache Ventures

Director of Operations

Raleigh, NC · Remote

Not corporate COO * Not process theater * Not a founder babysitter * Not maintenance mode We want a builder. Someone who has: * Cleaned up messy CRMs * Killed fake optimism in forecasts * Reduced ...

Cache Ventures

Head of Operations

Raleigh, NC · Remote

Not corporate COO * Not process theater * Not a founder babysitter * Not maintenance mode We want a builder. Someone who has: * Cleaned up messy CRMs * Killed fake optimism in forecasts * Reduced ...

Cache Ventures

Head of Operations

Raleigh, NC · On-site +1

Not corporate COO * Not process theater * Not a founder babysitter * Not maintenance mode We want a builder. Someone who has: * Cleaned up messy CRMs * Killed fake optimism in forecasts * Reduced ...

Cache Ventures

Director of Operations

Raleigh, NC · On-site +1

Not corporate COO * Not process theater * Not a founder babysitter * Not maintenance mode We want a builder. Someone who has: * Cleaned up messy CRMs * Killed fake optimism in forecasts * Reduced ...

Ivy Way Placements

Client Service Associate

Raleigh, NC · On-site

$80K - $92K/yr

If becoming a CFP ® , CFA ® , CIO, COO, or senior leader is part of your career vision, you'll have the opportunity to learn from experienced professionals who genuinely want to help you succeed.

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Fractional Chief Operating Officer information

See Raleigh, NC salary details

$40.3K

$147K

$262K

How much do fractional chief operating officer jobs pay per year?

As of Aug 2, 2026, the average yearly pay for fractional chief operating officer in Raleigh, NC is $146,981.00, according to ZipRecruiter salary data. Most workers in this role earn between $108,400.00 and $179,800.00 per year, depending on experience, location, and employer.

How does a Fractional Chief Operating Officer typically balance responsibilities across multiple clients, and what should applicants expect in terms of workload and collaboration?

A Fractional Chief Operating Officer (COO) often works with several organizations simultaneously, dedicating a set number of hours or days to each client based on their needs. This requires excellent time management and the ability to quickly adapt to different company cultures and operational structures. Applicants can expect to focus on high-impact strategic initiatives, streamline operations, and collaborate closely with executive teams and department heads. Frequent communication, flexibility, and prioritization skills are essential, as is the capacity to build trust and deliver results without being embedded full-time at any one company.

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

AspectFractional Chief Operating OfficerChief Operating Officer
CredentialsExperience in operations, often with industry-specific knowledgeAdvanced degree or extensive experience in operations leadership
Work EnvironmentPart-time, consulting basis, often with multiple clientsFull-time, in-house executive role within a single organization
Employer & Industry UsageStartups, small to mid-sized companies seeking flexible leadershipLarge corporations, established companies with dedicated executive teams
Search & Comparison IntentLooking for flexible operational leadership optionsSeeking a full-time, strategic operations leader

The main difference is that a Fractional Chief Operating Officer provides part-time, flexible operational leadership often on a consulting basis, while a Chief Operating Officer is a full-time, in-house executive responsible for the company's overall operations.

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

To thrive as a Fractional Chief Operating Officer, you need extensive operational management experience, strategic planning abilities, and a strong track record in leadership, often supported by a business degree or relevant certifications. Familiarity with project management software, CRM systems, and data analytics tools is common for optimizing operations and driving results. Exceptional communication, adaptability, and problem-solving skills help build trust quickly and drive change across diverse teams. These competencies are crucial for delivering measurable improvements and scalable growth within organizations on a part-time or contract basis.

What is a Fractional Chief Operating Officer?

A Fractional Chief Operating Officer (COO) is an experienced executive who works part-time or on a contract basis to help organizations manage their daily operations and improve business processes. Unlike a full-time COO, a fractional COO typically serves multiple clients and provides strategic leadership, operational oversight, and process optimization without the long-term commitment or cost of a full-time hire. This arrangement is especially valuable for growing companies that need executive expertise but aren’t ready or able to hire a full-time COO.
What are popular job titles related to Fractional Chief Operating Officer jobs in Raleigh, NC? For Fractional Chief Operating Officer jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Fractional Chief Operating Officer jobs in Raleigh, NC look for? The top searched job categories for Fractional Chief Operating Officer jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Fractional Chief Operating Officer jobs? Cities near Raleigh, NC with the most Fractional Chief Operating Officer job openings:
Fractional Chief Operating Officer jobs near you
Infographic showing various Fractional Chief Operating Officer job openings in Raleigh, NC as of July 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 100% In-person job distribution, with an average salary of $146,981 per year, or $70.7 per hour.

Chief Medical Officer

Well

Chapel Hill, NC • On-site

$320K/yr

Full-time

Posted 12 days ago

Job description

Description
Company: Well is a healthcare innovation company with the heart of a services organization and the DNA of a SaaS platform. Our Dynamic Engagement System transforms workforce health by uniting AI, human guidance, and proven behavioral science to reduce costs, improve outcomes, and create resilient, thriving workforces. We partner with the world's largest, most sophisticated employers and the consultants who advise them. We're a highly diverse and engaged organization whose employees are passionate about the mission of the company and whose management is passionate about the employees. We promote an employee- and member-centric culture with generous benefits, which you can learn more about here: https://www.well.co/careers.
Position Title: Chief Medical Officer (CMO)
Reporting to: President
Location: Strong preference for Chapel Hill, NC but will consider Boston, MA or New York, NY
Compensation: $320,000 per year, plus bonus potential
This position can be full-time or part-time if the right candidate has the desire to maintain independent medical practice or external clinical commitments. If part-time, the compensation will be prorated accordingly.
Job Summary:
The Chief Medical Officer (CMO) serves as a clinical strategist, organizational leader, and a primary external market authority for Well. Reporting directly to the President (with operational alignment to the COO), this role sits at the intersection of clinical science, regulatory integrity, product innovation and commercial growth. The CMO provides executive clinical oversight, defines physical health strategy, partners with leadership to shape the platform vision, and serves as an essential external voice to support growth and clients. By establishing the evidence-based guardrails of our platform and safely integrating AI capabilities into our product strategy, the CMO ensures that Well's technology-driven approach delivers clinically sound improvements that health plans and jumbo employers trust.
Responsibilities
Clinical Oversight, Strategy & Operating Parameters
  • Establish and maintain the specific medical parameters, standards of care, and evidence-based interventions for physical health conditions.
  • Enforce Well's clinical boundaries, ensuring the platform and its digital workflows do not cross into diagnosis, treatment, or medical advice.
  • Co-Chair Well's Clinical Advisory Board, cultivating strategic relationships with healthcare partners, external medical advisors, and other key network members.
  • Develop and maintain robust clinical safety protocols for members in crisis, defining clear escalation pathways to external care networks.
  • Stay abreast of the evolving regulatory landscape (including FDA digital health guidance and FTC rules) and proactively advise executive leadership on compliance implications.

Market Leadership & Growth Support
  • Act as a credible public-facing expert and clinical voice representing the company to external stakeholders, including customers, C-suite prospects (CHROs, Benefits VPs, and CFOs), strategic partners, and the media.
  • Partner directly with Growth, Client Success, and senior leaders to build trust with sophisticated buyers, providing the deep clinical domain expertise required to navigate high-stakes sales consultations.
  • Author high-impact research and white papers to position Well as a leader in clinical rigor, and actively participate in client-sponsored clinical audits to demonstrate program validity.
Product Strategy & AI Innovation
  • Product Vision & Roadmapping: Serve as a core clinical advisor to the long-term product vision and roadmap, ensuring they are deeply rooted in clinical validity, behavioral science, and user safety.
  • AI Integration & Strategy: Collaborate closely with product leaders to guide the strategic deployment of AI, ensuring models enhance member engagement and health outcomes without compromising clinical safety.
  • Feature Conceptualization: Partner with product managers to translate complex medical guidelines into intuitive, scalable digital features and workflows that drive measurable health outcomes.

Clinical Governance & Leadership
  • Report to the President and formulate high-level clinical strategy and provide clinical support for cross-functional initiatives.
  • Support the VP, Clinical Programs and Behavior Change with clinical consultation on day-to-day pathways, content review, and escalations as needed.

Requirements
  • Advanced Clinical Credentials: Must hold an MD or DO degree with an active medical license (allowing for continued partial medical practice).
  • Cross-Functional Executive Experience: Proven ability to work as a collaborative executive partner within a fast-paced environment; expert at influencing cross-functional outcomes (such as product alignment) through clinical authority and credibility.
  • Digital Health & AI Literacy: Prior leadership experience within a high-growth health tech, managed care, or digital health environment. Must possess a strong understanding of SaaS product development lifecycles and experience guiding AI/machine learning applications in a clinical or wellness context.
  • Regulatory Track Record: Practical knowledge of FDA and FTC regulatory frameworks for digital health, digital therapeutics, and AI-driven healthcare tools.
  • Exceptional Market Orientation: Demonstrated comfort with high-stakes sales consultations, public speaking, client engagement, and writing for industry forums.
  • The "Bilingual" Executive: Proven ability to translate complex health parameters and scientific evidence into a compelling commercial and strategic narrative for non-clinical business leaders.
  • Time Commitment Balance: If Part-Time, the ability to reliably commit 20-25 hours per week to Well's strategic needs while successfully managing independent practice or external clinical commitments.

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