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Fractional Chief Operating Officer Jobs in Raleigh, NC

CEO

Angier, NC · On-site

$300K - $400K/yr

Proven experience in a senior executive leadership role, preferably as a CEO, COO, or equivalent. * Bachelor's degree in Business Administration, Management, Finance, or a related field; MBA or ...

Posted today

CEO

Fuquay Varina, NC · On-site

$300K - $400K/yr

Proven experience in a senior executive leadership role, preferably as a CEO, COO, or equivalent. * Bachelor's degree in Business Administration, Management, Finance, or a related field; MBA or ...

Posted today

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.

Chief Medical Officer

Chapel Hill, NC · On-site

$288 - $352/hr

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.

New

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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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 5, 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 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:
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.

$300K - $400K/yr

Full-time

Posted 19 hours ago

Posted today


Job description

The CEO oversees strategic growth, financial performance, and daily business operations.

Strategic Leadership

  • Vision and Growth: Set 3-to-5-year plans for opening new locations, scaling operations, or preparing the group for partnership.
  • Culture Builder: Shape a positive workplace culture focused on high staff retention and exceptional patient care.
  • Board Relations: Report major milestones, performance metrics, and financial status directly to the board of directors.

Financial and Operations Management

  • P&L Mastery: Manage consolidated profit and loss statements, budgeting, cash flow, and overhead costs. Managing and overseeing (EBITDA)
  • Process Optimization: Implement centralized billing, scheduling, and administrative systems to drive efficiency across clinics.
  • Compliance: Ensure all offices follow state, federal, and healthcare regulatory standards, including OSHA, HIPAA, and state dental board rules.

Team and Resource Management

  • Executive Oversight: Supervise key leaders on the corporate team.
  • Recruitment Strategy: Oversee high-level talent acquisition for both administrative staff and clinical staff.

Minimum Qualifications:

  • Proven experience in a senior executive leadership role, preferably as a CEO, COO, or equivalent.
  • Bachelor’s degree in Business Administration, Management, Finance, or a related field; MBA or advanced degree preferred.
  • Demonstrated success in developing and executing strategic business plans.
  • Strong financial acumen with experience managing budgets and financial performance.
  • Excellent communication, negotiation, and interpersonal skills.

Preferred Qualifications:

  • Experience leading a company within the dental field.
  • Track record of driving organizational growth and innovation.
  • Familiarity with corporate governance and board relations.
  • Experience in managing large, diverse teams across multiple locations.
  • Advanced certifications or training in leadership, strategy, or corporate governance.