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Fractional Chief Operating Officer Jobs (NOW HIRING)

Fractional CFO

San Antonio, TX · On-site

$138 - $241/hr

Job Summary APHMC is seeking an experienced Fractional CFO with healthcare and preferably behavioral health experience to provide strategic financial oversight, improve operational visibility ...

Chief Operating Officer Department: Office of the President Reports to: President and CEO Pay Class: Full-time Regular FLSA Status: Salaried Exempt Schedule: Tuesday-Saturday About Pacific Science ...

Chief Operating Officer (COO)

Tuscaloosa, AL · On-site

$250 - $360/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Chief Operating Officer (COO)Skip to main content#Chief Operating Officer (COO) page is loaded## Chief Operating Officer (COO)Applylocations: United States - Tuscaloosa, ALtime type: Full timeposted ...

Chief Operating Officer (COO)

Irwindale, CA · On-site

  • Medical

  • Vision

  • Retirement

  • PTO

Chief Operating Officer (COO) - Human Ingenuity About Us: Human Ingenuity is a growing nutraceutical manufacturing company headquartered in Southern California. Our clients include the most trusted ...

$120K - $150K/yr

Reporting to the COO, this role operates as a strategic partner to the CEO and COO while remaining ... You will collaborate with our fractional CFO, manage our Senior Accountant/Financial Analyst, and ...

Chief Operating Officer

Seattle, WA · On-site

$190K - $220K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Chief Operating Officer Department: Office of the President Reports to: President and CEO Pay Class: Full-time Regular FLSA Status: Salaried Exempt Schedule: Tuesday-Saturday About Pacific Science ...

Chief Operating Officer (COO)

Irwindale, CA · On-site

  • Medical

  • Vision

  • Retirement

  • PTO

Chief Operating Officer (COO) - Human Ingenuity About Us: Human Ingenuity is a growing nutraceutical manufacturing company headquartered in Southern California. Our clients include the most trusted ...

Reporting to the COO, this role operates as a strategic partner to the CEO and COO while remaining ... You will collaborate with our fractional CFO, manage our Senior Accountant/Financial Analyst, and ...

As a Fractional CFO, you will work closely with businesses of different sizes (primarily SMBs of $5-100M), providing high-level financial guidance, strategic planning, and direction to ensure they ...

The Chief Operating Officer (COO) provides leadership and oversight of operations for CHRISTUS Good Shepherd Health System. The COO is responsible for promoting the CHRISTUS Health mission, core ...

As a Fractional CFO, you will work closely with businesses of different sizes (primarily SMBs of $5-100M), providing high-level financial guidance, strategic planning, and direction to ensure they ...

Chief Operating Officer

Longview, TX · On-site

$200 - $280/hr

The COO is responsible for promoting the CHRISTUS Health mission, core values and vision through effective operational processes. This leader is responsible for ensuring quality of care, service ...

Chief Operating Officer

Longmont, CO · On-site

$150 - $250/hr

The COO leads that transition, replacing informal, person-dependent processes with adaptive, AI-enabled systems that scale. The role is accountable for the design and deployment of IO's business ...

Showing results 41-60

Fractional Chief Operating Officer information

See salary details

$41.5K

$151.2K

$269.5K

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

As of Aug 14, 2026, the average yearly pay for fractional chief operating officer in the United States is $151,203.00, according to ZipRecruiter salary data. Most workers in this role earn between $111,500.00 and $185,000.00 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.
More about Fractional Chief Operating Officer jobs

What cities are hiring for Fractional Chief Operating Officer jobs?

Cities with the most Fractional Chief Operating Officer job openings:

What states have the most Fractional Chief Operating Officer jobs?

States with the most job openings for Fractional Chief Operating Officer jobs include:

What job categories do people searching Fractional Chief Operating Officer jobs look for?

The top searched job categories for Fractional Chief Operating Officer jobs are:

Infographic showing various Fractional Chief Operating Officer job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 4% Contract, and 1% Nights. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $151,203 per year, or $72.7 per hour.

Fractional CFO

Gofractional

San Antonio, TX • On-site

$138 - $241/hr

Other

Posted 8 days ago


Job description

Job Summary

APHMC is seeking an experienced Fractional CFO with healthcare and preferably behavioral health experience to provide strategic financial oversight, improve operational visibility, optimize revenue performance, and strengthen the financial infrastructure of our growing outpatient mental health practice.

The ideal candidate can assess both financial and operational workflows within a multi-provider outpatient behavioral health environment.

Duties
  • Conduct comprehensive financial review of the practice, including P&L, cash flow, balance sheet, and profitability analysis
  • Analyze current contractor compensation and payout structures
  • Develop financial projections and forecast models
  • Evaluate billing, reimbursement, collections, and overall revenue cycle performance to identify financial risks and optimization opportunities
  • Identify revenue leakage, inefficiencies, and workflow gaps impacting profitability
  • Create financial dashboards and KPI reporting tools
  • Recommend financially sustainable compensation structures
  • Partner with leadership to prioritize and implement operational and financial improvement initiatives
  • Advise clinic leadership on long-term growth and financial strategy
Preferred Qualifications
  • Prior experience as a Fractional CFO, Healthcare CFO, or Healthcare Finance Consultant
  • Experience working with mental health, psychiatry, or behavioral health practices
  • Strong understanding of insurance reimbursement and revenue cycle management (RCM)
  • Experience with contractor vs employee compensation structures
  • Experience building financial dashboards, KPI tracking, and forecasting models
  • Experience supporting growing or scaling healthcare practices preferred
  • Experience working with EHR/practice management systems and healthcare reporting analytics preferred
  • Strong communication and leadership skills
Compensation

$100.00 - $175.00 per hour - Part-time, Contract

Compensation will be based on experience, scope, and level of involvement.

Work Arrangement

Hybrid remote in San Antonio, TX 78216

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