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Fractional Coo Jobs in Raleigh, NC (NOW HIRING)

Chief Operating Officer Location: Durham, NC Salary: Competitive Base Salary + Performance Bonus + Benefits Benefits: Medical, Dental, Vision, Disability, 401k w/ Match, PTO Job Type: Full-Time ...

Chief Operating Officer

Durham, NC · On-site

$180 - $240/hr

Chief Operating Officer Location: Durham, NC Salary: Competitive Base Salary + Performance Bonus + Benefits Benefits: Medical, Dental, Vision, Disability, 401k w/ Match, PTO Job Type: Full-Time ...

New

Chief Operating Officer

Durham, NC · On-site

$180 - $200/hr

* Base Pay $180,000.00 - $200,000.00 / Year Description Position Summary The Chief Operating Officer (COO) is responsible for providing executive leadership and strategic direction to drive ...

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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.

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 Coo information

What is a fractional COO?

A Fractional COO is an experienced Chief Operating Officer who works with a company on a part-time or contract basis to provide strategic leadership and operational management. They help streamline processes, improve efficiency, and drive growth without the cost of a full-time executive. This role is ideal for businesses that need high-level expertise but don’t require or can't afford a full-time COO. Fractional COOs often work with multiple companies and bring diverse industry experience. They focus on aligning operations with business goals to drive sustainable success.

How does a fractional COO typically collaborate with company leadership and teams?

A Fractional COO works closely with the CEO, founders, and executive teams to identify operational bottlenecks and implement effective solutions. They often lead or participate in leadership meetings, facilitate cross-functional projects, and support team members in aligning with organizational goals. Since the role is part-time or project-based, strong communication and prioritization are essential to quickly build trust and deliver value. Fractional COOs may mentor internal managers or help establish processes to ensure long-term operational health after their engagement ends.

What are the key skills and qualifications needed to thrive as a fractional COO, and why are they important?

To thrive as a Fractional COO, you need extensive experience in operations management, business strategy, and leadership, often substantiated by a relevant degree and a proven executive track record. Familiarity with ERP systems, project management tools, and key performance indicator (KPI) dashboards is typically required. Exceptional communication, adaptability, and stakeholder management are crucial soft skills for success in this role. These competencies enable a Fractional COO to quickly assess organizational needs, drive operational improvements, and deliver impactful results within a limited engagement period.

What are popular job titles related to Fractional Coo jobs in Raleigh, NC?

For Fractional Coo jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Fractional Coo jobs in Raleigh, NC look for?

The top searched job categories for Fractional Coo jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Fractional Coo jobs?

Cities near Raleigh, NC with the most Fractional Coo job openings:

Infographic showing various Fractional Coo job openings in Raleigh, NC as of August 2026, with employment types broken down into 95% Full Time, 3% Part Time, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution.

Chief Operating Officer

Durham, NC

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago


Job description

Chief Operating Officer
Location: Durham, NC
Salary: Competitive Base Salary + Performance Bonus + Benefits
Benefits: Medical, Dental, Vision, Disability, 401k w/ Match, PTO
Job Type: Full-Time 
Typical Hours: 8am-5pm, Monday - Friday
Start Date: ASAP 
Sponsorship: Not Available

Chief Operating Officer Description

Our client, a privately held medical diagnostics company, is entering an exciting new chapter and looking for a Chief Operating Officer to take the reins of the business. With a small, close-knit team, a strong customer base, and an expanding product pipeline, the founder is preparing to step back from the day-to-day operation of the business.  

This is a hands-on leadership role for an entrepreneurial leader who can move comfortably between strategy and execution - leading people, managing projects, understanding the numbers, maintaining regulatory standards, and driving growth. This is a phenomenal opportunity to step into a key leadership role with meaningful responsibility and autonomy in running an established, profitable company while helping shape its next chapter.

Chief Operating Officer Responsibilities

•    Lead the day-to-day operations and overall performance of the business 
•    Develop and execute business strategies that support growth and long-term objectives
•    Lead, develop, and hold a small team accountable to clear goals, priorities, and deadlines
•    Maintain a culture of accountability through regular communication, follow-up, and a hands-on management style 
•    Manage projects, priorities, resources, and timelines to ensure successful execution
•    Oversee operations, manufacturing, quality, product development, and administrative functions
•    Ensure compliance with FDA requirements and maintain strong quality systems
•    Monitor financial performance, budgets, expenses, and cash flow in partnership with outside CPA and accounting resources 
•    Identify opportunities to improve efficiency, profitability, and organizational performance

Chief Operating Officer Qualifications

•    Scientific background required
•    Experience managing a small company, a division, or a business unit required
•    Working knowledge of quality systems and FDA regulatory requirements required
•    Demonstrated ability to lead, motivate, and hold employees accountable required
•    Proven project management skills with the ability to manage multiple priorities and drive projects to completion required
•    Financial and accounting literacy to understand budgets and business performance required

Employment Type: FULL_TIME