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Freelance Fractional Coo Jobs (NOW HIRING)

NextPath Career Partners

COO (5590) (Miami)

Miami, FL · On-site

$200K - $220K/yr

NextPath Workforce Solutions is currently seeking a Chief Operating Officer (COO) to join our ... Oversee practical finance operations with fractional CFO support * Support hiring and lightweight H ...

Gofractional

Fractional CEO

Wakefield, MA · On-site

$103.32 - $123.98/hr

Previous CEO, President, COO, or senior executive experience * Proven track record scaling ... Fractional * Flexible schedule * Work at corporate office in Wakefield MA * Competitive hourly or ...

Gofractional

Fractional Chief Executive Officer

Crete, IL · On-site

$700 - $980/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Chief Operating Officer * Founder or Co‑Founder * Managing Director * Senior Executive ... The Founding Fractional Chief Executive Officer's annual base salary shall begin accruing ...

Gofractional

Fractional CFO

Commerce, CA · On-site

$108.76 - $130.98/hr

Fractional CFO, Restructuring through Stabilization The opportunity This is a dual-mandate role. In ... You'll work shoulder-to-shoulder with the Co-CEOs and COO as a true financial partner, not just a ...

Optima Office, Inc.

Fractional CFO (San Diego)

San Diego, CA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Optima Office is a female owned company that provides Outsourced Accounting, Fractional CFO and COO services along with Human Resources Support. We serve over 300 companies across the United States ...

LeaderFit

Chief Operating Officer, Hope Heals

Atlanta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Audit existing systems and programs for mission alignment and provide objective, data-informed recommendations Financial Oversight Financial management is led by a fractional CFO. The COO partners ...

LeaderFit

Chief Operating Officer, Hope Heals

Atlanta, GA · On-site

$120 - $150/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Audit existing systems and programs for mission alignment and provide objective, data-informed recommendations Financial management is led by a fractional CFO. The COO partners closely with the CFO ...

Civil CFO

Fractional CFO

Washington, DC · On-site +1

$305K/yr

Fractional CFO Services Employment Type: Full Time Location: Remote - US Reporting To: CEO ... Comfortable operating with limited time and imperfect information * Willing to be challenged ...

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Freelance Fractional Coo information

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How much do freelance fractional coo jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for freelance fractional coo in the United States is $47.71, according to ZipRecruiter salary data. Most workers in this role earn between $24.28 and $61.78 per hour, depending on experience, location, and employer.

What is a freelance fractional COO?

A freelance fractional COO is an experienced Chief Operating Officer who works with organizations on a part-time, contract, or project basis, rather than as a full-time employee. They provide executive-level operational leadership and strategic support, often for startups or small to medium-sized businesses that need expertise but do not require or cannot afford a full-time COO. Their responsibilities may include streamlining processes, improving efficiency, managing teams, and supporting company growth. By working with multiple clients, they bring broad industry knowledge and flexibility to each engagement.

What are the key skills and qualifications needed to thrive as a freelance fractional COO?

To thrive as a Freelance Fractional COO, you need extensive operational leadership experience, strong business acumen, and a proven track record in scaling organizations, typically supported by a relevant degree or MBA. Familiarity with project management tools, ERP systems, and financial analysis software is often required to optimize business processes. Exceptional communication, adaptability, and strategic problem-solving skills help you build trust and drive change across diverse teams and client environments. These abilities are crucial for delivering measurable operational improvements and ensuring client organizations achieve their growth goals.

What are some common challenges freelance fractional COOs face when integrating into multiple organizations simultaneously?

Freelance Fractional COOs often juggle the unique cultures, processes, and expectations of several organizations at once. This requires quickly building trust with diverse teams, understanding varying business models, and adapting operational strategies accordingly. Time management and communication are crucial, as overlapping deadlines and priorities can arise. Successful Fractional COOs stay organized, set clear boundaries, and prioritize transparent communication to ensure each client receives the support they need.

What is the difference between Freelance Fractional Coo vs Business Consultant?

AspectFreelance Fractional CooBusiness Consultant
CredentialsExperience in operations, leadership, and industry-specific knowledgeVaries; often includes business degrees, certifications, or specialized expertise
Work EnvironmentProject-based, often remote, working directly with executive teamsAdvisory role, may work independently or within consulting firms
Employer & Industry UsageUsed by startups, SMBs, and companies seeking operational leadership on a part-time basisHired by organizations for strategic advice, process improvement, and growth strategies

While both roles involve strategic input, a Freelance Fractional Coo focuses on operational leadership and hands-on management, whereas a Business Consultant provides strategic advice and recommendations without direct operational oversight.

More about Freelance Fractional Coo jobs

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What are the most commonly searched types of Fractional Coo jobs?

The most popular types of Fractional Coo jobs are:

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States with the most job openings for Freelance Fractional Coo jobs include:

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Freelance Fractional Coo jobs near you
Infographic showing various Freelance Fractional Coo job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $99,230 per year, or $47.7 per hour.

Fractional Chief Operations Officer (COO)

Gofractional

Santa Monica, CA • On-site

$90 - $120/hr

Other

Posted 4 days ago

Job description

Fractional Chief Operating Officer (COO) – Dermatology Practice (Santa Monica, CA)

Role Overview

The Fractional COO will work directly with the owner to optimize operations, improve profitability, reduce inefficiencies, reduce day-to-day owner involvement and strengthen team performance while maintaining a high-touch, "white-glove" patient experience.

Estimated commitment: ~20-25 hours per week

Key Responsibilities1. Operational Leadership & Oversight
  • Oversee day-to-day operations of front and back office teams
  • Ensure smooth clinic flow, provider support, and patient experience
  • Identify inefficiencies and implement scalable systems and workflows
  • Maintain a high standard of professionalism and accountability across staff
2. Financial & Performance Management
  • Monitor key metrics
  • Identify revenue leakage (uncollected balances, underutilized schedules, etc.)
  • Partner with billing and accounting teams to improve collections and reduce A/R
  • Provide regular reporting and actionable insights to ownership
  • Use data-driven insights to make informed decisions and drive continuous improvement.
3. Staffing, Culture & Accountability
  • Oversee staffing structure, scheduling, and coverage
  • Address performance issues proactively and professionally
  • Implement clear expectations, KPIs, and accountability systems for team members
  • Support hiring, onboarding, and training processes
  • Foster a positive but high-performance culture
4. Systems & Process Optimization
  • Evaluate and improve existing systems (EMR, scheduling, patient communication tools)
  • Implement standard operating procedures (SOPs) across departments
  • Reduce waste (supplies, time, inefficiencies)
  • Improve coordination between front and back office teams
5. Vendor & Cost Management
  • Review vendor contracts and expenses (software, supplies, services)
  • Identify opportunities to reduce overhead without compromising quality
  • Negotiate and manage vendor relationships
6. Social Media and Marketing
  • Oversee and improve the practice's social media presence.
Qualifications
  • Proven experience as a Chief Operating Officer or similar role in a healthcare setting, preferably within dermatology or a related field.
  • Excellent financial acumen with a track record of improving revenue and reducing costs.
  • Demonstrated ability to lead and inspire a diverse team.
  • Exceptional communication and interpersonal skills.
  • Strategic thinker with a track record of successful planning and execution.
Compensation
  • 1099 compensation will be tailored based on experience and may include performance-based incentives tied to key operational and financial metrics.
Work Arrangement
  • In-person (not remote)
  • Part-time
  • Location: 2001 Santa Monica Boulevard, Santa Monica, CA 90404
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