Demo

Chief Operating Officer

Aquario Dental
Houston, TX Full Time | Contractor
POSTED ON 9/6/2026
AVAILABLE BEFORE 1/4/2027

We are a multi-location group of pediatric dental offices committed to delivering exceptional patient care while building a high-performance clinical and business culture. Our practices combine pediatric dentistry with strong operational systems to create outstanding patient experiences and sustainable growth.

We are seeking a Chief Operating Officer to lead operations across our 4 dental practices, develop scalable systems, and help drive the next phase of growth.

This is an opportunity for a strong operator to partner with ownership and build a best-in-class dental organization.

Position Overview

The COO will oversee the day-to-day operations of all the dental practices and ensure each location operates efficiently, profitably, and consistently with our standards of care and culture.

The candidate will work closely with ownership and clinical leadership to drive operational excellence, improve financial performance, and support practice growth.

Key Responsibilities

Operational Leadership

· Oversee operations across multiple dental practice locations (4 dental practices)

· Develop and maintain current standardized systems and processes for all offices

· Ensure consistent patient experience and clinical support

· Monitor KPIs across the organization

Financial Performance

· Drive revenue growth and improve EBITDA margins

· Manage budgets, cost controls, and operational efficiency

· Analyze practice KPIs including:

o Production & collections

o Case acceptance

o Provider productivity

o Overhead control

Team Leadership

· Lead and develop office managers

· Build a high-accountability culture focused on performance and patient care

Growth & Strategy

· Help identify and integrate new practice acquisitions

· Improve operational scalability as the organization grows

Systems & Process Improvement

· Optimize scheduling systems and patient flow

· Improve billing, collections, and insurance processes

· Implement operational dashboards and reporting

Compliance & Quality

· Ensure compliance with all healthcare regulations (HIPAA, OSHA, etc.)

· Maintain high standards of patient care and clinical support

Qualifications

Required

· 5 years senior operational leadership experience

· Experience managing multi-location dental practices

· Strong financial acumen and ability to manage P&L performance

· Experience leading large teams and developing leaders

· Proven track record improving operational performance

Preferred

· Experience in Dental Service Organizations (DSOs)

· MBA, MHA, or similar business training

· Experience scaling healthcare organizations

Ideal Candidate

The ideal candidate is a systems-driven operator who can bring structure, accountability, and leadership to a growing dental organization. This role requires the candidate to be on-site, this is NOT a remote position. We need boots on the ground!

They should be comfortable managing multiple locations, analyzing financial performance, and developing strong office leadership teams.

Pay: $100,000.00 - $200,000.00 per year

Application Question(s):

  • How many years have you managed multi-location dentistry?
  • What size P&L (in annual revenue) have you directly managed, and for how long did you manage it?

Work Location: In person

Salary : $100,000 - $200,000

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