Chief Operating Officer

Multi-Site Dental Group — Onsite, Chico, CA

We are Kremer Dental Care, a people-first dental group based in Chico, California, with ~55 team members, a thriving practice, and an ambition to grow through thoughtful practice acquisitions. We are a Dental Partnerships Organization (DPO) on a mission to preserve private practice dentistry in our region — we are not private equity backed. We believe dentists, not investors, should own the future of dentistry.

We run on EOS/Traction, and we're looking for our Integrator — a hands-on operational leader who knows how to turn strategy into profit while protecting what makes private practice dentistry worth preserving.

Where we're going: We plan to triple in size over the next 5–7 years, including expansion outside of California. Our Integrator will be the operational engine behind that growth.

We lead with HEART: Honest & Kind, Evolving & Innovative, Accountable, Results Driven, Team Player. These aren't words on a wall — they're how we hire, coach, and hold each other accountable. Our Integrator has to live them every day.

This is not a desk role. This is not a “meetings all day” executive job.

This role is for someone who understands dentistry at the ground level, can walk into a practice, see where money is leaking, where systems are broken, where teams are stuck — and knows exactly how to fix it.

You will report directly to the Owner/Visionary and work inside the practices alongside Office Managers and clinical teams to drive:

• Revenue growth
• Operational excellence
• Accountability
• Culture
• Profitability across all locations
• Successful integration of newly acquired practices
• Geographic expansion beyond California

You must know multi-site dentistry. You must love being onsite. You must be obsessed with people, processes, and performance.

• Driving profit across Marketing, HR, Operations, and Finance
• Standardizing systems and SOPs across all practices
• Coaching and directly managing Office Managers to run high-performing practices
• Leading a team of ~55 employees across 4 locations (directly and indirectly)
• Improving production, collections, scheduling efficiency, case acceptance, hygiene reappointment, new patient flow, and overhead percentage
• Fixing broken processes and implementing proven ones
• Leading change inside the practices, not from a distance
• Creating accountability through metrics, scorecards, and weekly L10 meetings
• Owning the integration playbook for newly acquired practices
• Partnering with the Visionary on acquisition targets, due diligence, and post-close transitions
• Protecting and reinforcing our HEART culture as we grow
  

• You have run multi-site dental operations
• You can read a P&L and immediately know what's wrong
• You know how to increase production without burning out the team
• You believe in preserving private practice dentistry and are energized by an owner-led, non-PE-backed growth story
• You're excited by the challenge of scaling a dental group across multiple states
• Honest & Kind — you tell the truth directly without being harsh
• Evolving & Innovative — you're always learning and improving
• Accountable — you own outcomes and hold others to the same standard
• Results Driven — you measure what matters and hit the number
• A Team Player — you win with the team, not around them
• You prefer being in the field rather than behind a computer
• You have successfully led change in dental practices before
• You are fluent in EOS/Traction or a similar operating system
• You are comfortable with practice management software (Dentrix, Eaglesoft, Open Dental, or similar) and modern dental tech stacks
  

• You roll up your sleeves and lead both strategically and operationally 
• You have deep, hands-on knowledge of dentistry 
• You energize teams by being present and onsite with them
• You lean into hard conversations with courage and candor
• You get things done resourcefully, without relying on a large support structure
• Our HEART values feel like a natural reflection of how you already show up
  

• 5 years in multi-site dental operations leadership
• Strong understanding of dental KPIs: production, collections, hygiene reappointment, case acceptance, scheduling efficiency, overhead %, new patient flow
• Experience directly coaching and managing Office Managers
• Ability to read and interpret practice P&Ls and drive EBITDA improvement
• Proven track record of improving practice profitability
• Comfortable working onsite in practices regularly
• Fluency in practice management software and dental-specific technology
  

• Experience integrating newly acquired dental practices
• Background running on EOS/Traction as an Integrator
• Prior experience inside a DSO, DPO, or emerging dental group
• Experience opening or operating dental practices in multiple states (multi-state compliance, licensing, and payer contracting)
• Familiarity with dental-specific marketing and patient acquisition
• Prior experience as an Office Manager or Regional Manager before moving into operations leadership
  

This is an onsite role based in Chico, CA. You'll be in the practices multiple days per week. Relocation support available for the right candidate.

• Total cash compensation: $150,000 – $200,000 (competitive base plus performance-based incentives tied to EBITDA, collections growth, and integration milestones)
• Equity or profit-sharing opportunity for the right candidate as we grow
• Health benefits, PTO, 401(k)
• Car/mileage allowance for multi-site travel
• Relocation support available

This is a high-impact leadership role for someone who wants to build something meaningful and profitable — and be rewarded for their results. If you lead with HEART and know how to run dental practices, we want to talk.