Chief Operating Officer (COO)Private Equity–Backed Ophthalmology MSO | Multi-Site Operations | ASC Leadership | EBITDA Growth. This is a direct hire position.Location: Hauppauge, Long Island (Suffolk County, NY) | Tri-State Area PreferredThe Opportunity:A rapidly expanding private equity–backed Management Services Organization (MSO) specializing in ophthalmology is seeking a seasoned, C-suite-level Chief Operating Officer (COO) to lead enterprise-wide operations across multiple physician practices and ambulatory surgery centers (ASCs).Headquartered in Hauppauge, Long Island (Suffolk County), the organization is executing a disciplined buy-and-build growth strategy and preparing for its next equity event. The COO will serve as the primary execution leader of the value creation plan — driving EBITDA expansion, operational standardization, and scalable infrastructure across the platform.This is a highly visible leadership role with direct reporting to the Board and private equity sponsor.What You Will Own:Enterprise EBITDA & Performance Optimization:Full accountability for enterprise EBITDA performanceMargin expansion through labor efficiency, provider productivity, and ASC throughput optimizationSurgical block utilization and case flow improvement across ASCsCost discipline initiatives while maintaining clinical excellenceMulti-Site Operational Leadership:Oversight of geographically dispersed ophthalmology practices and ASCsImplementation of standardized operating models and KPI dashboardsElimination of performance variability across locationsDevelopment of repeatable operational playbooksPrivate Equity & Investor Reporting:Direct reporting to Board and PE stakeholdersPreparation and delivery of investor-level presentationsSupport upcoming equity partnership activityTranslation of operational strategy into measurable financial outcomesM&A Integration & Platform Scale:Lead operational diligence for acquisitionsOwn post-close integration and synergy captureDrive same-store growth across legacy practicesSupport expansion initiatives across ASC and clinic footprintPhysician & Executive Alignment:Align physician leaders around productivity and access standardsBalance autonomy with non-negotiable operational and financial metricsLead executive and site leadership teams with accountability and clarityRequired:Current or former Chief Operating Officer (or true C-suite equivalent)Experience within a private equity–backed, multi-site healthcare organizationStrong operational leadership across ambulatory or surgical environmentsDemonstrated Board and PE reporting experienceProven ability to present to investors at a senior executive levelPreferred:Ophthalmology experience (strong plus, not mandatory)Ambulatory Surgery Center (ASC) leadershipTrack record of EBITDA growth in a buy-and-build MSO modelLocation & Travel Expectations:Home base: Hauppauge, Long Island (Suffolk County, NY)Candidates located within Manhattan, New Jersey, or Connecticut preferredFull-time, on-site leadership presence expectedFrequent travel to multiple ASCs and practice locationsNo relocation offered; overnight stays covered if within commuting distancePotential for partial remote flexibility after initial integration periodCompensation:Base Salary: $300,000 – $325,000Performance-based bonus (negotiable)No equity at present; potential future opportunity tied to new equity partner.Why This Role Is Compelling:Direct seat at the executive table of a PE-backed ophthalmology platformStrategic leadership role ahead of new equity eventHigh-margin ASC environment with significant growth upsideVisible position with Board and investor exposureCompetitive executive compensationCall to Action:If you are a decisive, metrics-driven healthcare executive with multi-site operational depth and private equity exposure, this is an opportunity to lead meaningful platform growth in a high-demand specialty.Submit your resume highlighting:Multi-site scope (number of locations/ASCs)EBITDA responsibilityPrivate equity reporting experienceInvestor presentation experienceAbout the area:Residents enjoy easy access to beaches, parks, and proximity to NYC.Top-Tier Education: Access to highly-rated public schools, making it ideal for families.Convenient Location: Centralized location in Suffolk County with easy access to major highways (LIE, Northern State) and close proximity to both North and South Shore beaches.Suburban Lifestyle: A quiet, family-friendly atmosphere with many parks, restaurants, and shopping options.Accessible Commute: Convenient, commuting distance to New York City via the Long Island Rail Road (LIRR) and nearby parkways.