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About the Role

Annie Aesthetic is seeking a Director of Operations to serve as a business owner across its portfolio of medical aesthetics and functional health clinics. This role involves direct operational accountability for a subset of portfolio companies, driving performance standards, and contributing to the executive team's scaling efforts. It is designed for a high-caliber operator experienced in complex, high-growth environments.

Responsibilities

Own operational and financial performance across a defined set of portfolio companies, with accountability to revenue growth, margin management, and EBITDA outcomes
Set and track KPIs across clinic locations; build accountability rhythms with Clinic Managers and brand leadership
Partner with the Annie Aesthetic ELT and finance team on reporting, forecasting, and business performance review
Oversee day-to-day operations across multiple clinic locations and brands — in-person presence expected at key sites
Coach and develop Clinic Managers and brand operators, elevating their ability to own their locations and their numbers
Build and maintain the meeting cadences, documentation systems, SOPs, and remote management infrastructure that allow the portfolio to scale without heroics
Lead operational integration of newly acquired clinics into the Annie Aesthetic platform — from onboarding and systems setup to staffing and culture alignment
Partner with deal team and finance on diligence, operational modeling, and 100-day planning for new acquisitions
Identify and execute growth levers across revenue, client experience, and operational efficiency — including service menu, retention programs, and provider productivity
Develop cross-functional project plans and strategic frameworks in partnership with brand founders and the executive team
Evaluate and launch new service lines (including functional health) across the portfolio
Manage third-party vendor relationships including pharma/clinical suppliers, marketing partners, technology, and facilities across brands
Partner with the technology and data team to optimize EMR utilization (Zenoti) and clinical reporting across the portfolio
Ensure each clinic maintains full compliance with applicable business licenses, permits, and clinical standards across all operating states

Requirements

MBA from a top program; search fund, PE-backed operating role, or management consulting background strongly preferred
5+ years of operational experience — ideally in multi-site, M&A-integration, or high-growth environments
Demonstrated track record of owning outcomes in fast-paced, ambiguous environments with limited resources
Strong financial acumen — comfortable owning a P&L and translating numbers into operational decisions
Exceptional people leadership skills across all levels of an organization, including clinic-level staff and senior founders
Advanced Excel/data skills
EMR, CRM, or other multi-site technology experience is a plus
Comfortable traveling to clinic locations; mix of in-person site presence and remote team management is expected
Ability to start as soon as possible, but at least within approximately one month of offer

Skills

P&L Ownership
KPI Tracking
Forecasting
Business Performance Review
Operational Leadership
Coaching and Development
Systems Implementation
SOP Development
Remote Management
Integration Management
Diligence
100-Day Planning
Growth Strategy
Revenue Growth
Client Experience Improvement
Operational Efficiency
Vendor Management
Compliance Management
EMR Utilization (Zenoti)
Clinical Reporting
Excel/Data Analysis

Location

Western US

Work Type

Hybrid
Travel (approx. 50%)

Experience Level

5+ years of operational experience

Education Level

MBA from a top program

Salary/Compensations

Competitive base salary commensurate with experience
Performance-based bonus tied to portfolio business outcomes

Benefits

Equity participation in the portfolio
Health reimbursement plan
401(k)
Flexible schedule with autonomy to structure your time around results

About the Company

Annie Aesthetic is one of the fastest-growing private equity platforms in medical aesthetics — a multi-brand, multi-site operating company spanning medspas and functional health clinics across the United States.
We acquire best-in-class practices, integrate them into a high-performance operating model, and build them into durable, growing businesses.
Annie Aesthetic is a private equity platform that acquires and operates best-in-class medical aesthetics and functional health businesses across the United States.
Our portfolio includes medspa brands and functional health clinics operating across multiple states, with an active pipeline of add-on acquisitions underway.
We take a hands-on, operator-led approach — providing each portfolio company with financial, operational, and strategic resources to drive sustainable, long-term growth.
Our team is lean, execution-focused, and deeply embedded in the day-to-day of the businesses we own.