Chief Operating Officer



Chief Operating Officer, University of Rochester Medical Faculty Group &

Vice President, University of Rochester Medical Center


The Opportunity


The University of Rochester Medical Faculty Group (URMFG) and the University of Rochester Medical Center seek a strong and collaborative leader as their next COO for the medical group practice and VP responsible for the delivery of the faculty practice ambulatory service and in partnership with the hospital leadership assures policies, procedures and standards of care are consistent across faculty and hospital based practices.  Accountable to the CEO of URMFG, the COO/VP is a key member of the executive team and has the opportunity to have a lasting impact on our organization via a commitment to continued growth and strategic transformation. 


URMC’s new Dean/CEO, Dr. David Linehan has a strong vision for change for our system to assure long-term financial stability, more efficient operations, and recognition as a world class academic medical center.  Structural changes to our executive team are likely to occur within the next 2-3 years, providing immediate growth opportunities for the successful candidate.


URMFG is the fully integrated faculty practice of the University of Rochester Medical Center (URMC) in Rochester, New York.  Comprised of 2,060 faculty, the group represents 22 clinical departments, more than 130 specialties and primary care, providing close to 4 million ambulatory visits annually and generating more than $700 million in professional revenues.  Together with $4 billion in annual hospital revenue, these clinical revenues support the academic mission of URMC.  


The COO/VP is responsible for planning, organizing and directing the overall clinical and business operations for URMFG.  With a keen focus on the delivery of ambulatory services across URMC, the COO/VP will work with enterprise leaders to assure that high standards for access and patient-centered care are achieved across our 2,060 member faculty group and 250 locations across a nine county region.


Given the pace of change in technology and the challenges of disruptors to traditional health care provider systems, the COO/VP is expected to be a strategic leader in developing and managing change.  Importantly,  the COO/VP will lead strategic teams charged with delivering on a “digital first” approach to meeting consumer demands for access to care.  That comprehensive strategy also requires complex change management leadership to support care teams in transitioning from traditional clinical practice to new models of care. 






Key Relationships


The URMFG CEO, CFO and COO/VP are a high-performing, collaborative team supported by a URMFG Governance structure that holds them accountable for practice performance.  The COO/VP meets routinely with the CFO for budget and financial planning, revenue cycle analysis, and to review and plan for margin improvement and growth opportunities.  The COO/VP is a principal partner to the COO/EVP for Strong Memorial Hospital, the Associate Medical Director for Ambulatory Care, the Chief Digital Health Officer, the Chief Medical Information Officer, and the Associate Medical Director for Patient Engagement.  


Direct Reports to the COO include:

  • AVP for Provider Network Development
  • Senior Director for Business Development
  • Senior Director for Access and Performance Improvement
  • Senior Director for Ambulatory Care (shared with current EVP/COO - Strong Memorial Hospital)
  • Senior Project Manager
  • Chief of Staff and Administrative Director, URMFG


Key Stakeholder Relationships:

  • Faculty Chairs and Leaders
  • Local and Regional Affiliate Hospital Leaders
  • United Business Office (UBO) Leaders
  • URMC Finance Leaders


Matrix Reporting Relationships:

The success of our academic medical center is built upon strong department and division leadership.  The URMFG COO is an advisor to Department Chairs via a shared reporting relationship with department and service line Program Administrators.  Hospital and URMFG COOs provide routine consultation to program administrators and approve business plans and staffing plans.  They routinely communicate URMC enterprise standards and expectations.


Decision-Making Rights


The COO/VP is empowered to make operational and budget decisions in support of URMC goals and financial plans.   Key strategic and business growth decisions are made by Joint Operating Committees (JOCs).  The URMFG and Hospital COOs develop standard operating expectations for JOCs, which are chaired by Department Chairs and supported by their Program Administrators.   JOCs are structured to assure shared decision making by Chairs and the COOs and CFOs of our three divisions (URMFG, Hospital, School of Medicine and Dentistry).  Consensus is sought and typically achieved for any business growth strategy.  JOC’s drive our well-developed Funds Flow model.  We assure success in all three missions of the medical center by proactively budgeting support to the School of Medicine and Dentistry via the transfer of clinical revenues to support research and education. 


Primary Job Responsibilities

Oversees the daily operations of URMFG and our ambulatory practices, including but not limited to access to care (scheduling, referral management, call centers), recruitment and retention for regional faculty and URMFG staff, efficient delivery of ambulatory services, and compliance with federal, state and University laws and regulations.  Specifically:

  1. Collaborates with the Chief Executive Officer in developing and implementing the annual plan and budget in support of the URMC and UR strategic plan.
  2. Participates in development of strategic plans, governance structure and objectives for practice management.
  3. Leads URMC’s digital health operations and partners with the Chief Digital Health Officer to continuously transform practice support and care models to remain competitive in digital options that ease patient access to care and the patient experience.
  4. Identifies and stewards business development opportunities.  Collaborates with the URMFG CFO and other leaders to meet regional growth needs. 
  5. Builds business analytic capabilities that support executive decision-making and assure metric-driven assessments of performance.
  6. Participates, oversees, interprets and recommends changes to all clinical and operational policies and procedures.
  7. Supports transformative work through strong communication and change management approaches.
  8. Participates in resolution of problems related to staffing, utilization of facilities, disagreements and challenges between or within departments.
  9. Maintains compliance with governmental regulations and industry requirements.
  10. Enhances operational effectiveness, emphasizing cost efficiency and high-quality patient care.
  11. Participates in recruitment and retention of professional and nonprofessional staff.
  12. Evaluates performance and recommends merit increases, promotion, and coaches direct and indirect reports.
  13. Attends Board of Director and selected Board committee meetings.
  14. Oversees resolution of patient concerns and complaints.
  15. Performs other duties as assigned.

Participates in professional development activities to keep current with trends and practices in health care administration (conferences, journals).




Master’s Degree in a business or health care related field required.



Minimum seven to ten years of progressive health care leadership experience at the senior-management level.  Medical group practice experience preferred.

Other Requirements


Leadership Competencies:

  1. Skill in exercising a high degree of initiative, judgment, and discretion.
  2. Leads with fairness, equanimity, creativity and compassion.
  3. Skilled change management leader, with the ability to compromise, negotiate and align disparate views toward common goals.
  4. Demonstrated ability to plan, organize, and integrate multiple priorities and deadlines.
  5. Skill in analyzing situations accurately and taking effective action.
  6. Ability to create an atmosphere that encourages motivation, innovation, and high performance.
  7. Skill in establishing and maintaining effective working relationships with the medical and administrative staff, patients and the public.
  8. Skill in planning, organizing, and prioritizing work; delegating and achieving goals and objectives.
  9. Skill in exercising judgment and discretion in developing, interpreting, and implementing departmental policies and procedures.
  10. Skill in identifying and resolving problems.
  11. Ability to communicate clearly and effectively orally and in writing.
  12. Skill in developing comprehensive reports that guide effective decision making and program evaluation.

How To Apply

All applicants must apply online. Job ID: 249574.

EOE Minorities/Females/Protected Veterans/Disabled

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law.  This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

Pay Range

Pay Range: $312,000 - $500,000 Annually

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.