About Annie Aesthetic
Annie Aesthetic is one of the fastest-growing private equity-backed platforms in medical aesthetics and wellness. We acquire outstanding practices and accelerate their growth through proven operating systems, purpose-built technology, and a values-driven, performance-oriented culture. At the center of our model is a people-first partnership approach designed to help exceptional teams deliver extraordinary patient experiences.
We are hiring a Director of Operations to serve as a true business owner across our portfolio. The Director of Operations will have direct operational accountability for a subset of portfolio companies, drive cross-brand performance standards, and be a key partner on the Annie Aesthetic executive team as we scale.
This role is built for a high-caliber operator who is energized by complexity, hungry to own outcomes, and ready to run real businesses at scale. This role reports directly to the COO.
What You'll Own
Portfolio Performance & P&L Ownership
- 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
Operational Leadership
- Oversee day-to-day operations across multiple clinic locations — in-person presence expected at key sites
- Coach and develop Clinic Managers, 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
Strategy & Growth
- Identify and execute growth levers across revenue, client experience, and operational efficiency — including service mix optimization, retention programs, and provider productivity
- Develop cross-functional project plans and strategic frameworks in partnership with brand founders, Clinic Managers, and the Annie executive team
- Evaluate and launch new service lines (including functional health) across the portfolio
Vendor & Compliance Management
- 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
Ideal Profile
We are looking for a driven, humble, and highly capable operator. The strongest candidates will bring:
- 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
- Candidate should be based in the Western US for ease of travel to assigned clinics. Travis is expected roughly 50% of the time.
Annie Aesthetic is an equal opportunity employer. We consider qualified applicants for employment without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, ancestry, age, physical or mental disability, medical condition, genetic information, marital status, military or veteran status, criminal history, or any other basis protected by federal, state, or local law. California Fair Chance Act notice. This employer will consider for employment all qualified applicants, including those with criminal histories, in accordance with the California Fair Chance Act (Gov. Code § 12952) and any applicable local ordinance (including the Los Angeles City Fair Chance Initiative, Los Angeles County Fair Chance Ordinance, and San Francisco Fair Chance Ordinance). We will not inquire about, seek, or consider your criminal history at any point before making a conditional offer of employment. If a background check is conducted after a conditional offer and reveals a conviction, we will complete an individualized assessment before making any final decision, and you will have the opportunity to respond, dispute the accuracy of the report, and provide evidence of rehabilitation or mitigating circumstances. Reasonable accommodation. If you require a reasonable accommodation to complete this application or to participate in the hiring process, please contact [email protected].