Director of Operations

Upstate Vet Emergency + Specialty Care is seeking a Hospital Director of Operations to lead our state-of-the-art hospital that blends advanced specialty medicine with genuine human kindness.
In this role, you won't just manage a hospital- you will empower a collaborative team of emergency and specialty innovators dedicated to clinical excellence and a supportive culture.

We are seeking a visionary and dynamic Hospital Director of Operations (HD) to lead a large, multi-specialty veterinary hospital within Ethos Veterinary Health. This leader will oversee the hospital’s day-to-day operations, ensuring the highest quality of care for animals while driving financial and operational excellence. The ideal candidate will have extensive experience in matrixed organizations, a passion for veterinary medicine, and a track record of building collaborative, high-performing teams.  

You will play a critical role in envisioning the future, driving innovation, and engaging cross-functional teams, including support center colleagues, to foster an environment where excellence and compassion thrive. 

Upstate Hospital is part of the Ethos Veterinary Health (Ethos) network of hospitals, and the HD will report into Ethos Field Leadership. To be successful they will need to build strong partnerships with the local team; including the Medical Director (and Hospital Management team, JV Partners) to support clinical excellence and high-quality patient care.   

What’s in it for you? 

• A competitive salary range of $130- 150k/ annually, depending on experience and skill level 

• Annual profit-sharing bonus plan 

• Relocation assistance

• Comprehensive Benefits package that offers paid time off and a 401k match  

• The Company is committed to supporting the professional development of its Hospital Directors by facilitating access to Continuing Education (CE) opportunities to encourage ongoing growth and learning. 

Key Responsibilities 

Envision – Strategic Leadership & Decision-Making 

• Envision the future of the hospital in alignment with Ethos Veterinary Health’s mission, identifying opportunities to evolve care delivery and operations. 

• Make high-quality, evidence-informed decisions that shape long-term hospital strategy and deliver sustainable results. 

• Lead through complexity and ambiguity with confidence and foresight, ensuring clarity of direction and purpose. 

Transform – Innovation & Operational Excellence 

• Drive hospital innovation by leading the adoption of new technologies, systems, and operational best practices. 

• Lead continuous improvement efforts to streamline workflows and elevate both the patient and client experience. 

• Use data and key performance metrics to guide decision-making and improve hospital-wide effectiveness. 

• Responsible for driving positive client and patient experiences by leading management teams and staff to deliver high-quality care and service, supporting the organization’s reputation and fostering patient satisfaction. 

Engage – Cross-Functional Collaboration & Communication 

• Build strong, trust-based partnerships across hospital teams, support center colleagues, referring veterinarians, and community stakeholders. 

• Foster transparent communication across all levels of the hospital, aligning teams toward shared goals. 

• Balance diverse stakeholder perspectives to support inclusive, strategic decision-making. 

Develop – Talent Growth & Team Culture 

• Develop and lead a high-performing hospital team by investing in coaching, mentorship, and continuous learning. 

• Build a hospital culture rooted in trust, accountability, curiosity, and personal growth. 

• Identify and grow future leaders while supporting staff development at every level. 

Drive – Operational Execution & Accountability 

• Lead financial operations, including budgeting, forecasting, and managing the hospital’s P&L to ensure long-term sustainability.  

• Partners intentionally with (JV Stakeholders and) Ethos Leadership to ensure alignment on hospital goals, fostering trust, transparency, and a shared understanding of performance expectations and outcomes in order to drive the execution of hospital priorities.  

• Demonstrate accountability and adaptability, responding swiftly and effectively to changing priorities. 

Inspire – Culture, Vision & Leadership Presence 

• Inspire teams by connecting daily work to the broader mission of Ethos Veterinary Health and the hospital’s purpose. 

• Lead by example—bringing optimism, compassion, and clarity to your leadership. 

• Foster a resilient and mission-driven culture that embraces change and celebrates collective success. 

Qualifications 

• Education: Bachelor’s Degree ideal. Advanced degree is a plus; MHA/MBA 

• Experience: 5–10+ years of senior leadership experience in veterinary hospital operations, healthcare, or retail, ideally in a multi-specialty or matrixed setting. 

• Skills: Proven ability to lead cross-functional teams, drive strategic and operational initiatives, and foster inclusive collaboration. Brings strong business acumen with demonstrated experience successfully managing hospital financials, budgeting, and full P&L accountability. 

• Ideal Background: Proven experience building and scaling high-performing teams, driving engagement, and supporting professional development resulting in measurable improvements to hospital financials and EBITDA. 

This is more than an operational role—it’s a mission-driven leadership opportunity to envision the future of veterinary care, drive innovation, and inspire teams to deliver exceptional outcomes. If you’re ready to lead with purpose, we invite you to apply. 

Why You’ll Love Greenville!

Nestled in the picturesque foothills of the Blue Ridge Mountains, Greenville perfectly blends vibrant, cosmopolitan energy with undeniable Southern charm. Frequently named one of the best and friendliest places to live in America, the city boasts a nationally acclaimed, walkable downtown complete with an award-winning culinary scene, a booming craft beer industry, and a thriving arts community. Outdoor enthusiasts and animal lovers alike will thrive here, with immediate access to beautiful waterfall hikes, the scenic 20-mile Swamp Rabbit Trail, and the stunning urban oasis of Falls Park on the Reedy right in the heart of the city. Boasting excellent schools, a highly affordable cost of living, and a booming economy, Greenville offers an exceptional quality of life where you can truly build a rewarding career and a beautiful home.

About Ethos Veterinary Health
Ethos Veterinary Health, part of the NVA Group, is where you come to practice world-class
medicine, and help shape what veterinary care becomes next.
Across our network of 140 specialty and emergency hospitals, science moves forward, standards are elevated, and innovation is put into practice every day. You’ll work alongside respected veterinary leaders in academic-caliber hospitals designed for learning, teaching, and discovery. Here, mentorship is a two-way street. You’ll share your expertise, learn from others, and continue to grow, clinically, professionally, and personally. At Ethos, you inspire hope, deliver exceptional care, and pursue veterinary medicine at its highest
level, together.

Join Us
At Ethos, this isn’t just a job, it’s an opportunity to practice medicine at the highest level and help shape the future of veterinary care.
Candidates can confidentially submit their CV to Sr. Talent Acquisition Partner, Rachel Fazio at [email protected]

Equal Opportunity Employer
Ethos is an Equal Opportunity Employer. Ethos does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided based on qualifications, competence, merit, and business need