PE Portfolio Operations

THE OPPORTUNITY

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.

We are hiring a Director of Operations to serve as a true business owner across our portfolio. This is not a corporate staff role. The Director of Operations will have direct operational accountability for a subset of portfolio companies, drive cross-brand performance standards, and be a key member 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 real scale.

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.

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 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

Integration & Acquisitions

• 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

Strategy & Growth

• 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 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:

• MBA from a top program; search fund, PE-backed operating role, or management consulting background 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

COMPENSATION & BENEFITS

• Competitive base salary commensurate with experience
• Performance-based bonus tied to portfolio business outcomes
• Equity participation in the portfolio
• Health reimbursement plan
• 401(k)
• Flexible schedule with autonomy to structure your time around results
• This role will cover clinics in the Western US. Travel will be roughly 50%.
  

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 hr@annieaesthetic.com.