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About Fulcrum
Fulcrum is a luxury medical aesthetics and plastic surgery practice in Chicago, built on an education-first, results-driven philosophy. We don’t discount, we don’t oversell, and we don’t cut corners. Our patients come for the work and stay for the experience, and our team is the reason for both.
After three years of steady growth, we’re entering our next chapter, and we’re hiring a
Director of Operations & Growth to lead it.
The Role
This is a hands-on leadership position responsible for how the clinic runs, how the team performs, and how the business grows. You will report directly to ownership and partner closely with our Brand & Education Manager and clinical leadership.
You’ll inherit a real business, not a blank slate. Established vendor relationships across injectables, lasers, implants, surgical products, and skincare. Built-out SOPs. A tracked KPI framework. A team that knows the standard and expects to be held to it. Your job is to take what’s here and make it sharper, faster, and stronger every quarter.
What You’ll Own
Operations. Daily clinic flow, scheduling, provider utilization, EMR and systems. Problems spotted early and fixed.
Team. Hiring, onboarding, training, performance, and terminations. Real HR documentation. Underperformance addressed directly rather than ignored.
Revenue. KPIs tracked and enforced across departments. Missed opportunities identified and corrected. A team coached to sell through education, not discounts.
Inventory & Vendors. Accurate, controlled inventory. Strategic relationships across tox, injectable, laser, implant, and skincare partners leveraged for promotions, demos, samples, and ongoing team education.
Patient Experience. A consistent, high-touch, luxury experience. You step in when the front desk needs it. No patient ever feels dropped.
Payroll & Financial Operations. Bi-weekly payroll run cleanly through an accounting firm. Hours, commissions, and bonuses accurate. Close partnership with ownership and accounting.
Leadership. Regular partnership with ownership, bringing solutions, not just problems. Deep understanding of every part of the business.
Who This Role Is For
- You naturally take ownership and notice gaps before they become problems
- You’re comfortable having hard conversations with staff, patients, and vendors
- You’re organized enough that things don’t fall through the cracks
- You understand business including KPIs, revenue, and unit economics
- You hold a high personal bar and can hold others to theirs
Who This Role Is Not For
- People who need constant direction
- People who avoid conflict or delay accountability
- People who confuse being busy with getting results
- People looking for a desk job
Qualifications
- Proven experience managing teams and driving accountability
- Strong command of business operations and revenue drivers
- Experience in medical aesthetics, plastic surgery, or luxury service strongly preferred
- Hands-on experience with hiring, training, disciplinary processes, and payroll
Compensation
Base salary range 100k-130k based on experience. Health, Dental, PTO, and product allowance included. We pay well for the right person.
Why Fulcrum
You’ll work directly with ownership, inside a brand with real standards, at a practice that invests in its team. You’ll have the authority to actually run the business, not manage around someone else’s decisions. If you want the scope, the runway, and the ownership to do the best work of your career, this is that role.
To Apply
- Send your resume along with a short note telling us what drew you to this role, specifically, not generically. We’re hiring for fit, not volume.
