Chief Operating Officer

Chief Operating Officer (COO) – Ferny Fertility, NYC

Ferny Fertility is a rapidly growing, multi-location IVF center across Manhattan. With a team of ~100 employees today, we are entering a phase of significant expansion and plan to scale to 300–500 employees in the coming years.

We are seeking a highly strategic, hands-on Chief Operating Officer (COO) to serve as the operational partner to the CEO and lead the organization's continued scaling. This role is responsible for owning day-to-day operations, building the infrastructure required for growth, and driving performance across all departments while maintaining exceptional patient care.

Key Responsibilities

• Oversee and optimize all operations across multiple Ferny Fertility locations, ensuring consistency, efficiency, and full regulatory compliance
• Act as the CEO’s right hand, translating high-level vision into scalable systems, processes, and measurable outcomes
• Own operational performance across the organization, including KPIs, patient flow, staffing models, and service quality
• Drive cross-functional alignment between clinical, administrative, and business teams
• Build, structure, and lead department heads, creating accountability and developing high-performing leaders
• Design and implement scalable infrastructure to support growth, including new locations, increased patient volume, and expanded services
• Analyze financial and operational data to improve margins, inform decision-making, and support long-term strategy (including P&L ownership)
• Identify operational bottlenecks and proactively implement solutions to improve efficiency and patient experience
• Lead organizational design, hiring strategy, and team development in partnership with executive leadership
• Establish and track performance metrics, ensuring progress against strategic initiatives
• Serve as escalation point for high-level operational issues, ensuring rapid resolution and continuity of care
• Maintain a strong on-site presence across locations and ensure operational excellence at all levels

Qualifications

• Master’s degree required (MBA, MHA, or related field strongly preferred)
• 8–12+ years of operations leadership experience, with at least 3–5 years in a senior leadership role (Director, VP, or COO level)
• Experience in healthcare or multi-site medical practice operations preferred; candidates from other industries with strong operational scaling experience will also be considered
• Proven track record of scaling organizations and building operational infrastructure in high-growth environments
• Strong financial and analytical acumen, with experience managing budgets and P&L
• Demonstrated ability to build and lead high-performing teams and develop senior leaders
• Highly organized, decisive, and execution-oriented with strong problem-solving skills
• Comfortable operating in a fast-paced, evolving environment with competing priorities
• Willingness to be fully on-site and available as needed, including occasional after-hours or weekend matters

Why Join Ferny Fertility

Ferny Fertility is building a high-performance, patient-centered fertility platform with significant growth ahead. This is a unique opportunity to step into a true leadership role and help scale a healthcare organization from a strong foundation into a larger, more sophisticated operation.