VP of Operations / Multi-Site Regional Manager

Vice President of Operations — Smiles by Mario Montoya

Sandy Springs, GA

• On-site with multi-state travel
• Reports to CEO/Founder Direct reports: Practice Managers, Treatment Coordination, Revenue Cycle, People Ops

Note: this req is also carried as "Multi-Site Manager" or "Regional Operations Manager" — same role, title flexes with the candidate's background.

The opportunity

Smiles by Mario Montoya is a premium cosmetic dentistry practice — veneers, smile design, full-mouth rehabilitation — with a strong brand, a full schedule, and high-ticket case volume. We are now building the platform to take that model to 5–10 locations across multiple states over the next 24–36 months.

We are hiring a VP of Operations to build the operating system that makes that possible: the case acceptance engine, the people system, and the financial machine. This is not a caretaker role for an existing multi-site business. It is a build role, with the mandate and the budget to construct centralized operations from a single flagship practice.

The person who wins this job has almost certainly done a version of it before — at Nuvia, ClearChoice, a luxury multi-site cosmetic or implant group, or an emerging DSO platform where they were early enough to build rather than inherit.

What you will own

1. Case acceptance and sales operations. Own the full patient funnel: lead, contact rate, consult booked, consult kept, case presented, case closed, case started. Build and run the treatment coordinator function — hiring profile, scripting, objection handling, role-play cadence, call recording review, individual TC scorecards. Set and defend conversion standards by case size.

Partner with marketing on lead quality and cost per started case. Design a consult experience that holds the same standard in Sandy Springs and in location number seven.

2. Revenue cycle, patient financing, and P&L. Own location-level P&Ls and the consolidated operating model, with a weekly flash / monthly business review / quarterly plan cadence. Run third-party patient financing strategy and approval rates (Proceed Finance, Cherry, CareCredit, Sunbit). Own collections, AR aging, adjustments, refunds and same-day payment capture, and build the RCM function.

Model new-location unit economics — startup cost, ramp curve, breakeven month, mature-state EBITDA — and defend those numbers to the CEO and capital partners. Build the vendor, lab and supply chain program including lab turnaround SLAs and cost per case.

3. People systems and hiring. Build the hiring engine for a multi-site business: role scorecards, structured interview loops, a candidate bench ahead of each opening. Design onboarding that produces a consistent operator in weeks, not quarters.

Hire, develop and manage Practice Managers, and build the Regional Manager layer when location count justifies it. Own retention: compensation architecture, incentive design, career pathing, turnover targets by role.

4. Scale and standardization. Codify the SBMM way of operating — SOPs, playbooks, checklists, a training library that survives without you in the room. Own the technology stack and drive standardization across sites. Support new location selection, buildout and launch. Maintain multi-state compliance: licensure, OSHA, HIPAA, state dental practice acts.

First-year scorecard

Day 90: full funnel diagnostic with stage-level conversion baselines and the top three leaks identified; weekly operating rhythm live; team assessment delivered.

Day 180: case acceptance improved against baseline with a documented, repeatable mechanism; location-level P&L and a defensible new-location unit economic model; hiring engine operating; SOP and training library built for the flagship.

Day 365: location two operating and tracking to its ramp plan, site three in the pipeline; Practice Manager layer hired and performing; standardized reporting the CEO trusts without verification; turnover and collections at or better than target.

Who we are looking for

Required

7+ years in operations leadership, including 3+ years running multiple locations in dental, medical aesthetics or another high-ticket elective healthcare vertical. Demonstrated ownership of a case acceptance or conversion function — you can talk about close rates by case size, what moved them, and how you know. P&L ownership at location or regional level, including patient financing and revenue cycle.

Track record of hiring and developing managers, not just staff. Comfort operating where the system does not exist yet. Willingness to travel meaningfully, especially in the first 18 months. Based in or relocating to Atlanta metro.

Strongly preferred: background at Nuvia, ClearChoice or a comparable high-ticket implant/cosmetic platform, a luxury multi-site dental group, or an emerging DSO in its build phase. De novo location launch or acquisition integration experience. Multi-state operations exposure. Fluency in dental practice management software (Dentrix, Open Dental, Denticon, Curve, Eaglesoft) and CRM/call tracking.

What will not work here: a pure corporate DSO operator who has only administered mature locations and never built one; someone who needs a fully staffed department on day one; a volume-insurance-model background with no exposure to fee-for-service or high-ticket case presentation.

Compensation

Base: $180,000–$230,000 depending on experience and multi-site track record. Annual bonus: 25–40% of base, tied to case acceptance, EBITDA and new-location milestones. Equity: meaningful participation in the platform — this is a founding-team-level role. Full benefits, plus dental care for you and your immediate family.

How to apply

Send a resume and a short note answering one question: describe a conversion or case acceptance problem you diagnosed and fixed, and how you measured it. We read those.