Director of Strategic Operations

At Truss Vet, we’re bridging gaps in care to support pets and the people who love them. We have an ambitious 10-year goal of nurturing the human-animal bond by supporting over 1 million pets and their families, and we're doing this by pioneering a new category in veterinary medicine and focusing on building out the premier veterinary urgent care company in our industry. We're growing quickly, and we need talented people to help us do it!
 
We’re currently hiring a Director of Strategic Operations to join our leadership team and play a critical role in improving existing clinics and leading the repeatable, successful launch of new locations. This is a high-impact, highly cross-functional role that works closely with Clinic Operations, Talent, Real Estate, Marketing, Medical Leadership, and the Executive team. It will be fast-paced, complex, and deeply rewarding.
 
Director of Strategic Operations Overview
 
As Director of Strategic Operations, your mission is to constantly improve our clinics and successfully launch new ones. You’ll own key operational playbooks, lead strategic initiatives, build scalable systems, and ensure our clinics are staffed, equipped, compliant, and optimized to deliver excellent care and team experiences from Day 1 and beyond.
 
This role blends strategy with execution; you’ll be building systems one day and spending time in clinics the next.
 
Key Job Responsibilities

Lead, manage, and hold accountable direct reports while partnering cross-functionally with Clinic Operations, Medical Leadership, Marketing, Real Estate, Talent, and Executive Leadership to identify issues and drive improvement initiatives

Own and execute the repeatable, on-time launch of new clinics, including partnering with Real Estate on construction timelines, Talent on recruiting plans, ensuring clinics are fully staffed and stocked, and leading site setup week through Day 1

Partner with the CEO and CMO on strategic initiatives, including special projects and the rollout of culture, talent, and training programs

Spend time in clinics to evaluate, optimize, and implement workflow improvements in partnership with Clinic Leadership, Regional Leadership, Clinic Ops, and Medical Leadership

Identify, prioritize, and execute projects that improve operational efficiency, scalability, and clinic performance, including maintaining and improving task management systems

Own pricing strategy across clinics, including pricing analysis, competitive research, and implementation of pricing changes

Design, manage, and optimize team and client feedback systems, surveys, and simplified reporting and analytics dashboards to ensure teams have access to the right metrics

Own Technology and IT operations supporting clinic performance, including PIMS, inventory purchasing and management systems, and third-party software (scheduling, texting, phones, scribing, payments, IT)

Define, document, and maintain medical, legal, licensing, and regulatory compliance processes, ensuring all clinics remain compliant as requirements evolve

You’re a Great Fit If:

You’re proactive, highly organized, analytical, and detail-oriented—but still a strong people leader

 You thrive in fast-paced, growing environments and enjoy building systems from the ground up

You enjoy working cross-functionally and influencing without authority

You’re equally comfortable thinking strategically and executing tactically

You like spending time in clinics and believe the best operational improvements come from being close to the work

You’re energized by solving complex problems and continuously improving how things are done

You are based in NC or willing to relocate

Education & Experience:

5+ years in the pet healthcare ecosystem preferred

5+ years of multi-site operational and/or management experience in a fast-growing healthcare services business (ideally veterinary)

Four-year degree preferred but not required

 
Truss Vet Core Values Statements:
Dare to Care: Doing what is easy isn’t always right. Doing what is right isn’t always easy. So we show up. We care. Even when clients don’t deserve our best, even when a conversation is uncomfortable, we approach situations with courage, empathy, and authenticity. “We care enough to have tough conversations and we handle tough conversations with care.”
The Details Matter: Our standards are reflected in every detail, and those details matter. The client will never forget the hug you gave when they said goodbye to their best friend. That blanket may mean the difference between an hour of comfort for a pet versus an hour of fear. The smell or site of a dirty rug may mean the difference between a great first impression versus skepticism of our entire team.
Truss One Another: To be accountable to the success of the team means we’re accountable to the success of each other. We have our teammates’ backs. We catch each other's’ mistakes. We challenge each other to improve and be the best versions of ourselves.
Bowl Half Full: Your dog doesn’t go through life believing his bowl is half-empty. We see the good in others and in each other, we see opportunities in challenges, we meet discomfort with good humor, and when we find closed doors, we kick them open or make new ones.

We Believe In:

Excellence in medicine and the highest reasonable standards of care

Providing our teams with the resources to be happy and successful

That every pet deserves to live its best life (Except for that one chihuahua... jk)

Going home on time

No abusive noncompetes

Building a supportive team that you want to hang out with even on your off days (but we’ll never make you)

Treating people like we want to be treated

Compensation and benefits that help people live well

Working hard and pursuing excellence while still having fun

Compensation & Benefits:

Competitive salary

Health, vision, and dental insurance

Short- and long-term disability coverage, life insurance, accident insurance, and critical illness insurance

Paid time off (PTO)

Mental wellness subscription

Parental leave

401K + match

Pet care discounts

Sound like your kind of place? Join a team that’s passionate, positive, and committed to shaping the future of veterinary medicine for pets, their people, and each other.