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Chief Operating Officer - Children's Hospital of Richmond

Virginia Commonwealth University Health Systems
United States, Virginia, Richmond
Jan 30, 2026
The Chief Operating Officer is responsible for the smooth and efficient operation of the Children's Hospital of Richmond at VCU (CHOR). The Chief Operating Officer reports directly to the CHOR President and works closely with CHOR leadership and VCU Health System's leadership teams in the strategic development and operational execution of clinical service delivery, medical education, research, and human capital strategies to position and sustain CHOR's key role as one of the nation's top ranked pediatric acute care children's hospitals and a pediatric level 1 trauma center. This role collaborates effectively with senior leadership to consider and implement key plans that align with the hospital's and VCUHS' mission and vision.

This role assists in the development of, and is responsible for, carrying out goals, objectives, plans and policies established by the President of the Children's Hospital of Richmond at VCU. At the same time, the Chief Operating Officer executes enterprise-wide strategies that reflect shared priorities for clinical effectiveness and financial performance.

The position has direct oversight for CHOR's Quality/Safety areas and works in collaboration with VCU Health System's Chief Quality and Safety Officer. Within CHOR, this role serves as the key operational leader with the Pediatric Specialty Service Lines (Congenital Heart, Neurosciences, GI, Cancer, Trauma, etc.), and functions as the Administrative Leader for CHOR's Virginia Treatment Center for Children (VTCC) and the Northside campus. The Chief Operating Officer will collaborate with VCU Medical Center leadership and have responsibility for day-to-day operational oversight with a dotted line reporting relationship for CHOR's Ambulatory Services, Perioperative Services, Professional Services, Support Services, and any other areas that may be matrixed. Additionally, the Chief Operating Officer has responsibility for strategic planning, legal and regulatory compliance, budgeting, financial management & oversight, relationship development, operations and human capital management.

Essential Job Statements

Establish a plan to address productivity, operational performance, staff retention and satisfaction across the key areas of the medical center.

Establish trust as a leader in key initiatives and strategies to continually improve the quality and level of services provided.

Create an environment that supports team member satisfaction and engagement, improved service and quality.

Operationalize the hospital mission of patient care by providing clinical and administrative leadership.

Collaborate with CHOR leadership to plan, implement and evaluate hospital goals, objectives and mission, emphasizing the interdisciplinary nature of patient care delivery. Assume a leadership role in the achievement of both short- and long-term goals.

Advocate for and create an inclusive culture that embraces diversity and equity. Increase clinician and provider alignment and engagement.

Assure standardized operational processes that are consistent with the health system.

Optimize the utilization and availability of resources, including people, capital and knowledge to achieve the objectives of the organization while scaling and standardizing services.

Provide input to staffing and resource planning in direct and indirect reporting departments as they affect operations of the facility.

Assist in managing costs by continually seeking data, identifying opportunities and taking action to eliminate non-value costs in conjunction with the health system leadership

Ensure that revenue goals, cost objectives, and market share targets are achieved in assigned facility. Assist in planning of new services that generate additional sources of profitable revenue.

Achieve budgetary goals established during budget approval process to include operational and service delivery goals; participate in preparation of budget projections providing adequate detail to support budget projections, monitor operational and salary reports for trends indicating when action is necessary to remain within budget projections, take effective action to address variances promptly, monitor annual budget and adequately explain and address budget variances.

Demonstrate a commitment to the mission of VCUHS as evidenced by performing other duties as assigned and/or participating in special projects in order to support the mission and vision of VCUHS. Provide assistance to team members. Accept alternate assignments as required

Patient Population: N/A

Employment Qualifications

Education Required:Bachelor's degree in Business; Public health, health services management, public administration, or related field

Education Preferred:Master's degree in Business; Public health, health services management, public administration, or related field

Licensing/ Certification

Licensure Required:N/A

Licensure Preferred:N/A

Certification Required:N/A

Certification Preferred:N/A

Minimum Qualifications

Years and Type of Experience Required: 10 years of progressive leadership experience

Years and Type of Experience Preferred: 12 years of leadership experience, including 7+ years in leadership role with significant business impact in a major academic medical center or large teaching hospital

Other Knowledge, Skills and Abilities Required:Ability to be available as needed to staff on all shifts, locations, etc. Ability to build solid relationships with physicians, clinicians, staff and community.Familiarity with all related healthcare concepts, practices, policies and procedures.Working experience and knowledge of DNV, HIPAA, Joint Commission, AAAHC and other healthcare governing bodies.Ability to demonstrate initiative, exercise good judgment and achieve results; and demonstrate success in building collaborative, high performing teams characterized by hands-on results orientation aligned with strategic plans and goals.Excellent written, oral, interpersonal, and presentation skills.Ability to effectively interact with senior management and board members and operate as an effective tactical as well as strategic thinker.Entrepreneurial team player who can multitask.Ability to manage and lead large organizations through periods of rapid numerous changes.Ability to read, write and speak effectively in English.Ability to exercise agility, influencing change based on demands of business. Ability to develop innovative approaches to deal with challenges.Ability to develop new and effective strategies through anticipating change in the market or through initiating new changes

Other Knowledge, Skills and Abilities Preferred:Academic medical center/health system experience

Working Conditions: Periods of high stress and fluctuating workloads may occur.General office environment.Required to car travel to off-site locations, occasionally in adverse weather conditions.May have periods of constant interruptions.

Physical Requirements

Physical Demands: Lifting/ Carrying (0-50 lbs.)

Work Position: Sitting, Walking, Standing

Additional Physical Requirements/ Hazards

Physical Requirements: Manual dexterity (eye/hand coordination), Hear alarms/telephone/tape recorder, Finger Dexterity, Acuity - far, Acuity - near

Hazards: Depth perception

Mental/Sensory -Emotional

Mental / Sensory: Strong Recall, Reasoning,Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking

Emotional: Steady Pace, Able to Handle Multiple Priorities,Able to Adapt to Frequent Change

EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

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