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Director of Operations

Brass, San Antonio, TX, United States


We are building something new in specialty healthcare.

Silver Hook Capital is developing a concierge-level, largely cash-pay medical platform focused on spine, orthopedic, and pain management care, beginning in San Antonio and expanding into additional strategic markets over time.

The platform will also incorporate advanced regenerative medicine therapies, integrating emerging biologic treatments with traditional orthopedic and spine care to create a more comprehensive, forward-looking model of patient care.

To support this effort, we are seeking a Director of Operations who will serve as the execution arm of the platform.

Approximately 80% of this role will focus on launching and scaling a new platform, while also supporting operational performance within an existing practice.

This is not a traditional clinic management position. We are looking for a high-execution operator who understands the business of specialty medicine and can translate strategy into operational performance.

The role will be highly metrics-driven, with responsibility for improving financial and operational performance across the organization.

Responsibilities include

Managing operational performance and improving bottom-line results

Overseeing practice P&L and operational analytics

Building scalable systems and workflows to support growth

Recruiting high-quality physicians to the platform

Developing marketing strategies that drive patient acquisition

Leading clinical and administrative teams

Helping develop a scalable model that can expand into multiple markets

Silver Hook Capital is also a technology-forward organization that integrates AI throughout its operations. The ideal candidate will be comfortable working in an AI-heavy environment and leveraging technology to improve:

Workflow efficiency

Operational analytics

Ideal candidates will have experience with

Spine, orthopedic, or pain management practices

Concierge or cash-pay healthcare models (preferred)

Regenerative medicine exposure or interest

Physician recruiting and practice growth

Practice financial metrics and operational analytics

Healthcare marketing and patient acquisition

Leading high-performance healthcare teams

This position offers competitive salary plus profit participation, with the opportunity to grow into senior leadership as the platform expands.

If you are an operations-focused leader who enjoys building systems, improving performance, and scaling healthcare platforms, we would like to hear from you.

Please send inquiries and resumes to:

yvonne@silverhookcapital.com

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