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Assistant Vice President, Physical Therapy & Occupational Therapy

Genesis Orthopedics & Sports Medicine, Oak Park, IL, United States


Assistant Vice President, Physical Therapy & Occupational Therapy
Genesis has built a full-spectrum musculoskeletal platform – surgical, physical therapy, imaging, and more – serving 16 clinics across Chicagoland and focusing on accessible care for Medicaid patients. This role drives the integration of rehabilitation as a core component of the platform.

Role
You will own strategy, operations, finance, talent, clinical quality, and growth for a multi-site therapy operation expanding rapidly. You will report to the COO, manage Clinic Managers and therapy staff, and maintain 10–25% direct clinical productivity.

What You'll Drive
Operations

Manage day‑to‑day operations, staffing, scheduling, throughput, and workflow standardization across PT/OT clinics.

Integrate therapy with orthopedic clinics to reduce referral leakage and keep patients within the Genesis care pathway.

Build coverage models that include in‑person, hybrid, and tele‑rehabilitation when evidence and patient population support it.

Growth & Access

Expand PT/OT footprint in Chicago and surrounding markets, selecting new locations based on referral patterns and payer mix.

Build systems to optimize speed‑to‑first‑visit and patient retention.

Extend hours, add sites, and eliminate friction points that delay patient appointments.

Clinical Integration

Partner with surgeons, PM&R physicians, and APPs to create protocol‑driven rehabilitation pathways by diagnosis and procedure.

Embed PT/OT early in the patient journey—pre‑habilitation, conservative management, post‑operative care.

Align utilization with evidence‑based guidelines and value‑based care objectives.

Financial Performance

Own P&L for PT/OT service lines: revenue, expenses, contribution margin.

Optimize therapist productivity and reimbursement performance.

Drive prior‑authorization discipline: timely submissions, minimal denials, and tight alignment between approved visits and care plans.

Implement conservative management strategies to reduce total cost of care.

Data & Analytics

Build and refine operational dashboards for real‑time visibility.

Define and own KPIs: visits per case, units per visit, therapist productivity, days to first visit, cancellation rates, referral conversion, authorization turnaround, functional outcomes, patient satisfaction.

Create a culture where Clinic Managers own their numbers.

Talent

Recruit, develop, and retain high‑performing PT and OT clinicians and leaders.

Build academic partnerships with PT/OT programs.

Coach Clinic Managers on operational, financial, and clinical success.

Develop scalable staffing models that grow with the platform.

Strategic Execution

Run 90‑day OKRs aligned to organizational priorities.

Maintain disciplined execution against growth, operational, and financial targets.

Who We're Looking For
You are a licensed PT or OT in Illinois (or obtaining license) with 7+ years of progressive leadership in rehab services and multi‑site operations. You understand outpatient therapy economics, billing, and reimbursement deeply enough to own a P&L. You have first‑hand clinic experience, data‑driven mindset, and a track record of building and scaling therapy teams. Your mission aligns with serving a significant Medicaid and underinsured population.

The Stack

Competitive base salary + performance / productivity bonus

Health, dental, vision, disability, and life insurance

401(k) with matching

Paid time off and flexible schedule

Continuing education funds, license reimbursement, professional development opportunities

Direct line to the COO and a seat at platform strategy meetings

What Success Looks Like in Year One

Reduced days to first visit

Referral leakage down, conversion rates up

Therapist productivity and margin trending positively

Standardized dashboards and KPIs live and in use

Proactive hiring pipeline ahead of growth

Quarterly OKRs met and a therapy organization that executes against them

Requirements

Bachelor's degree required; advanced degree (DPT, OTD, MBA, MHA, or related) strongly preferred

7+ years of progressive leadership in PT/OT or rehab services

Multi‑site operational leadership experience

Strong understanding of outpatient therapy economics, billing, and reimbursement

Licensed clinician (PT/OT) in Illinois upon hire date

Preferred

Experience in orthopaedic or musculoskeletal care settings

Experience in value‑based care models (bundles, capitation, episodic payments)

Demonstrated success scaling therapy operations

Familiarity with Illinois Medicaid and commercial payer dynamics

Core Competencies

Operational rigor and execution discipline

Data‑driven leadership and dashboard fluency

Talent development and coaching excellence

Growth orientation with strong attention to access and retention

Ability to integrate clinical quality with financial performance

Strong communication and physician partnership skills

Benefits

Competitive salary package with potential for pay escalation via performance / productivity bonus

401(k) and matching

Continuing education funds

Disability insurance

Flexible schedule

Health insurance

License reimbursement

Life insurancePaid time off

Professional development opportunities

Legacy health care platform with 16 clinics, a mission to serve Medicaid patients, and a culture that values data, collaboration, and growth. We are actively reviewing applications. Licensed PT or OT in Illinois required.

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