Assistant Vice President, Physical Therapy & Occupational Therapy
Genesisortho, Chicago, IL, United States
Genesis Orthopedics & Sports Medicine
Job Description: Assistant Vice President, Physical Therapy & Occupational Therapy
Position Summary
Genesis has built something genuinely rare: a full-spectrum MSK platform — surgery, therapy, imaging, and everything in between —operatingacross 16 clinics in Chicagoland, serving Medicaid patients at scale, and proving every day that accessible care and excellent care are the same thing.
The surgical side is humming. The clinical model is proven. Nowwe'reready to build rehabilitation into the platform it was always supposed to be — tightly integrated, protocol-driven, financially sustainable, and deeply accessible to the patients who need it most.
That'sthe AVP of PT & OT job. Andit'sone of the most consequential operational leadership roles at Genesis right now.
The Role
You'llown everything across PT and OT — strategy, operations, finance, talent, clinical quality, and growth — across a multi-site therapy operationthat'sexpanding fast.You'llreport directly to the COO, manage Clinic Managers and therapy office staff, and sit at the intersection of clinical excellence and operational performance.
Thisisn'ta pure desk job.You'llmaintain10–25% direct clinical productivity— staying close to the floor, modeling expectations, and keeping your instincts sharp. The best operational leaders in healthcare never fully leave the clinic, and wedon'twant you to.
What You'll Drive
Operations
Own day-to-day operations across all PT/OT clinics: staffing, scheduling, patient throughput, and workflow standardization thatactually scales
Integrate therapy seamlessly with orthopedic clinics — reducing referral leakage and keeping patients inside the Genesis care pathway
Build coverage models thatwork:in-person, hybrid, and tele-rehabilitation where the evidence and the patient population support it
Growth & Access
Expand the PT/OT footprint across Chicago and surrounding markets —identifyingnew locations based on referral patterns and payer mix
Build systems that ruthlesslyoptimizespeed-to-first-visitand patient retention
Extend hours, add sites, and remove every friction point that stands between a patient and their first appointment
Clinical Integration
Partner with Genesis surgeons, PM&R physicians, and APPs to buildprotocol-driven rehabilitation pathwaysby diagnosis and procedure
Embed PT/OT early — prehabilitation, conservative management, post-operative care — so therapy is part of the patient journey from the start, not an afterthought
Alignutilizationwith evidence-based guidelines and value-based care objectives
Financial Performance
Own the P&L for PT/OT service lines: revenue, expenses, contribution margin
Optimizetherapist productivity and reimbursement performance
Buildprior authorization discipline—timelysubmissions, minimal denials, tight alignment between approved visits and care plans
Drive conservative management strategies that reduce total cost of care — for the patient and the system
Data & Analytics
Build and continuously refineoperational dashboardsthat give leadership real-time visibility intowhat'sworking and whatisn't
Define and own KPIs across the therapy organization: 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 of data transparency where every Clinic Manager knows their numbers and owns their performance
Talent
Recruit, develop, andretainhigh-performing PT and OT clinicians and leaders across all markets
Build andmaintainacademic partnershipswith PT/OT programs to keep the hiring pipeline full
Coach Clinic Managers to operational, financial, and clinical success
Develop scalable staffing models — effectiveutilizationof PTAs, COTAs, and support staff — that grow with the platform
Strategic Execution
Run90-day OKRsfor yourself and your direct reports, aligned to the broader organizational priorities
Drive disciplined execution against growth, operational, and financial targets — quarter after quarter
Who We're Looking For
You'rea licensed PT or OT in Illinois (or getting there) with 7+ years of progressive leadership experience in rehabilitation services and real multi-site operational chops. You understand outpatienttherapyeconomics, billing, and reimbursement — not at a surface level, but well enough to own a P&L and defend it.
You'rean operator that came up through the clinic.You know what good therapy looks like from the inside. You can read a dashboard and read a patient. Both skills arerequiredhere.
You'rea builder.Genesis PT/OT hasa strong foundationand significant room to grow. You see that gap and feel the urgency to close it — more locations, better integration, tighter protocols, stronger teams.
You run toward data.Youdon'tmanage by instinct alone. You build dashboards, track KPIs, and hold teams accountable to metrics thatactually connectto patient outcomes and financial performance.
You develop people.The Clinic Managers who report to you will be better operators because of this role. That outcome matters to you, not just the numbers on the dashboard.
You'remission-aligned.A significant portionof our patient population is on Medicaid or underinsured. Building a therapy platform that serves them — at the same standard as everyone else — is the job. Thathas to meansomething to you.
Orthopedic or MSK experience is a plus. Experience in value-based care models — bundles, capitation, episodic payments — is even better. Familiarity with Illinois Medicaid and commercial payer dynamics is a genuine advantage.
The Stack
Competitive base salary + performance/productivity bonus
Health, dental, and vision insurance
401(k) with matching
Paid time off
Continuing education funds
License reimbursement
Disability and life insurance
Flexible schedule
Professional development opportunities
Direct line to the COO and a seat at the table where the platform strategy gets built
What Success Looks Like in Year One
Reduced days to first visit — patients getting into therapy faster
Referral leakage down, conversion rates up
Therapist productivity and margin performance trending in the right direction
Standardized dashboards and KPIs live and in use across the organization
A hiring pipelinethat'sactually aheadof growth, not chasing it
Quarterly OKRs hit — and a therapy organization that knows how to execute against them
About Genesis
Genesis Orthopedics & Sports Medicine is a full-spectrum MSK platform — surgery, physical therapy, and everything in between —operatingacross 16 clinics throughout Chicagoland. We run clinical trials. We serve Medicaid patients atscale.We'vebuilt a care delivery model that proves accessible care and excellent carearen'tin conflict.
Rehabilitation is central to that model. The AVP of PT & OT is the person who makes it perform at the level the rest of the platform deserves.
Ifyou'rea rehabilitation leaderwho'sready to build something — and you want to do it inside a mission-driven, fast-moving MSK platform — we want to hear from you.
Genesis Orthopedics & Sports Medicine is actively reviewing applications. Licensed PT or OT in Illinoisrequired.
Qualifications
Required
Bachelor’s degree required; advanced degree (DPT, OTD, MBA, MHA, or related) strongly preferred
7+ years of progressive leadership experience in PT/OT or rehabilitation services
Multi-site operational leadership experience
Strong understanding of outpatient therapy economics, billing, and reimbursement
Licensed clinician (PT/OT) within Illinois upon hire date
Preferred
Experience in orthopedic 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
Competitive salary package with potential for pay escalation via performance/productivity bonus
401(k)
401(k) matching
Continuing education funds
Disability insurance
Flexible schedule
Health insurance
License reimbursement
Life insurance
Paid time off
Professional development opportunities
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Job Description: Assistant Vice President, Physical Therapy & Occupational Therapy
Position Summary
Genesis has built something genuinely rare: a full-spectrum MSK platform — surgery, therapy, imaging, and everything in between —operatingacross 16 clinics in Chicagoland, serving Medicaid patients at scale, and proving every day that accessible care and excellent care are the same thing.
The surgical side is humming. The clinical model is proven. Nowwe'reready to build rehabilitation into the platform it was always supposed to be — tightly integrated, protocol-driven, financially sustainable, and deeply accessible to the patients who need it most.
That'sthe AVP of PT & OT job. Andit'sone of the most consequential operational leadership roles at Genesis right now.
The Role
You'llown everything across PT and OT — strategy, operations, finance, talent, clinical quality, and growth — across a multi-site therapy operationthat'sexpanding fast.You'llreport directly to the COO, manage Clinic Managers and therapy office staff, and sit at the intersection of clinical excellence and operational performance.
Thisisn'ta pure desk job.You'llmaintain10–25% direct clinical productivity— staying close to the floor, modeling expectations, and keeping your instincts sharp. The best operational leaders in healthcare never fully leave the clinic, and wedon'twant you to.
What You'll Drive
Operations
Own day-to-day operations across all PT/OT clinics: staffing, scheduling, patient throughput, and workflow standardization thatactually scales
Integrate therapy seamlessly with orthopedic clinics — reducing referral leakage and keeping patients inside the Genesis care pathway
Build coverage models thatwork:in-person, hybrid, and tele-rehabilitation where the evidence and the patient population support it
Growth & Access
Expand the PT/OT footprint across Chicago and surrounding markets —identifyingnew locations based on referral patterns and payer mix
Build systems that ruthlesslyoptimizespeed-to-first-visitand patient retention
Extend hours, add sites, and remove every friction point that stands between a patient and their first appointment
Clinical Integration
Partner with Genesis surgeons, PM&R physicians, and APPs to buildprotocol-driven rehabilitation pathwaysby diagnosis and procedure
Embed PT/OT early — prehabilitation, conservative management, post-operative care — so therapy is part of the patient journey from the start, not an afterthought
Alignutilizationwith evidence-based guidelines and value-based care objectives
Financial Performance
Own the P&L for PT/OT service lines: revenue, expenses, contribution margin
Optimizetherapist productivity and reimbursement performance
Buildprior authorization discipline—timelysubmissions, minimal denials, tight alignment between approved visits and care plans
Drive conservative management strategies that reduce total cost of care — for the patient and the system
Data & Analytics
Build and continuously refineoperational dashboardsthat give leadership real-time visibility intowhat'sworking and whatisn't
Define and own KPIs across the therapy organization: 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 of data transparency where every Clinic Manager knows their numbers and owns their performance
Talent
Recruit, develop, andretainhigh-performing PT and OT clinicians and leaders across all markets
Build andmaintainacademic partnershipswith PT/OT programs to keep the hiring pipeline full
Coach Clinic Managers to operational, financial, and clinical success
Develop scalable staffing models — effectiveutilizationof PTAs, COTAs, and support staff — that grow with the platform
Strategic Execution
Run90-day OKRsfor yourself and your direct reports, aligned to the broader organizational priorities
Drive disciplined execution against growth, operational, and financial targets — quarter after quarter
Who We're Looking For
You'rea licensed PT or OT in Illinois (or getting there) with 7+ years of progressive leadership experience in rehabilitation services and real multi-site operational chops. You understand outpatienttherapyeconomics, billing, and reimbursement — not at a surface level, but well enough to own a P&L and defend it.
You'rean operator that came up through the clinic.You know what good therapy looks like from the inside. You can read a dashboard and read a patient. Both skills arerequiredhere.
You'rea builder.Genesis PT/OT hasa strong foundationand significant room to grow. You see that gap and feel the urgency to close it — more locations, better integration, tighter protocols, stronger teams.
You run toward data.Youdon'tmanage by instinct alone. You build dashboards, track KPIs, and hold teams accountable to metrics thatactually connectto patient outcomes and financial performance.
You develop people.The Clinic Managers who report to you will be better operators because of this role. That outcome matters to you, not just the numbers on the dashboard.
You'remission-aligned.A significant portionof our patient population is on Medicaid or underinsured. Building a therapy platform that serves them — at the same standard as everyone else — is the job. Thathas to meansomething to you.
Orthopedic or MSK experience is a plus. Experience in value-based care models — bundles, capitation, episodic payments — is even better. Familiarity with Illinois Medicaid and commercial payer dynamics is a genuine advantage.
The Stack
Competitive base salary + performance/productivity bonus
Health, dental, and vision insurance
401(k) with matching
Paid time off
Continuing education funds
License reimbursement
Disability and life insurance
Flexible schedule
Professional development opportunities
Direct line to the COO and a seat at the table where the platform strategy gets built
What Success Looks Like in Year One
Reduced days to first visit — patients getting into therapy faster
Referral leakage down, conversion rates up
Therapist productivity and margin performance trending in the right direction
Standardized dashboards and KPIs live and in use across the organization
A hiring pipelinethat'sactually aheadof growth, not chasing it
Quarterly OKRs hit — and a therapy organization that knows how to execute against them
About Genesis
Genesis Orthopedics & Sports Medicine is a full-spectrum MSK platform — surgery, physical therapy, and everything in between —operatingacross 16 clinics throughout Chicagoland. We run clinical trials. We serve Medicaid patients atscale.We'vebuilt a care delivery model that proves accessible care and excellent carearen'tin conflict.
Rehabilitation is central to that model. The AVP of PT & OT is the person who makes it perform at the level the rest of the platform deserves.
Ifyou'rea rehabilitation leaderwho'sready to build something — and you want to do it inside a mission-driven, fast-moving MSK platform — we want to hear from you.
Genesis Orthopedics & Sports Medicine is actively reviewing applications. Licensed PT or OT in Illinoisrequired.
Qualifications
Required
Bachelor’s degree required; advanced degree (DPT, OTD, MBA, MHA, or related) strongly preferred
7+ years of progressive leadership experience in PT/OT or rehabilitation services
Multi-site operational leadership experience
Strong understanding of outpatient therapy economics, billing, and reimbursement
Licensed clinician (PT/OT) within Illinois upon hire date
Preferred
Experience in orthopedic 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
Competitive salary package with potential for pay escalation via performance/productivity bonus
401(k)
401(k) matching
Continuing education funds
Disability insurance
Flexible schedule
Health insurance
License reimbursement
Life insurance
Paid time off
Professional development opportunities
#J-18808-Ljbffr