Assistant Vice President, Physical Therapy, Occupational Therapy

Genesis Orthopedics & Sports Medicine

. You'll own everything across PT and OT — strategy, operations, finance, talent, clinical quality, and growth — across a multi-site therapy operation that's expanding fast.

Posted 4/21/2026full-timeChicago • Illinois • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact

You'll own everything across PT and OT — strategy, operations, finance, talent, clinical quality, and growth — across a multi-site therapy operation that's expanding fast.
You'll report directly to the COO, manage Clinic Managers and therapy office staff, and sit at the intersection of clinical excellence and operational performance.
Maintain 10–25% direct clinical productivity — staying close to the floor, modeling expectations, and keeping your instincts sharp.
Integrate therapy seamlessly with orthopedic clinics — reducing referral leakage and keeping patients inside the Genesis care pathway.
Build coverage models that work: in-person, hybrid, and tele-rehabilitation where the evidence and the patient population support it.
Expand the PT/OT footprint across Chicago and surrounding markets — identifying new locations based on referral patterns and payer mix.
Build systems that ruthlessly optimize speed-to-first-visit and patient retention.
Partner with Genesis surgeons, PM&R physicians, and APPs to build protocol-driven rehabilitation pathways by 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.
Own the P&L for PT/OT service lines: revenue, expenses, contribution margin.
Optimize therapist productivity and reimbursement performance.
Build prior authorization discipline — timely submissions, minimal denials, tight alignment between approved visits and care plans.
Create a culture of data transparency where every Clinic Manager knows their numbers and owns their performance.
Recruit, develop, and retain high-performing PT and OT clinicians and leaders across all markets.
Build and maintain academic partnerships with PT/OT programs to keep the hiring pipeline full.
Develop scalable staffing models — effective utilization of PTAs, COTAs, and support staff — that grow with the platform.
Run 90-day OKRs for yourself and your direct reports, aligned to the broader organizational priorities.
Drive disciplined execution against growth, operational, and financial targets — quarter after quarter.

Requirements

What you’ll need

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
Experience in orthopedic or musculoskeletal care settings (Preferred)
Experience in value-based care models (bundles, capitation, episodic payments) (Preferred)
Demonstrated success scaling therapy operations (Preferred)
Familiarity with Illinois Medicaid and commercial payer dynamics (Preferred)
Strong communication and physician partnership skills (Core Competencies)

Benefits

Comp & perks

- 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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

P&L managementclinical productivityrehabilitation pathwaysprior authorizationstaffing modelsvalue-based care modelsoutpatient therapy economicsbillingreimbursementdata transparency

Soft Skills

leadershipcommunicationpartnershipoperational performancestrategic thinkingteam developmentperformance managementculture buildingproblem-solvingexecution discipline

Certifications

Licensed clinician (PT/OT)Bachelor’s degreeDPTOTDMBAMHA