Assistant Vice President, Physical Therapy & Occupational Therapy

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 — operating across 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. Now we're ready 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's the AVP of PT & OT job. And it's one of the most consequential operational leadership roles at Genesis right now. 

The Role 

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. 

This isn't a pure desk job. You'll maintain 10–25% 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 we don't want you to. 

What You'll Drive 

Operations 

• Own day-to-day operations across all PT/OT clinics: staffing, scheduling, patient throughput, and workflow standardization that actually scales 

• 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 

Growth & Access 

• 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 

• 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 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 

• Align utilization with evidence-based guidelines and value-based care objectives 

Financial Performance 

• 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 

• Drive conservative management strategies that reduce total cost of care — for the patient and the system 

Data & Analytics 

• Build and continuously refine operational dashboards that give leadership real-time visibility into what's working and what isn'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, 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 

• Coach Clinic Managers to operational, financial, and clinical success 

• Develop scalable staffing models — effective utilization of PTAs, COTAs, and support staff — that grow with the platform 

Strategic Execution 

• 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 

Who We're Looking For 

You're a 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 outpatient therapy econom