
James, let's talk about hiring portfolio ops leaders for Align ENT
Consolidation among physician-led ENT and allergy platforms is accelerating as roll-ups standardize practice management, referrals, and revenue-cycle processes while preserving local physician control—a dynamic that’s driven recent add-on activity by growth partners like Zenyth. That model depends on operators who can scale clinical operations across 20+ practice networks without disrupting physician autonomy.
What’s scarce are leaders who’ve executed similar roll-ups inside PE-backed medical-practice platforms: VP/SVP Portfolio Operations and Heads of Talent who can recruit and retain clinicians at scale, plus COOs who own revenue cycle and multi-site integration. Compensation pressure for practice-level COOs and Heads of Talent has made this talent competitive.
If scaling operations while protecting physician control or hiring a VP/SVP Portfolio Ops is on your radar, I’m happy to talk for 20 minutes to share what we’re seeing in healthcare talent.













