Assistant Vice President, Physical Therapy & Occupational Therapy
Position Summary
Genesis has built 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.
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
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
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
Own the P&L for PT/OT service lines: revenue, expenses, contribution margin
Optimize therapist productivity and reimbursement performance
Drive conservative management strategies that reduce total cost of care — for the patient and the system
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
Recruit, develop, and retain high-performing PT and OT clinicians and leaders across all markets
Develop 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
Requirements
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
Benefits
Competitive salary package with potential for pay escalation via performance/productivity bonus
401(k) with matching
Paid time off
Continuing education funds
Disability insurance
Flexible schedule
Health insurance
License reimbursement
Life insurance
Professional development opportunities
About Genesis
Genesis Orthopedics & Sports Medicine is a full-spectrum MSK platform — surgery, physical therapy, and everything in between — operating across 16 clinics throughout Chicagoland. We run clinical trials. We serve Medicaid patients at scale. We've built a care delivery model that proves accessible care and excellent care aren't in 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. If you're a rehabilitation leader who's ready to build something — and you want to do it inside a mission-driven, fast-moving MSK platform — we want to hear from you.
Stack
Competitive base salary + performance/productivity bonus
Health, dental, and vision insurance
401(k) with matching
Paid time off
Continuing education funds
Disability insurance
Flexible schedule
Health insurance
License reimbursement
Life insurance
Paid time off
Professional development opportunities
Success in Year One
Reduced days to first visit — patients getting into therapy faster
Referral leakage down, conversion rates up
THERAPY PRODUCTION AND MARGIN PERFORMANCE TRENDED IN THE RIGHT DIRECTION
Standardized dashboards and KPIs live and in use across the organization
A hiring pipeline that's actually ahead of growth, not chasing it
Quarterly OKRs hit — and a therapy organization that knows how to execute against them