Regional VP of Operations Search · Engaged Search

Regional VP of Operations Search.

Multi-site operating leadership across healthcare, behavioral health, home health/hospice, and senior-care operators. Owns the regional P&L, the site-leader bench, and the operating cadence.

Start a Regional VP of Operations search →How engaged search works

The thesis

What this search actually requires.

A Regional VP of Operations sits between the C-suite and the site-leadership layer in multi-site healthcare operators. The seat owns the regional P&L, the site-leader bench (Executive Directors, Administrators, DONs), the operating cadence, and the rollout of system-level initiatives at the site level. Strong candidates have run multi-site operations at scale and can hold both the site relationships and the corporate-level conversations.

Most Regional VP searches are engaged, with confidentiality scoped to the operator size. The candidate pool is mostly passive, running someone else's region, and the search has to surface candidates with multi-site experience plus geographic fit. The recruiter on your search has placed across hospital systems, ambulatory networks, home health/hospice, and behavioral health.

Compensation

Regional VP of Operations comp ranges in 2026.

Typical 2026 ranges for the Regional VP of Operations role. Specific comp is benchmarked per engagement against peer companies and the candidate's track record.

✓Smaller-revenue regional VP (3–10 sites): $180,000–$280,000 base
✓Mid-market regional VP (10–25 sites): $250,000–$380,000 base, plus bonus
✓Large regional VP (25+ sites, multi-state): $320,000–$480,000 base, plus bonus and equity in PE-backed operators
✓Total compensation typically 1.3–1.7× base depending on operator type and equity participation

How the search runs

Five steps, end-to-end.

From kickoff to closed offer, run by the senior headhunter you meet on the first call.

Scoping with the COO or CEO; alignment on region scope, site count, and operating cadence
Market mapping across regional operating leaders inside peer operators; targeted outreach to the passive multi-site VP pool
Calibrated shortlist (3–5 candidates) with regional-P&L track record diligence
Working sessions with the COO, CFO, and (where applicable) one or two site leaders in the region
Reference checks across regional operating networks, offer construction with attention to bonus structure, and close

Industries we run this in

Where the Regional VP of Operations search lives.

The industries where this role profile shows up most often on our desk.

Industry

FAQ

Regional VP of Operations search,
specifically.

The questions hiring leaders ask in the first scoping call.

How long does a Regional VP of Operations search take?

Engaged searches typically run 75–110 days from engagement to closed offer. Specific-geography searches and roles requiring particular operator-type experience (e.g., behavioral health regional VP with substance-use-disorder operator background) run longer.

Do candidates need to relocate?

It depends on the region. Most Regional VP roles require either residence in the region or a willingness to travel 60–80 percent of the time. Hybrid arrangements (home base outside region, travel-heavy) work for some operators and not others; we calibrate at scoping.

What operator types do you cover?

Hospital systems (regional-level operating roles), ambulatory networks, behavioral health platforms, substance-use-disorder operators, home health, hospice, assisted living, memory care, and skilled nursing. The recruiter assigned matches operator type.

How much does an engaged Regional VP search cost?

Engaged search fees run 25–35 percent of first-year compensation. The deposit funds passive-candidate advertising and dedicated headhunter time; the balance is owed on placement.