Vice President of Operations

We’re looking for an operational leader with a strategic mindset and a hands-on approach to help us scale sustainably and drive day-to-day excellence. As VP of Operations, you’ll oversee field operations, logistics, and fleet performance, while leading initiatives that improve efficiency, elevate the patient experience, and support long-term growth.

Key Responsibilities:

Lead Strategy and Execution

• Design and execute operational strategies aligned with Royal’s mission and business goals
• Build scalable systems to support growth, compliance, and high-quality service
• Drive integration efforts for mergers and acquisitions, including due diligence and post-merger alignment

Drive Operational Excellence

• Oversee daily operations including fleet, field logistics, and service delivery (BLS, ALS and CCT)
• Ensure compliance with regulatory standards and drive continuous process improvement
• Use performance data to optimize resource allocation, reduce costs, and meet SLAs

Build and Empower Teams

• Develop a high-performing operations team with clear goals, coaching, and accountability
• Foster a culture of ownership, servant leadership, and professional development
• Support succession planning and leadership pipeline development

Collaborate and Represent

• Partner cross-functionally with executive and field teams to align operations with company goals
• Act as a key point of contact for clients, healthcare partners, and community stakeholders
• Identify opportunities to improve the patient and employee experience

Manage Budgets and Performance

• Oversee operational budgets and cost control initiatives
• Use data to inform decision-making and drive profitability through efficiency
• Track key performance indicators to guide strategy and maintain accountability

Qualifications

• Bachelor’s degree in Business Administration, Healthcare Management, Operations, or a related field
• 10+ years of experience in operations management, preferably in healthcare, transportation, or a related industry
• Deep understanding of logistics, process optimization, and resource management
• Proven leadership experience and results, with a track record of building and leading engaged high-performing teams
• Expertise in operational metrics, financial analysis, and resource management
• Strong analytical, strategic thinking, and problem-solving skills, with a focus on data-driven decision-making and results-oriented mindset
• Excellent communication and interpersonal skills, with the ability to collaborate across all organizational levels, and engage and inspire diverse teams and stakeholders
• Demonstrated ability to manage complex projects, prioritize competing demands, and drive results

Embody the Royal Mindset:

We are Driven - We set a goal, identify a plan to achieve it, stay focused and motivated throughout the process, and reach our desired results, despite obstacles or challenges. We show initiative and commitment. We maintain a positive mindset and believe in ourselves and our abilities.

We are Empathetic - We are in tune with the feelings and actions of others and use that understanding to guide our actions, behaviors, and decisions. We are compassionate, perceptive, and mindful. We put ourselves in our patient's shoes and each other’s shoes and go above and beyond to ensure we treat everyone with dignity and respect

We are Engaging - Our actions show our commitment to the organization and its goals. We care about the quality of our work and our fellow team members. We are enthusiastic and want to be involved within Royal and with our communities.

We are Adaptable - We are able to handle and adjust to change by being flexible in our process and mindset. We stay calm and do not fold under pressure when something changes, or a problem occurs. We develop a solution and can come up with an alternative plan despite the obstacles we are challenged with.

About Royal Ambulance

Founded by Steve Grau, Royal Ambulance is one of California’s premier mobile healthcare providers, proudly serving the San Francisco Bay Area. Since Royal’s inception in 2006, the company has grown from 2 ambulances and 10 EMTs to a fleet of over 100 ambulances and 800+ team members. Royal has experienced double-digit year-over-year growth over the last 10 years. Transporting over 95,000+ patients a year, Royal Ambulance is a partner to most major health systems in the Greater San Francisco Bay Area region. Our company has been curated off of four values:

Driven. Empathetic. Engaging. Adaptable.

At Royal Ambulance, we firmly believe it’s not just about the destination, it’s about the journey! It’s about who you become along the way, the people you meet, the connections you make, and the experiences you have that shape the kind of healthcare professional you become. As we continue to grow, we remain focused on fostering a culture of professional and personal development and best-in-class employee experience. Join our team and be a part of this exciting growth opportunity while surrounding yourself with other purpose-driven individuals, who encourage and inspire one another along their path in EMS and Healthcare.

Follow us on Instagram @RuleTogether

This job posting intends to provide a representative summary of the major duties, responsibilities, and essential functions performed by incumbents of this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description. Royal Ambulance is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Applicants must be legally authorized to work in the United States without requiring employer sponsorship now or in the future. We do not offer visa sponsorship for this position.