Regional GM P&L Healthcare Operations - $178K in Columbus
Career & Market Insight
This is a senior general management role with full P&L ownership — a meaningful career milestone for healthcare operations leaders. The $156,000–$178,000 total cash (base + 20% bonus) is competitive but not exceptional for a multi-state GM role in healthcare; comparable regional GM positions at mid-size health services companies typically range from $160,000–$220,000 total comp, suggesting modest room for negotiation.
Green flags for career growth:
- P&L ownership at the regional level is a resume-defining credential that opens doors to VP Operations, COO, and broader GM roles.
- The matrixed, influence-based leadership model is increasingly common in modern healthcare and tech-enabled services — mastering it builds a highly transferable leadership skill set.
- Luna appears to be a growth-stage company scaling a regionalized model, meaning high visibility to executive leadership (reports to the President) and real impact on company strategy.
- Unlimited PTO and remote flexibility suggest a results-oriented culture rather than face-time-driven management.
Watch-outs:
- Leading without direct authority in a matrixed org can be frustrating if functional teams are under-resourced or misaligned. Clarify how conflicts are resolved during the interview process.
- The preferred PT/OT clinical background suggests niche domain expertise is valued — non-clinicians may face credibility challenges with therapist-facing teams.
- "Comfortable navigating ambiguity" is a soft signal that processes and tooling may still be maturing.
Overall, this is a high-impact role for a seasoned healthcare operations leader ready to step into full business ownership at a scaling company.
Reports to: President
Status: Exempt
Location: Remote — must reside in the Central US territory (TX, OK, UT, AZ, CO, IL, MN, IA, WI, MO, IN, OH, MI, TN)
Pay Grade: 18
Job Summary
The Regional General Manager, Market Performance is central to scaling a regionalized operating model that balances local ownership with centralized excellence. This role ensures the company can grow with discipline, stay close to its markets, and deliver exceptional outcomes for therapists, partners, and patients.
This person is the accountable business owner for Luna's Central US geographic region. This leader owns regional P&L performance and is responsible for translating company strategy into strong local execution across therapist visits, patient access, physician relationships, and partner performance. They champion innovation while maintaining disciplined execution.
Operating within a regionalized, shared services model, the GM leads through influence rather than direct reporting lines. Centralized functional teams — including Therapist Acquisition, Therapist Enablement, Physician Success, and Partner Account Management — retain solid-line reporting to their respective functional leaders, with dotted-line accountability to the GM for regional outcomes.
This role requires a strong owner mentality, comfort operating in a matrixed environment, and the ability to drive results through cross-functional alignment, data, and local dynamics.
Key Responsibilities
P&L & Financial Performance
- Own the full Central US regional P&L, including revenue growth, contribution margin, and cost management.
- Develop regional forecasts, budgets, and operating plans aligned to company targets.
- Identify and execute levers to improve unit economics, utilization, and market density.
- Make disciplined tradeoffs to balance growth, margin, quality, and experience.
Cross-Functional Leadership
- Serve as the single point of accountability for regional performance across therapist acquisition, enablement, physician success, and partner success/account management outcomes.
- Lead through influence in a matrixed environment, aligning functional partners to regional priorities.
- Translate national initiatives into region-specific execution plans with clear KPIs.
Therapist Supply & Enablement
- Ensure sufficient therapist supply to meet regional demand. Partner with Therapist Acquisition to set regional hiring targets and market-level sourcing strategies.
- Partner with Therapist Enablement to improve therapist engagement, retention, productivity, and quality.
- Balance growth objectives with therapist sustainability and experience.
Physician & Partner Growth
- Drive regional growth through strong physician relationships and partner execution.
- Partner with Physician Success and Partner Account Management to:
- Grow referral volume and retention
- Improve partner satisfaction and outcomes
- Identify expansion opportunities within existing accounts
- Serve as the senior escalation point for regional partner issues
Market Strategy
- Develop and execute regional market strategies informed by local dynamics, demand patterns, and performance data.
- Identify opportunities for market expansion, optimization, or investment.
- Act as the regional voice to executive leadership, surfacing insights, risks, and opportunities.
Operating Rhythm & Culture
- Establish and lead a strong regional operating rhythm (weekly, monthly, and quarterly business reviews).
- Use data to diagnose performance gaps and drive corrective action.
- Align functional partners around a shared regional scorecard.
- Model company leadership principles and culture within the region.
- Influence and develop leaders operating within the region, even where reporting lines are dotted.
- Foster a culture of ownership, transparency, and continuous improvement.
Job Requirements
- 10+ years of progressive leadership experience in healthcare operations, providing multi-site in-home or outpatient rehab services.
- Located within Central US (TX, OK, UT, AZ, IL, CO, MN, IA, WI, MO, IN, OH, MI, TN).
- P&L ownership in prior experience with accountability for growth and profitability.
- Preferred: PT or OT with a background related to the above areas.
- Bachelor's degree or equivalent.
- Experience leading in a matrixed or shared services model.
- Strong financial and analytical acumen.
- Proven ability to influence without direct authority.
- Owner mentality with strong business judgment.
- Comfortable navigating ambiguity and driving clarity.
- Collaborative, low-ego leader who delivers results through partnership.
- Data-driven, decisive, and execution-oriented.
- Able to balance strategic thinking with operational rigor.
- Familiarity with health system partnerships or enterprise accounts in local markets.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, stand, and walk for extended periods of time, and may occasionally be required to lift/carry equipment up to 30 lbs.
Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
Salary and Benefits
The total cash compensation range for this role is $156,000–$178,000, consisting of a base salary of $130,000–$148,000 plus a 20% nondiscretionary bonus.
Comprehensive benefits including unlimited paid time off and paid holidays. Benefits begin the first of the month following hire, including medical, dental, and vision coverage, company-paid life insurance, voluntary short-term disability, 401(k) with company match, and dependent care FSA.
Frequently Asked Questions
Is this role truly remote or does it require going into an office?
What is the total compensation for this Regional General Manager position?
Do I need to be a licensed Physical Therapist or Occupational Therapist to apply?
How does the matrixed reporting structure work in this role?
What kind of PTO and benefits does this role offer?
