Position: Chief Operating Officer (COO)
Reports To: Chief Executive Officer (CEO)
Location: North Bay, Ontario
Employment Type: Full-Time / Permanent, existing vacancy
Compensation: $130,000-$145,000 per annum
Job Posting Date:9/2/26
Closing date: 9/16/2026
What happens when a successful healthcare technology company with more than a decade of experience reaches the point where its next chapter requires more than simply doing what has always worked?
We are looking for an experienced Chief Operating Officer (COO) to join our executive leadership team and help shape the next stage of our organization. A leader who can focus on mobilizing the organization, who can turn strategy into execution, remove barriers, and ensure priorities move forward.
This is an opportunity to join an established healthcare technology company that has evolved significantly in recent years. We have built a strong foundation, and as our business continues to mature, we are strengthening the way we operate. We are bringing greater alignment, accountability, scalability, and operational discipline while preserving the innovation, agility, and customer focus that have been part of our success.
This is an operating role, not an administrative or advisory one. We are looking for a leader who can strategize AND roll up their sleeves to be hands on, who can accelerate execution, streamline how work gets done, strengthen new client implementation and service delivery, optimize team performance, and ensure the organization is equipped to deliver on its commitments.
About the Role
Reporting directly to the Chief Executive Officer, the COO will be responsible for leading and strengthening the Company's day-to-day operations while partnering with the CEO and leadership team on strategic execution.
You will bring an enterprise-wide perspective to the organization, connecting people, processes, systems, customer needs, and business priorities, and most importantly, ensuring those priorities translate into action, execution, and measurable delivery.
This is a highly visible, hands-on executive role. You will be expected to understand how the organization operates today, identify where work gets stuck or slowed down, and mobilize people, processes, and resources to improve speed, execution, and delivery.
A key focus will be shortening the path from decision to action, implementation to go-live, and commitment to delivery.
The CEO reports to the Board of Directors, and the COO will play an important role in supporting executive and Board-level reporting, operational performance, strategic initiatives, and organizational priorities.
About the Company:
Founded in 2012, MetricAid serves hospitals and physicians globally across Canada, The US, the UK, and Australia, blending cloud software with dedicated client service Management.
What You'll Do
Mobilize Operations & Drive Execution
· Lead the Company's day-to-day operations, ensuring teams are aligned, decisions are acted upon, and work moves efficiently across functions.
· Translate strategic priorities into clear operating plans, accountabilities, timelines, and measurable outcomes, while driving the organization to deliver against them.
· Establish the processes, systems, and operating rhythms needed to increase speed, consistency, accountability, and delivery capacity as the organization grows.
· Identify operational bottlenecks, hand-offs, and barriers to execution and remove them through practical, timely solutions.
· Ensure leaders and teams understand what they own and are accountable for delivering.
· Create a culture where commitments have clear owners, decisions lead to action, and execution is visible and measurable.
Build for Scale, Speed & Delivery
· Help evolve the organization into a scalable, high-performing business that can execute consistently without losing its entrepreneurial speed and responsiveness.
· Assess where additional structure is needed and where flexibility and agility should be preserved.
· Challenge processes that add friction without adding value, and continuously look for ways to simplify, accelerate, and improve how work gets done.
· Lead initiatives that improve speed, efficiency, quality, consistency, and scalability, with a clear focus on measurable business outcomes while identifying ways we can continue to provide cutting edge support to our clients and partners.
· Help strengthen organizational planning, performance measurement, and decision-making.
· Ensure our people, infrastructure, systems, and processes are ready to support growth, accelerate implementation, and deliver consistently at scale.
· Optimize the end-to-end client implementation and service delivery lifecycle, identifying opportunities to reduce delays, eliminate unnecessary hand-offs, clarify ownership, and shorten time-to-value for new and existing clients.
· Work across teams to ensure the organization can effectively absorb new business and translate client commitments into coordinated, timely delivery.
Lead People & Culture
· Partner with the CEO, leadership team, and HR to build a high-performing, accountable, collaborative organization where teams are aligned around delivery and outcomes.
· Develop leadership capability and optimize organizational effectiveness, team structures, capacity, and ways of working.
· Establish clear expectations around performance, ownership and accountability, communication, and follow-through. Ensure teams have the clarity, capacity, tools, and decision-making authority required to execute effectively.
· Work with the CEO, HR, and leaders on organizational design, workforce planning, talent development, performance management, and succession. Help assess whether the organization has the right people, roles, capabilities, structure, and accountability to meet current and future delivery requirements.
· Help employees understand and successfully navigate the Company's continued evolution.
Drive Business Performance
· Work with the CEO and finance leadership on budgeting, forecasting, resource planning, and business performance.
· Develop, align, and monitor action-oriented KPIs and operational dashboards that provide visibility into execution, client delivery, implementation, capacity, and business performance.
· Identify opportunities to improve team capacity, productivity, resource utilization, implementation speed, service delivery, and overall business performance.
· Use operational data and performance indicators to identify where execution is slowing down and mobilize the appropriate teams to address it.
· Ensure operational decisions are aligned with customer needs, financial objectives, and strategic priorities.
Support Governance & Risk Management
· Provide the CEO and Board (as required) with clear, decision-useful operational insights on performance, execution, risk, and priorities. Provide recommendations, and escalation of significant issues.
· Support preparation of operational reporting and materials for the Board of Directors.
· Ensure operational risks are identified, appropriately managed, and escalated.
· Work collaboratively with appropriate leaders and subject-matter experts regarding healthcare, privacy, security, compliance, quality, and other sector-specific requirements.
What We're Looking For
You are an operator first. You are energized by turning plans into action, solving problems, removing barriers, and seeing measurable results. You don't simply identify what needs to change, you mobilize people to make it happen.
You are an experienced operational leader who knows how to make organizations work better. You bring:
· 7+ years hands-on progressive experience in a senior operations, executive, general management, or COO-level role.
· Strong experience in healthcare technology, SaaS, digital health, health information technology, or a related environment.
· Post secondary education in a related field or a combination of experience and education equivalent to the requirements of this position.
· Applied knowledge in a regulated or privacy-sensitive industry.
· Experience leading a growing or evolving organization through increased structure, complexity, and scale through organizational transformation, operational scaling, or business process modernization.
· Strong experience in operational optimization, process improvement, organizational design, team effectiveness, and performance management.
· Demonstrated experience improving implementation, service delivery, operational throughput, or time-to-value in a growing organization.
· Advanced business and financial acumen.
· Demonstrated success mobilizing teams, translating strategy into action, and delivering measurable operational results.
· Experience leading cross-functional teams and organizational change.
· The ability to work effectively with executive leadership and a Board of Directors.
· Excellent communication, relationship-building, problem-solving, and decision-making skills.
· The confidence to challenge assumptions and the judgment to know when to do so.
· A practical, collaborative leadership style that builds accountability without creating unnecessary bureaucracy.
· A track record of getting things done, particularly in environments where priorities compete, processes are evolving, and cross-functional execution is critical.
The Leadership Style We're Looking For
This role isn't about creating process for the sake of process. It is about creating an organization that can move.
The COO will bring a bias to action, with a strong focus on execution, accountability, problem-solving, and delivery. This is a leader who sees a problem and asks, What is preventing us from solving it? Who needs to be involved? What decision needs to be made? And how do we get this moving?
It's about knowing where structure creates value, where it creates friction, and how to build an organization that can do both: operate with discipline and remain entrepreneurial when it makes sense to do so.
You'll need to be strategic enough to see the big picture, operational enough to get into the details, decisive enough to move things forward, and collaborative enough to bring people with you.
Most importantly, you'll be someone who believes that accountability and culture can and should work together.
Why This Opportunity?
You'll be joining a company with an established history, a strong foundation, and an opportunity to help shape what comes next.
The COO will have a meaningful influence on how quickly and effectively the organization turns strategy into action, from how leaders lead and teams work together, to how efficiently we implement new clients, deliver our services, and scale the business.
If you are an operational leader who enjoys turning strategy into action, building high-performing teams, improving how organizations work, and creating the infrastructure that allows good businesses to become great ones, this could be the opportunity for you.
If you're excited by the opportunity to build on something that already works and help make it significantly better, we'd like to hear from you.
Values
Our four values are Passion, Excellence, Authenticity, and Kindness.
Compensation & Benefits
· Competitive Compensation and Benefits
· Onsite parking
· Paid Time Off
· Company Events
· Professional Development Budget
How to Apply
Please submit your resume and a cover letter via Indeed. Applicants are also asked to email a copy of your CV package directly to [email protected] by September 16, 2026. Within your package we ask that you include an answer to the following question:
Share an example of a time growth outpaced your operational capacity. What specific bottlenecks did it create, and what exact steps did you take to scale operations without breaking quality or burning out the team?
We thank all candidates for their interest. Only those selected for further consideration will be contacted. AI may be used to grade applicants close to requirements.
MetricAid is committed to creating an inclusive and respectful workplace. We welcome applications from qualified candidates with diverse backgrounds and experiences and will provide accommodation throughout the recruitment process in accordance with applicable legislation. Should a candidate require accommodation during the recruitment process, please contact [email protected].
Pay: $130,000.00-$145,000.00 per year
Benefits:
- Company events
- Dental care
- Extended health care
- Life insurance
- On-site parking
- Paid time off
- Tuition reimbursement
- Vision care
Work Location: In person