Regional General Manager, Market Performance Western US

Luna Physical Therapy is seeking a Regional General Manager to serve as the accountable business owner for its Western US geographic region. The role owns regional P&L performance and translates company strategy into local execution across therapist supply, patient access, physician relationships, partner performance, and market growth while leading through influence in a matrixed operating model.

Responsibilities:

• Own full Western 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
• Serve as the single point of accountability for regional performance across therapist acquisition, enablement, physician success and partner success / account management outcomes. performance
• Lead through influence in a matrixed environment, aligning functional partners to regional priorities
• Translate national initiatives into region specific execution plans with clear KPIs
• 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
• 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
• 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
• Establish and lead a strong regional operating rhythm (weekly, monthly, 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

Requirements:

• 10+ years of progressive leadership experience in healthcare operations, providing multi site  in-home or outpatient rehab services
• P&L ownership in prior experience with accountability for growth and profitability
• 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
• Preferred PT or OT with a background related to the above areas