Executive Director of Operations

THE OPPORTUNITY A

well-established, specialty medical practice and ambulatory surgery center in the Coachella Valley is seeking a talented Executive Director to lead and grow the business. The organization has a strong patient base, established payor relationships, and a clear growth plan built around service line expansion, new provider capacity, and recurring revenue programs layered onto a high-margin core procedural business. The platform is growing and well-positioned in one of the most demographically attractive healthcare markets in the country — a large, affluent, active adult population with real demand for specialty care. The Executive Director will be the single accountable leader running the day-to-day business across the clinic and ASC. This person will build the operational infrastructure, launch and own new service lines, lead a growing team, and drive the financial performance that makes this organization a market leader in its category. This is not a caretaker role. It is a builder role. The organization has the clinical foundation, the payor relationships, and the growth plan. What it needs is an operator who can execute, who builds high-performing teams, and who wants to lead a business — not just manage a schedule.

REPORTING STRUCTURE & SCOPE

Reports to senior leadership. Manages the Practice Director and ASC Director directly. Coordinates with billing, credentialing, IT, and external accounting vendors. Scope covers the full clinical and business operation across both entities: revenue cycle performance, service line growth, provider productivity, staff management, vendor relationships, and financial reporting. The Executive Director owns the P&L from top-line collections through net operating income.

CORE RESPONSIBILITIES

Platform P&L Management

• Own the clinic and ASC P&L — revenue by service line, expenses, and net operating income
• Drive consistent EBITDA growth against defined annual targets
• Hold weekly performance reviews against budget; identify shortfalls and have resolution plans within 48 hours
• Ensure the ASC receives clean, well-credentialed referrals and that clinic-to-ASC case flow is efficient and growing Revenue Cycle & Billing Performance
• Own the billing vendor relationship end-to-end: performance review, denial management, AR discipline, and contract negotiation
• Drive clean claims rate to 95%+ and maintain it
• Manage AR aging weekly; escalate accounts over 90 days with no movement
• Own ancillary revenue programs: durable medical equipment dispensing, toxicology revenue share, and recurring insurance-based care management programs
• Ensure all recurring care management billing is enrolled, documented, and submitted accurately each month Service Line Launch & Growth
• Own the operational execution of new service line launches: protocol writing, staff training, scheduling changes, and weekly performance tracking
• Active launches include: same-day acute access, hormone optimization and metabolic health services, durable medical equipment, remote patient monitoring enrollment, toxicology revenue capture, and personal injury referral pipeline
• High-margin procedural service activations: advanced neuromodulation procedures, regenerative injection programs, and minimally invasive spinal procedures
• For each launch: write the protocol, assign the staff owner, train the team, report weekly results Provider Performance & Staff Management
• Manage the Practice Director and ASC Director directly with weekly accountability and clear deliverables
• Own the weekly provider scorecard: procedure volume, new patient counts, ancillary conversion rates, no-show rate, and recurring program enrollment
• Coordinate new physician onboarding: credentialing timeline, schedule template, Day 1 patient panel, ASC privileges
• Manage clinical and front office team performance against service line protocols and volume targets
• Own hiring for open roles within headcount budget Vendor & Contract Management
• Billing vendor: monthly performance review, denial root cause analysis, contract renegotiation to market rate
• IT vendor: manage current contract and lead competitive rebid process
• Credentialing vendor: coordinate provider onboarding timelines and licensure tracking
• Remote monitoring platform: enrollment counts, billing accuracy, and platform performance
• Marketing vendor: monthly attribution reporting, cost per acquired patient, spend optimization recommendations Financial Reporting & Infrastructure
• Build and maintain clean financial reporting in coordination with the external accounting team
• Own the monthly management report — accurate, clean, and formatted for senior leadership review
• Document all service line protocols, enrollment workflows, and vendor agreements in organized, audit-ready form
• Ensure all payor contracts are current, executed, and filed
• Maintain a live performance tracker showing trajectory vs. annual targets by entity and service line Reporting & Analytics
• Weekly one-page operations dashboard to senior leadership every Monday
• Monthly board-ready report by the 7th of each month: actual vs. budget, performance bridge, provider scorecard, AR aging summary
• Flag any material performance concern within 48 hours of identification

REQUIRED QUALIFICATIONS

• 5+ years of healthcare operations leadership with P&L management responsibility in a physician group, ambulatory surgery center, or specialty medical practice
• Direct experience managing a revenue cycle function including billing vendor relationships, denial management, and AR discipline
• Demonstrated ability to launch new clinical service lines — own them from protocol writing through staff training through weekly performance tracking
• Experience managing physicians and APPs constructively while holding providers accountable on performance metrics

• Data-driven:

  comfortable in Excel, experienced pulling reports from a major EHR platform, able to build performance dashboards from scratch
• Regular on-site presence in the Coachella Valley is required
• Bachelor's degree required; MBA, MHA, or clinical credential strongly preferred

PREFERRED QUALIFICATIONS

• Experience in a procedure-heavy specialty — orthopedics, spine, surgery, or related — familiarity with ASC operations and procedure-based revenue cycles is a meaningful advantage
• Prior experience managing a billing vendor rebid or renegotiating a billing rate to a better contract
• Familiarity with remote patient monitoring, chronic care management, or recurring insurance program infrastructure
• Experience managing a multi-site or multi-entity clinical operation
• Existing relationships in the Coachella Valley or Southern California desert market a plus

COMPENSATION & BENEFITS

Base salary of $110,000

• $130,000 annually, commensurate with experience.

Healthcare benefits and 401(k). Annual performance bonus tied to platform EBITDA — details provided to candidates advancing in the process.

TO APPLY

This is a confidential search. The organization will not be identified during initial screening. Qualified candidates will be contacted directly. Please submit a resume and a brief note — no more than one paragraph — describing your most relevant experience managing the full operations of a physician group or ASC with direct P&L responsibility. Candidates without demonstrated P&L management experience in a clinical setting will not be advanced.

Job Type:

Full-time Pay:

$110,000.00

• $130,000.

00 per year

Work Location:

In person