Position Summary The Department of Neurosurgery at Boston Children's Hospital (BCH), in partnership with the Boston Pediatric Neurosurgical Foundation, is searching for an Executive Administrative Director (EAD). This position provides executive leadership and operational oversight for one of the nation's leading pediatric neurosurgical departments. As the first pediatric neurosurgical service in the world, the department has delivered innovative care to children requiring complex surgical treatment for neurological conditions for nearly a century. The team provides comprehensive surgical care for children with disorders of the brain, spine, and nervous system, completing more than 1,000 surgeries and 7,500 outpatient visits annually. The department is deeply integrated across BCH, contributing to numerous multidisciplinary centers and clinical programs. This role calls for a strategic, engaged leader who will partner closely with physician leadership to drive performance across all aspects of a high-acuity, high-complexity surgical department. Key Responsibilities Provide overall management, strategic development, and fiscal oversight of the Department of Neurosurgery. Oversee operational, administrative, and financial functions, including medical staff appointments, budgeting, billing, and regulatory compliance Partner with the Chief of Service and Vice President to develop, execute, and monitor strategic plans aligned with departmental, foundation, and BCH institutional goals Be accountable to the Chief of Service, Vice President, and Foundation Board of Directors for business development activities, as applicable Collaborate with faculty and BCH leadership on the development, implementation, and oversight of new clinical and academic programs Lead and facilitate staff and physician faculty meetings to communicate policies, procedures, and operational updates, and to gather input Oversee employee payroll and benefits, as applicable Serve as an active liaison and coordinator with all satellite practices and affiliated sites Ensure accurate, compliant insurance billing and coding practices across department and foundation payors Act as the lead executive in coordination, negotiation, and collaboration with the Physician Organization Develop, plan, and monitor operating and capital budgets in collaboration with the Chief and BCH leadership Collaborate with the Chief and Principal Investigators to support the research mission and provide financial oversight of grants and projects Ensure preparation and presentation for the Annual Meeting of the Board of Directors and compliance with all state and federal requirements for a 501(c)(3) organization Participate on hospital task forces and committees as needed Jointly report to the Chief of Service / Foundation President and the BCH Vice President of Surgical Services Required Qualifications Bachelor's degree required; Master's degree strongly preferred in Business, Public Health, or Health Care Administration Ten or more years of senior leadership experience, preferably in an academic medical center or complex health care environment Strong knowledge of health care IT systems and technology-enabled workflows Excellent analytical, communication, and problem-solving skills Demonstrated ability to lead diverse teams, manage complex operational and ethical challenges, and collaborate effectively with peer leaders