Administrator Facility Executive, Nexton Medical Center

Medical University of South Carolina•Summerville, SC

3d•Onsite

About The Position

The Administrator (Facility Executive) will lead and manage the operations of MUSC Health Nexton Medical Center, a 192,000-square-foot, five-story facility on a 40-acre campus. This role ensures the delivery of high-quality, patient-centered care while driving operational excellence and strategic growth. This role will initially be structured as a 75% effort focused on standing up the Nexton Medical Center, and 25% effort toward the Charleston Division special/operational projects. The role is expected to transition to 100% Nexton Medical Center focus in the summer of 2027. The Administrator (Facility Executive) will oversee phased openings, including the Hollings Cancer Center – Nexton (Summer 2027) and the hospital (Spring 2028), positioning the facility as a premier destination for advanced healthcare services in the region. They will be responsible for preparing the hospital and its associated services to be fully operational upon opening. This includes planning, coordinating, and executing all readiness activities over the next two years—such as regulatory approvals, staffing, clinical workflows, technology implementation, and community engagement. Between hospital build out and readiness to daily operations, key responsibilities include: 75% effort of focused on Nexton Medical Center for the remainder of FY26 and FY27 (present – June 30, 2026), 25% dedicated to Charleston Division projects as needed. 100% effort focused on Nexton Medical Center beginning FY28 (July 1, 2027 – forward).

Requirements

Master’s degree in Healthcare Administration, Business Administration, or related field required.
Minimum 5 years of progressive leadership experience in healthcare operations, preferably in hospital or multi-service facility management.
Experience with new facility openings preferred.
Progressive executive leadership experience leading or building complex healthcare infrastructure projects is desired.
MDs and DOs with significant operational/administrative leadership experience also encouraged to apply.
Strategic planning and execution for large-scale healthcare projects
Exceptional leadership, communication, and interpersonal skills
Strong analytical and problem-solving abilities
Comprehensive knowledge of healthcare regulations and best practices.
Regulatory Readiness: 100% completion of licensing and accreditation requirements by target dates.
Staffing: Leadership team hired by Q2 2026; 90% of clinical staff onboarded and trained by Q1 2028.
Financial Performance: Adherence to pre-opening and operational budgets within ±3%.
Operational Readiness: Successful completion of mock surveys and readiness audits with zero critical findings.
Technology Implementation: EHR and ancillary systems fully functional and tested prior to patient care.
Community Engagement: Achieve targeted physician alignment and outreach metrics before opening.
Patient Safety: Emergency preparedness and infection control protocols validated before go-live.

Nice To Haves

FACHE certification preferred.
Relevant certifications (e.g., FACHE) preferred.

Responsibilities

Develop, communicate, and execute the facility’s strategic vision and operational goals in alignment with MUSC Health Charleston Division objectives and healthcare standards.
Lead comprehensive operational readiness planning for phased openings, ensuring all departments meet regulatory, clinical, and operational standards before go-live.
Coordinate readiness activities such as: Licensing and accreditation processes, Staff recruitment, credentialing, and orientation, Clinical workflow design and simulation testing, Technology and EHR implementation, Supply chain and equipment installation, Emergency preparedness drills, Community outreach and physician alignment.
Oversee daily operations, ensuring efficient and effective delivery of services across all departments, including clinical, administrative, and support services.
Ensure readiness plans meet state and federal regulations, Joint Commission standards, and MUSC Health quality benchmarks.
Implement mock surveys and readiness audits prior to opening.
Uphold a culture of continuous improvement to enhance patient safety, quality of care, and adherence to state and federal healthcare regulations.
Develop and manage multi-phase budgets, including pre-opening operational costs, staffing ramp-up, and capital expenditures.
Monitor financial performance during transition from construction to full operations.
Lead the development and management of the facility’s budget, including to ensure financial sustainability.
Build and lead a high-performing leadership team capable of managing complex service lines and phased growth.
Oversee training programs to ensure staff competency before patient care begins.
Recruit, mentor, and retain a high-performing leadership team, fostering a collaborative and supportive environment that prioritizes employee engagement and professional growth.
Serve as the primary liaison between the facility, patients, families, and the community, enhancing the facility’s reputation and fostering trust within the community it serves.
Champion outreach initiatives to position the facility as a regional healthcare leader.
Collaborate with the MUSC Health Charleston Division leadership, System leadership, and external stakeholders to align facility goals with broader organizational and community health objectives.
Identify and mitigate operational, financial, and clinical risks during construction and pre-opening phases.
Ensure robust emergency preparedness and patient safety protocols.
Proactively identify, assess, and manage risks to the facility, implementing appropriate policies and interventions to safeguard patient and staff well-being.
Lead and deliver the following major milestones: 2026 – Planning & Infrastructure: Finalize operational readiness plan and governance structure. Complete regulatory and licensing applications. Approve staffing models and begin leadership recruitment. Initiate IT/EHR system build and integration planning. 2027 – Ramp-Up & Simulation: Complete Hollings Cancer Center operational readiness and open in Summer 2027. Conduct mock surveys and Joint Commission readiness audits. Launch staff onboarding and clinical workflow simulations. Install and validate medical equipment and supply chain systems. 2028 – Hospital Opening: Achieve full regulatory compliance and accreditation. Complete emergency preparedness drills and patient safety protocols. Ensure all service lines (ED, inpatient, specialty care) are staffed and operational. Execute community engagement and physician alignment strategies. Open hospital in Spring 2028 with seamless patient care transition.