Director of Ancillary Services Implementation and Operations

CardioOne•Denver, CO

7d•$130,000 - $150,000•Remote

About The Position

CardioOne is seeking a highly experienced and execution-oriented leader to drive the development and launch of de novo cardiology operations, advanced imaging, and ambulatory surgery center (ASC) sites across the platform. This role owns the full lifecycle of real estate development and clinical infrastructure implementation - from early-stage physician engagement, site selection, and lease negotiation through design, construction, regulatory approval, and go-live. The Director of Ancillary Services Implementation and Operations will operate as a central integrator across clinical, operational, financial, and regulatory workstreams, ensuring new sites are delivered on time, on budget, and fully operational. This individual will play a key role in structuring and supporting lease negotiations, aligning real estate strategy with clinical and financial objectives, and driving outcomes across a complex stakeholder environment. This role requires a highly adaptable operator who thrives in ambiguity, brings strong critical thinking and problem-solving capabilities, and can build structure, process, and repeatability in a fast-scaling environment. This is a high-impact, high-visibility role to the Vice President of Implementation and partnering closely with executive leadership across growth, operations, and finance.

Requirements

8+ years of experience in healthcare operations, real estate development, outpatient facility development, or related environments
Proven experience leading end-to-end development projects from site selection through construction and operational launch
Familiarity with healthcare regulatory environments, including licensing, accreditation, and compliance frameworks
Demonstrated ability to manage complex, cross-functional initiatives with multiple stakeholders
Strong financial acumen, including budgeting, capital planning, and coordination with financing partners

Nice To Haves

Experience with imaging modalities (e.g., PET/CT, SPECT, MRI, CT) strongly preferred
Prior experience in high-growth or platform-based healthcare organizations strongly preferred

Responsibilities

Lead site selection, market evaluation, and overall real estate strategy, including structuring and negotiating leases and supporting physician-led property acquisitions across cardiology, imaging, and ASC locations
Manage the full development lifecycle including feasibility, test fits, design development, permitting, and construction
Oversee architects, engineers, general contractors, and vendors to ensure alignment with budget, schedule, and program requirements
Develop and manage project budgets and coordinate capital planning and deployment
Lead brokerage strategy, including selection, vetting, and engagement of broker partners; manage performance and alignment throughout site sourcing, market analysis, and transaction execution
Coordinate closely with brokers and internal stakeholders to drive competitive site sourcing, negotiation strategy, and deal execution
Lead development and deployment of advanced imaging capabilities, including PET/CT and SPECT programs
Coordinate equipment planning, site readiness, and vendor integration across modalities
Establish standardized space programming and infrastructure requirements to support scalable growth
Own and optimize strategic vendor relationships across imaging equipment, radiopharmaceuticals, medical physics, bio-med, accreditation support partners, external reading partners, and group purchasing organizations (GPOs)
Drive regulatory strategy and execution across state and federal frameworks, including RAM licensing and radiation safety compliance
Partner with medical physicists, RSOs, and regulatory bodies to ensure licensing and operational readiness
Support accreditation efforts, including RadSite, surgery center accreditation, and other quality standards alongside partners and/or consultants
Ensure all sites are supported in meeting required safety, compliance, and operational standards prior to launch
Serve as the primary project lead and accountable owner of site delivery across operations, credentialing, revenue cycle, and clinical leadership; drive accountability to schedules and deliverables, and proactively identify and escalate risks and delays to internal teams and executive leadership
Build and manage integrated project plans to ensure cross-functional alignment, clear sequencing, and on-time execution
Act as a primary liaison between physician partners and CardioOne throughout development and onboarding
Identify, prioritize, and resolve risks impacting timelines, budgets, and operational readiness
Drive decision-making and maintain project momentum
Serve as a trusted partner to physicians throughout development, advising on expansion strategy, site selection, and facility planning
Act as the primary point of contact for physician partners during development and onboarding, ensuring alignment, communication, and a seamless onboarding experience
Support onboarding of new physician groups through real estate and infrastructure execution
Collaborate with growth and leadership teams to inform market entry strategy and expansion initiatives
Develop and refine scalable playbooks, tools, and templates for development, ancillary operations, advanced imaging, and ASC implementation
Standardize processes across site selection, design, budgeting, compliance, and execution
Contribute to building infrastructure to support long-term platform scalability