Director of Imaging Services and Strategy

Roper St. Francis Healthcare • Charleston, SC

1d • Onsite

About The Position

The Director of Imaging Services and Strategy provides strategic and operational leadership for imaging services across the health system, including hospital-based, hospital outpatient department (HOPD), and freestanding/retail imaging locations. The Director develops and executes an integrated imaging strategy to optimize access, market growth, consumer experience, clinical quality, and financial performance across all sites of care.

The role participates in developing the organization's retail imaging strategy through market and competitive assessment, geographic access planning, modality demand and capacity analysis, site selection recommendations, and imaging-asset deployment. It ensures imaging capacity and modality mix align with population growth, physician demand, referral patterns, payer dynamics, and consumer preferences.

The Director is accountable for imaging-network performance, including productivity, labor management, equipment utilization, access, throughput, quality, patient experience, and financial results. The role develops workforce and staffing models to deploy resources efficiently across hospital and ambulatory settings while supporting a sustainable imaging workforce. The position is based at Roper Hospital and requires travel throughout the system to all sites. It reports to the VP COO, Ambulatory Channel, and has 10 direct reports.

Requirements

• Bachelor's degree in healthcare, business, imaging sciences, or a related field.
• At least 7 years of progressive imaging leadership experience, including multi-site operational responsibility.
• Demonstrated leadership experience in freestanding/retail, non-HOPD imaging.
• Imaging modality licensure or certification is preferred.
• Certified Radiology Administrator (CRA) certification is preferred.
• Strong knowledge of hospital, HOPD, and freestanding imaging operations; retail imaging strategy and market development; market assessment and geographic network planning; modality demand, capacity, utilization, and capital planning; strategic planning and execution; productivity and labor management; workforce development and staffing models; financial analysis and business planning; quality, regulatory compliance, and patient safety; and consumer access and patient experience.
• Relationship-building and cross-functional collaboration skills; change management and ability to lead through influence; critical thinking, innovation, and a growth mindset.

Nice To Haves

• Master of Business Administration (MBA).
• Imaging modality licensure or certification.
• Certified Radiology Administrator (CRA) certification.
• Experience developing, expanding, or optimizing a multi-site retail imaging network.
• Hospital and/or HOPD imaging leadership experience.

Responsibilities

• Develop and execute an enterprise imaging strategy across hospital, HOPD, and freestanding/retail settings, selecting appropriate sites of care based on clinical need, consumer access, payer dynamics, and economics.
• Lead retail imaging strategy development, including market and competitive assessment, geographic access analysis, physician and referral demand, modality needs, capacity modeling, site prioritization, and recommendations for new imaging locations.
• Develop a multi-year modality and capital deployment plan for MRI, CT, PET/CT, mammography, ultrasound, X-ray, and other imaging technologies, informed by demand, capacity, utilization, equipment lifecycle, and projected market growth.
• Establish network-wide performance standards for productivity, staffing, equipment utilization, operating hours, scheduling, access, throughput, quality, patient experience, and financial performance.
• Develop modality-specific productivity and utilization benchmarks and work with site leaders to address underperformance, excess capacity, access constraints, and variation between locations.
• Lead imaging workforce planning and development, including recruitment, retention, career pathways, cross-training, student pipelines, and partnerships with educational institutions.
• Develop and evaluate staffing models such as cross-site staffing, regional staffing pools, flexible scheduling, extended-hours coverage, and remote or virtual imaging workflows where appropriate.
• Create an operating model that dynamically deploys staffing and equipment capacity across the network based on patient demand.
• Partner with hospital, ambulatory, physician, finance, strategy, payer contracting, and real estate leaders to optimize imaging services across the continuum.
• Identify and evaluate emerging imaging technologies, AI-enabled workflow, remote operations, and other innovations that may improve productivity, quality, access, and consumer experience.
• Develop executive-level imaging dashboards covering market share, leakage, access, volume, capacity, productivity, labor cost, equipment utilization, contribution margin, quality, and patient experience.
• Recommend ways to enhance financial performance and develop business opportunities across the imaging service line.
• Ensure standardized operating procedures, quality metrics, regulatory compliance, workflow optimization, and performance-improvement initiatives are consistently deployed across imaging sites.
• Build relationships with executive, hospital, ambulatory, physician, and operational leaders and lead collaborative teams advancing system-wide imaging priorities.

Benefits

• Competitive pay, incentives, referral bonuses, and a 403(b) with employer contributions when eligible.
• Medical, dental, vision, and prescription coverage; HSA/FSA options; life insurance; mental health resources; and discounts.
• Paid time off, parental and FMLA leave, and short- and long-term disability.
• Tuition assistance, professional development, and continuing education support. Benefits may vary based on market and employment status.

What This Job Offers

• Job Type: Full-time
• Career Level: Director