Director of Operations

AMSURG • Remote,

30d • Onsite

About The Position

The Director of Operations (DOO) builds local partnerships with physician leaders, oversees governance of Ambulatory Surgery Centers (ASCs), and optimizes center operations to support growth. The role typically oversees 6–15 ASCs across multiple sites and markets, with oversight of approximately $50 million to $100 million in revenue. The DOO manages ASC P&L performance in partnership with Center Administrators and physician partners, develops regional growth strategies, and builds leadership pipelines. The position is based in San Diego and requires travel averaging 40–60% of the time, up to 60%. The DOO reports to the Vice President of Operations.

The role executes center strategy and corporate initiatives, identifies growth opportunities, supports business development and facility partnerships, and works with physician and health system partners to improve volume, expenses, patient experience, and outcomes. Operational responsibilities include ASC governance, board meeting preparation and leadership, tactical management of initiatives and daily operations, Center Administrator mentoring, staffing model oversight, and coordination with corporate support functions. The DOO also oversees operational compliance, quality, risk, revenue cycle, and financial management for assigned ASCs.

The Director supports physician recruitment and retention and maintains relationships with ASC stakeholders. The role manages center budgets and forecasts, monitors financial performance against volume and EBITDA targets, follows up on board action items, and oversees revenue cycle performance to support A/R benchmarks and efficient cash flow.

Requirements

• Excellent customer service skills.
• Excellent interpersonal skills and ability to work cooperatively with physicians, staff, and external customers.
• Strong leadership, management, and organizational skills.
• Understanding of healthcare trends and their relationship to ambulatory care.
• Ability to manage multiple projects and tight deadlines while maintaining attention to detail.
• Excellent verbal and written communication skills, including presenting to senior management, boards, community groups, physicians, and staff.
• Self-motivated and able to work without direct supervision.
• Ability to integrate and harmonize diversified functions.
• Ability to understand, influence, and partner with others.
• Excellent judgment and decision-making skills, including resolving problems quickly and effectively.
• Bachelor’s degree in healthcare administration or a relevant field, and/or an equivalent combination of education and work experience.
• Five to seven years of healthcare management experience; experience managing at least $40 million in revenue is preferred.
• Experience with contract negotiations and managed care models within a complex organization.
• At least three years of experience managing healthcare operations staff.
• Willingness to travel up to 60% of the time, with an average travel commitment of 40–60%.

Nice To Haves

• Experience managing up to $40 million or more in revenue.
• Multi-state healthcare system experience.
• Knowledge of operations in an outpatient or physician specialty service line.
• Clinical and/or Revenue Cycle Management experience.

Responsibilities

• Execute center strategy and corporate initiatives at assigned ASCs, and support development of local strategy with the Vice President of Operations.
• Identify opportunities for ASC growth, including service-line offerings and organic growth.
• Align with marketing initiatives and collaborate with Business Development, Physician Recruiting, Practice Recruiting, Communications, and other Directors of Operations to drive volume growth.
• Collaborate with the Vice President and Senior Vice President on facility partnership strategy and oversight.
• Lead business development and strategic planning initiatives, building ASC and board support for proposed strategies and execution.
• Develop and execute strategies to grow case volume, reduce expenses, and improve patient experience and outcomes.
• Manage health system partners and provider equity group relationships to support clinician satisfaction and operational success.
• Oversee ASC governance, including preparing for and running board meetings; potentially serve on ASC joint venture boards or as board chair.
• Manage ASC initiatives and day-to-day operations.
• Mentor and train Center Administrators, coordinate onboarding and learning and development, and support their management of business office functions.
• Coordinate with Clinical and Revenue Cycle Management teams to improve performance and revenue cycle KPIs.
• Build and manage relationships with ASCs and physicians, including scheduling on-site visits at least quarterly as business needs require.
• Work with Center Administrators to develop effective staffing models, monitor FTE utilization, and recommend cost-effective labor practices.
• Provide backup for assigned ASC administrative functions, such as payroll and payables, when warranted.
• Partner with corporate functional experts and support departments on IT, HIPAA, audits, human resources, training and development, policies and procedures, quality, revenue cycle, and procurement.
• Develop or identify best practices and encourage adoption of improvements.
• Mitigate legal issues in collaboration with the Vice President of Operations and legal department.
• Develop and execute ASC-level action plans by identifying opportunities and removing barriers.
• Support physician recruitment and retention for business and market development.
• Communicate and collaborate effectively with partners and ASC stakeholders, articulating corporate initiatives and developing timely implementation plans.
• Engage appropriate AMSURG resources and retain ownership of situations until they are satisfactorily resolved.
• Collaborate with the Vice President on governance and fiduciary responsibilities for assigned ASCs.
• Schedule and lead quarterly board meeting agendas, solicit stakeholder input, capture minutes, and monitor action items.
• Oversee governance across quality, operational efficiency, staffing, policies and procedures, risk management, regulatory compliance, patient experience, IT, security, and P&L financial management.
• Manage and report ASC financial performance; develop center budgets and distribution processes with Vice President support.
• Work with Center Administrators on annual capital requests to support growth and manage aging equipment.
• Manage financial performance of assigned ASCs and meet volume and EBITDA targets.
• Monitor financial performance and explain variances from budget and expectations.
• Budget and forecast P&L for assigned ASCs with input from facility stakeholders and Vice Presidents.
• Oversee revenue cycle management to ensure A/R benchmarks are met and cash flow is efficient.

Benefits

• Paid Time Off, with a minimum of 20 and up to 25 days per calendar year depending on position and accrual.
• Nine observed holidays.
• Paid family leave.
• Medical, dental, vision, life, and disability coverage.
• Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, transportation and parking FSAs, and HSAs.
• Matching 401(k) plan.
• Training and opportunities for professional growth.

What This Job Offers

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