Director of Operations -OBL & ASC

PAM Health Specialty Hospital of San Antonio•San Antonio, TX

About The Position

Are you an experienced Director of Operations seeking a rewarding career that aligns with your lifestyle? Look no further than PAM Health, where we are proud to offer competitive rates and an extensive benefits package designed to suit your needs. We are seeking a highly experienced, Director of Operations to lead the launch and ongoing management of a newly developed Office-Based Lab (OBL) and Ambulatory Surgery Center (ASC). This leader will be responsible for operationalizing a fully built, multi-specialty procedural platform and driving clinical, financial, and strategic performance from day one. The facility includes: • Two fully equipped cath labs (cardiac and vascular) with shared control room • One fully functional operating room • Six pre-operative bays and five PACU bays This role requires a hands-on operator with deep expertise in startup execution, regulatory compliance, physician alignment, revenue cycle, and growth strategy. What can PAM Health offer you? Patient-Centric Focus: Join a hospital dedicated to delivering exceptional patient care and achieving the highest levels of patient satisfaction. Career advancement: Unlock opportunities for professional growth through our Education Advancement Program Competitive compensation: Explore our rates and take advantage of a comprehensive benefits package. Medical Benefits: EPO/HDHP/HSA options; including prescription coverage, RX‘n go, and Teladoc Comprehensive dental and vision Employee Assistance Program, including counseling, legal, and financial services Flexible spending (FSA) and health savings (HAS) accounts Life and Disability insurance benefits Education/In-Service Opportunities including continuing education and tuition services Supplemental benefits: Accident, critical illness, cancer, pet, and identity theft protection insurance options Personal Travel Discounts 401(k) plans and discretionary employer match Generous Paid Benefit Time About PAM Health PAM HEALTH (PAM) based in Enola, Pennsylvania, provides specialty healthcare services through more than 80 locations, as well as wound clinics and outpatient physical therapy locations, in 17 states. PAM Health is committed to providing high-quality patient care and outstanding customer service, coupled with the loyalty and dedication of highly trained staff, to be the most trusted source for post-acute services in every community it serves. Its mission is to serve people by providing compassionate, expert care, and to support recovery through education and research. Joining our PAMily allows you to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels. Aside from our competitive pay, generous paid benefit time, and excellent insurance options, you will also have opportunities for professional growth through our Education Advancement Program. We are excited to learn more about you and hope that you consider joining us on a shared mission to improve the lives of others by being an integral part of our We Care Program. Please take a moment to visit us online at www.PAMHealth.com for a comprehensive look at how we're able to positively impact our local communities. PAM Health does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status, or based on association with another person on account of that person's actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status.

Requirements

7–10+ years of healthcare operations leadership experience
Experience in ASC and/or OBL operations
Proven experience launching or scaling a healthcare facility
Strong knowledge of regulatory and accreditation requirements
Demonstrated physician alignment experience
Strong financial acumen with P&L responsibility

Nice To Haves

Cardiovascular or vascular procedural experience
Cath lab or surgical services background
MBA, MHA, RN, or relevant advanced degree
Private equity or high-growth environment experience

Responsibilities

Lead full activation of the OBL/ASC, including staffing, policies, workflows, and go-live readiness
Develop and implement clinical and operational protocols across cath labs, OR, pre-op, and PACU
Ensure readiness for initial cases, inspections, and accreditation
Build scalable systems to support future growth in case volume and specialties
Ensure compliance with all federal, state, and local regulations (CMS, AAAHC, Joint Commission, etc.)
Lead accreditation process and ongoing survey readiness
Maintain policies and procedures aligned with OBL and ASC standards
Oversee quality assurance, infection control, and patient safety programs
Partner with leadership to recruit high-quality interventional cardiology, vascular, and surgical specialists
Develop physician alignment strategies including scheduling, governance participation, and incentives
Serve as primary operational liaison to physicians to drive engagement and satisfaction
Support onboarding and ramp-up of new physician partners
Drive case volume growth through physician relationships, referral development, and service line expansion
Identify new procedural opportunities across cardiovascular, vascular, and surgical specialties
Collaborate on marketing and community outreach strategies
Optimize utilization of cath labs, OR, and perioperative capacity
Ensure accurate CPT coding, charge capture, and documentation
Optimize payer contracts and reimbursement dynamics
Monitor financial KPIs including profitability and payor mix
Own P&L performance, including budgeting and cost management
Drive operational efficiency across staffing and supply chain
Implement performance metrics (case times, turnover, utilization)
Improve EBITDA and operational leverage

Benefits

EPO/HDHP/HSA options; including prescription coverage, RX‘n go, and Teladoc
Comprehensive dental and vision
Employee Assistance Program, including counseling, legal, and financial services
Flexible spending (FSA) and health savings (HAS) accounts
Life and Disability insurance benefits
Education/In-Service Opportunities including continuing education and tuition services
Supplemental benefits: Accident, critical illness, cancer, pet, and identity theft protection insurance options
Personal Travel Discounts
401(k) plans and discretionary employer match
Generous Paid Benefit Time