Director of Pain Operations

ECAA•Greenville, NC

10d•Onsite

About The Position

The Director of Pain Operations provides corporate operational leadership, oversight, and support for ECAA’s pain management divisions and practice locations. Reporting to the Chief Executive Officer, the Director works with physicians, advanced practice providers, division leaders, practice managers, and corporate support teams to standardize operations, implement best practices, benchmark performance, and improve patient access, practice efficiency, and financial performance. The Director partners with HR, Finance, Revenue Cycle Management, Compliance, and physician leadership to strengthen workflows, support compliance, and resolve operational issues. The position also supports organizational growth by identifying and evaluating prospective pain practice partners, supporting due diligence and integration, and evaluating and launching new locations. The role is based on-site at ECAA’s corporate office in Greenville, North Carolina, and requires frequent travel to practices throughout North Carolina and for business development activities. Clinical decisions and prescribing oversight remain with appropriate physician and clinical leaders. ECAA offers medical, dental, and vision coverage; company-paid life and long-term disability insurance; short-term disability; up to six weeks of paid time off; ten paid holidays; a 401(k) with safe harbor and match; flexible spending and health savings account options; a dependent care flexible spending account; and an employee assistance program.

Requirements

Bachelor’s degree in Health Administration, Business Administration, Nursing, or a related field.
Progressive leadership experience in multi-site physician practice management, with responsibility for multiple locations or divisions and demonstrated success partnering with physicians and local practice leaders.
Demonstrated experience leading complex healthcare operations and collaborating with multidisciplinary clinical teams.
Working knowledge of physician practice financial performance, revenue cycle operations, and healthcare compliance requirements.
Demonstrated experience using operational and financial data, performance indicators, and benchmarks to drive measurable improvement.
Strong communication, relationship-building, organizational, and change-management skills.
Ability to work on-site at the Greenville, North Carolina, corporate office and travel frequently to practice locations.

Nice To Haves

Leadership experience in pain management, interventional pain, or a closely related outpatient procedural specialty.
Experience identifying prospective practice partners, supporting due diligence and integration, or evaluating and launching de novo locations.
Knowledge of pain management compliance requirements, including controlled-substance prescribing, medication management, documentation, and patient safety.
Experience developing specialty services, referral networks, and patient access initiatives.

Responsibilities

Provide strategic and operational leadership for pain management services and related clinical programs in alignment with the organization’s mission, values, priorities, and commitment to patient-centered care.
Lead operational and financial performance improvement across pain divisions and practices, including staffing, provider productivity, utilization, access, referral management, expenses, resource allocation, and program growth.
Establish action plans, responsibilities, and follow-up with appropriate leaders.
Partner with the CEO, physician leadership, and corporate teams to identify and evaluate prospective practice partners, build relationships, support operational due diligence, and lead operational integration.
Evaluate de novo opportunities, including market demand, referral potential, competition, staffing, and financial feasibility; develop business and launch plans for approved sites.
Work with physicians, advanced practice providers, clinical leaders, and administrative leaders to address operational challenges and improve access, care coordination, clinical outcomes, provider performance, and patient experience.
Develop, implement, and monitor operational plans, policies, procedures, workflows, and performance standards for efficient, effective, evidence-based, and compliant pain management services.
Analyze financial, clinical, access, referral, productivity, and operational data; identify trends and performance variances; and develop improvement plans with leadership.
Partner with Revenue Cycle Management to improve registration, insurance verification, prior authorization, documentation, charge capture, and denial resolution workflows; address operational causes of lost or delayed revenue.
Partner with Compliance and physician leadership to support compliance with organizational policies, regulatory and accreditation requirements, and healthcare laws, including requirements relating to controlled substances, prescribing, medication management, documentation, and patient safety.
Coordinate compliance education, monitoring, audits, and corrective action plans, with clear ownership and documented follow-through.
Lead and support process improvement, technology implementation, care model development, and cross-functional initiatives to improve access, care coordination, efficiency, standardization, quality, patient safety, and service.
Coordinate resolution of complex operational issues across pain divisions, while appropriate clinical leaders retain responsibility for clinical decisions.
Work with clinics to improve the patient experience from referral and initial evaluation through treatment, follow-up, care coordination, and long-term pain management.
Develop clinic leadership and staff through coaching, mentoring, professional development, and succession planning; partner with local leadership on performance management.
Communicate operational performance, access, quality, financial performance, priorities, challenges, and opportunities to providers, staff, clinical partners, and organizational leadership.
Support strategic planning and program development, including service expansion, provider recruitment, new care models, facility planning, technology, and community or referral partnerships.
Establish and monitor consistent key performance indicators across pain divisions, including access, referral volume and conversion, provider productivity, patient satisfaction, utilization, and financial performance; partner with clinical leadership on quality, safety, and clinical outcome measures.
Benchmark performance across divisions and against relevant external standards, share best practices, and track measurable improvement plans.
Promote patient-centered care, accountability, safety, continuous improvement, interdisciplinary collaboration, and service excellence.
Prepare and present regular operational and financial reports to the CEO, manage assigned projects, participate in committees, and represent pain management operations in organizational initiatives.
Perform other duties as assigned.
Work on-site at the Greenville corporate office and travel frequently to practice locations throughout North Carolina; travel may also support business development, prospective practice evaluation, and de novo planning and launch.

Benefits

Medical, dental, and vision coverage.
Company-paid life insurance.
Company-paid long-term disability insurance.
Short-term disability.
Up to six weeks of paid time off.
Ten paid holidays.
401(k) with safe harbor and match.
Opportunity to contribute to a Flexible Spending Account or Health Savings Account.
Dependent Care Flexible Spending Account.
Employee Assistance Program.