Executive Director, Ambulatory Facilities

ECU Health Medical Center • Greenville, NC

19d • $123,573 - $180,111

About The Position

The Director of Ambulatory Facilities provides strategic and operational leadership for a growing portfolio of independent, physician-partnered endoscopy ambulatory surgery centers (ASCs) across eastern North Carolina. The role initially oversees four endoscopy ASCs, each with a local board governed by the AF, LLC Board. The leader is responsible for high-reliability operations, standardized practices, and superior clinical quality, with end-to-end oversight of revenue cycle integrity, supply chain optimization, capital planning, annual budgeting, human resources, regulatory and accreditation compliance, privileging and credentialing, and quality outcomes. The position also shapes physician ownership pathways and shared-revenue models with local ASCs while positioning AF, LLC for future expansion, including additional endoscopy ASCs, radiation oncology, and surgical ASCs.

Requirements

• Master's degree in Business, Health Administration, Public Administration, Nursing, or a related field; alternatively, 10 years of progressively responsible leadership experience may substitute for the degree.
• Three to five years of leadership experience in ambulatory or surgical services, ASC administration, or multi-site healthcare operations.
• Demonstrated success in board relations, physician partnership development, and multi-site operational performance management.

Nice To Haves

• Experience with physician ownership, joint venture structures, and ASC buy-in models.
• Knowledge of CMS requirements, state regulations, and ASC-relevant accreditation standards, including AAAHC and The Joint Commission.
• Clinical experience, such as an RN background, and/or perioperative leadership experience.

Responsibilities

• Provide strategic and operational leadership for a growing portfolio of physician-partnered endoscopy ASCs across eastern North Carolina.
• Initially oversee four endoscopy ASCs, each with a local board governed by the AF, LLC Board.
• Ensure high-reliability operations, standardized practices, and superior clinical quality.
• Oversee revenue cycle integrity, supply chain optimization, capital planning, and annual budgeting.
• Oversee human resources, regulatory and accreditation compliance, privileging and credentialing, and quality outcomes.
• Shape physician ownership pathways, including buy-in models, and shared-revenue models with local ASCs.
• Position AF, LLC for future expansion into additional endoscopy ASCs, radiation oncology, and surgical ASCs.
• Manage board relations, physician partnerships, and multi-site operational performance.

What This Job Offers

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