Executive Director, Heart & Vascular Services, Marin Heart Institute, Full-Time, Days

MarinHealth Medical Center•Bon Air, CA

About The Position

The Executive Director, Heart & Vascular Services provides strategic, operational, financial, and people leadership for MarinHealth’s cardiovascular service line across the Medical Center and Medical Network. Operating within a dyad leadership model, the Executive Director partners with physician leaders across cardiology, vascular surgery, cardiac surgery, radiology, and related disciplines to advance an integrated, high-performing Cardiovascular Institute. The role translates enterprise strategy into measurable service-line results across inpatient, outpatient, diagnostic, and procedural settings, including access, quality and safety, growth, care standardization, financial stewardship, workforce performance, technology and capital planning, regulatory readiness, and regional competitiveness. The Executive Director sets performance expectations, uses data to identify opportunities and risks, develops leaders, and ensures approved plans are executed in alignment with MarinHealth policies, applicable regulations, and C.A.R.E.S. standards. The role leads hospital and ambulatory cardiovascular operations, oversees service-line operating performance within assigned authority, partners with physicians and enterprise functions, and supports responsible program growth. It develops and prioritizes capital and technology needs, builds a high-performing leadership team, supports workforce and organizational planning, and reports performance, risks, decisions, and recommendations to executive and physician governance bodies. The position primarily serves adult and older-adult patients receiving cardiovascular diagnostic, medical, surgical, interventional, or ambulatory services; pediatric exposure may occur depending on service configuration or care coordination needs. Internal customers include physicians, advanced practice providers, nursing and technical teams, department leaders, executives, Medical Network partners, and support functions. External stakeholders may include patients and families, community physicians, vendors, payers, regulatory and accrediting bodies, and community partners. The position requires protection of confidential patient, employee, physician, and business information in accordance with MarinHealth policy and applicable law.

Requirements

Bachelor’s degree from an accredited institution in healthcare administration, business administration, nursing, health sciences, or a related field.
Seven years of progressively responsible healthcare leadership experience, including responsibility for complex operations, service-line or program performance, and multidisciplinary teams.
Demonstrated experience managing operating performance and financial results, including budgets, productivity, business planning, resource allocation, and performance improvement.
Demonstrated experience partnering with physicians and other clinical leaders to implement operational, quality, growth, or program-development priorities.
Demonstrated experience leading change across multiple departments, functions, sites, or stakeholder groups in a matrixed environment.
Advanced knowledge of healthcare operations, service-line management, patient access, quality and safety, regulatory expectations, and financial stewardship.
Ability to understand cardiovascular clinical programs and workflows sufficiently to partner effectively with physicians, nursing, technical teams, ancillary services, and administrative leaders.
Ability to translate strategy into executable plans with defined owners, milestones, measures, and follow-through.
Demonstrated financial and analytical acumen, including interpretation of volume, access, productivity, quality, workforce, cost, revenue, margin, and market data.
Ability to develop business cases, evaluate return on investment, prioritize capital and operating resources, and identify financial or operational risk.
Executive-level communication, facilitation, negotiation, and influence skills, including the ability to address conflict and hold leaders accountable respectfully and on a fact-based basis.
Ability to recruit, develop, coach, evaluate, and performance-manage leaders and teams using clear expectations and documented performance standards.
Ability to manage multiple priorities, make timely decisions with incomplete information, escalate material risks appropriately, and maintain confidentiality.
Working knowledge of clinical information systems, reporting tools, digital health, procedural technology, and data governance sufficient to sponsor and evaluate technology-enabled improvement.
Protect confidential information and comply with MarinHealth policies and applicable privacy laws.
Measles, mumps, varicella, and annual influenza immunizations are required as a condition of employment and annually thereafter; medical or religious exemptions will be considered consistent with applicable law.

Nice To Haves

Master’s degree in healthcare administration, business administration, public health, nursing, or a related field.
Clinical education or professional background relevant to cardiovascular care.
Leadership experience in cardiovascular services or another complex procedural or clinical service line.
Experience in an integrated delivery system spanning hospital and ambulatory/medical-network operations.
Experience with cardiovascular registries and performance programs such as NCDR, STS, VQI, or comparable specialty registries.
Experience evaluating clinical technology, capital investments, digital health, imaging, or procedural platforms.
Fellow of the American College of Healthcare Executives (FACHE).
Project Management Professional (PMP).
Lean Six Sigma Green Belt or Black Belt.

Responsibilities

Develop, recommend, and execute a comprehensive Heart & Vascular Services strategy aligned with MarinHealth enterprise priorities, with objectives, measures, milestones, and accountabilities across specialties, sites, and care settings.
Lead hospital and ambulatory cardiovascular operations to improve access, scheduling, throughput, care coordination, procedural utilization, length of stay, workflow reliability, and patient experience; review performance and sustain corrective actions.
Ensure structures and processes support applicable quality, patient-safety, regulatory, accreditation, and registry requirements; address performance gaps and escalate significant risks.
Partner with physician leaders to align clinical, operational, strategic, and financial priorities; build effective governance and support physician recruitment, retention, engagement, and program development.
Evaluate demand, market opportunity, capacity, referral patterns, competitive position, and clinical capability to guide responsible growth and lead approved program development.
Own service-line operating performance within assigned authority, including budget development, forecasting, productivity, expense management, revenue and volume performance, resource allocation, and variance management.
Partner with Finance and Strategy on business plans, pro formas, site-of-care analyses, and corrective plans when performance is off target.
Develop and prioritize capital and technology needs; partner with relevant departments and stakeholders to evaluate and implement approved imaging, procedural, AI/digital-health, and related technology investments.
Build and develop a high-performing leadership team; establish expectations and goals, coach and provide feedback, conduct evaluations, recognize strong performance, and address performance or conduct concerns consistently.
Evaluate staffing models, leadership structure, spans of control, skill mix, succession needs, recruitment priorities, and workforce capacity; partner on workforce planning, retention, succession, and organizational design.
Coordinate effectively with Emergency Services, Nursing, Radiology, Laboratory, Pharmacy, Finance, Strategy, Information Technology, Supply Chain, Human Resources, Quality, and other functions; resolve cross-functional barriers through ownership and escalation.
Maintain a service-line performance framework using reliable operational, financial, quality, workforce, access, and growth data; communicate performance, risks, decisions, and recommendations to executive and physician governance bodies.
Operate within delegated authority and comply with MarinHealth policies, internal controls, contractual obligations, and applicable laws and regulations; ensure appropriate documentation, approvals, and governance.
Sponsor or participate in enterprise initiatives related to clinical integration, patient experience, operational excellence, workforce effectiveness, or financial sustainability.
Represent Heart & Vascular Services on internal committees, planning forums, and external or community activities as assigned.
Participate in strategic planning, partnership evaluation, technology assessment, and capital planning related to cardiovascular services.
Perform other related duties consistent with the scope and level of the position as assigned.
Protect the confidentiality, integrity, and appropriate use of protected health information and other confidential information; use and disclose information only as authorized and promptly report suspected privacy, security, or confidentiality concerns.