Executive Director of Anesthesia Services

Medical University of South Carolina•Charleston, SC

21h

About The Position

MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina that provides healthcare to patients within the rural health network throughout the state of South Carolina. The Executive Director of Anesthesia Services provides enterprise-wide leadership and end-to-end operational accountability for anesthesia services across 11 community hospitals spanning multiple markets statewide. Reporting to the Chief Physician Executive, this role holds full P&L responsibility for an approximately $80M service line and partners in a dyad model with the Chief Anesthesia Medical Director. This senior executive role requires deep expertise in anesthesia operations, financial management, and multi-site service line leadership. The Executive Director serves as the primary operational and financial steward of anesthesia services, ensuring high-quality, reliable clinical coverage while maintaining fiscal discipline and strategic alignment with hospital and divisional leadership.

Requirements

7–10+ years of progressive leadership experience managing anesthesia services across multiple sites.
Demonstrated enterprise anesthesia operations experience, including staffing models, subsidies, and financial management.
Proven ability to engage and present to senior executives including CEOs and CFOs.
Strong command of anesthesia economics and workforce dynamics.
MBA or equivalent graduate degree.

Nice To Haves

Clinical background as a CRNA or other anesthesia professional.
Experience with a national anesthesia management company (e.g., Envision, TeamHealth, NorthStar) or a large hospital management organization (e.g., HCA).
Experience leading anesthesia services in community hospital settings across multiple markets.

Responsibilities

Full P&L accountability for anesthesia services across 11 community hospitals, including budgeting, forecasting, and financial performance management.
Serve as the subject matter expert on anesthesia subsidy models, clearly articulating key cost and revenue drivers and explaining variances from budget or forecast.
Develop and execute strategies to optimize staffing models, coverage efficiency, and financial sustainability across diverse community hospital environments.
Lead all non-clinical anesthesia operations in partnership with the Chief Anesthesia Medical Director within a formal dyad structure.
Ensure consistent, high-quality anesthesia service delivery across multiple markets while adapting to local hospital needs and volumes.
Oversee staffing structures, scheduling models, and performance management across sites.
Serve as a trusted advisor to hospital CEOs, CFOs, CMOs, and divisional leaders.
Present complex operational and financial data in clear, executive-level formats.
Represent anesthesia services in enterprise forums and system-level strategic initiatives.
Identify opportunities to improve operational efficiency and reduce unwarranted variation.
Support growth initiatives, new service offerings, and market expansion.
Establish and monitor performance metrics related to access, quality, staffing, and financial outcomes.