Director, Operations - Transition & Integration

AMSURG

Experience: 5+ yrs
Location: Nashville, Tennessee, United States
Job type: Full-time

Required skills

accounting
compliance
customer relationship management
customer service
interpersonal skills
key performance indicators
strategic planning
P&L

About the role

Director, Operations - Transition & Integration

Remote-Centric Hybrid

Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit www.amsurg.com.

POSITION SUMMARY:

The Director of Operations (DOO) is key to building strong local partnerships with our physician leaders. This role oversees governance of Ambulatory Surgery Centers (ASCs) and is responsible for optimizing center operations to enable growth. Oversight typically includes ~$50M to $100M in revenue in a multisite and multimarket environment. Responsibilities include building strong leadership pipelines, developing growth strategies for the region, and management of the P&L of Ambulatory Surgery Centers in partnership with ASC Center Administrators and Physician partners. This role typically oversees operations of 6-15 ASC’s depending on the market.

Work Schedule: Remote-Centric Hybrid

ESSENTIAL RESPONSIBILITIES:

Integration & New Center Onboarding
- Serve as the operational lead for the integration of newly acquired, partnered, or de novo surgery centers into the AMSURG portfolio.
- Serve as a key partner to the Director of Operations Integration, supporting planning, coordination, and execution across all integration workgroups.
- Collaborate with AMSURG functional teams to support pre‑close due diligence, integration planning, and operational readiness.
- Lead post‑close, center‑level operational integration, including:
  - Implementation of governance and board structures
  - Staffing alignment and onboarding of center leadership
  - Partnership with Clinical teams to ensure adoption of policies, procedures, and clinical standards
  - Coordination with Revenue Cycle Management (RCM) and HPR teams to support revenue cycle transitions and payer alignment
  - Collaboration with Accounting and FP&A teams to enable financial reporting and budgeting conversions
  - Coordination of IT systems, security, and infrastructure integrations
- Execute market‑specific integration roadmaps with defined milestones, KPIs, and clear accountability.
- Ensure newly integrated centers achieve operational stability, clinical quality standards, financial performance targets, and cultural alignment within established timelines.
- Proactively identify and mitigate integration risks; escalate issues as appropriate and drive timely resolution.
- Develop and execute a structured transition plan to hand off operational oversight to the permanent Director of Operations (DOO), targeting completion within 120 days.
Strategy and Growth 
- Responsible for execution of center strategy with support from Vice President (VP) of Operations in the development of local strategy. This role reports to the Vice President of Operations.
- Identifies opportunities to enable growth of assigned ASCs; including service line offerings and organic growth.
- Executes and supports corporate initiatives to implement at assigned ASCs.
- Align with marketing initiatives and collaborate with Business Development, Physician Recruiting, Practice Recruiting teams, Communications, and other DOO’s to execute on drivers of volume growth.
- Collaborate with the VP and SVP in developing strategy and oversight to facility partnerships.
- - Take lead on business development and other strategic planning initiatives providing the initiative to get ASC and board buy-in and execution of proposed strategies.
  - Work with VP and SVP to develop and execute on strategies to grow case volume, reduce expenses, and improve patient experience and outcomes.
  - Manage health system partners and provider equity group relationships to drive clinician satisfaction and operational success.
  Operational Management 
  - Oversees ASC governance (e.g., prep for and run board meetings) for reliable decision making.
  - Potentially sit on the ASC JV boards, as well as act as Chairman of the board in some cases.
  - Tactical management of ASC initiatives and day-to-day operations.
  - Mentors and trains Center Administrators; coordinates onboarding and learning and development programs.
  - Coordinates with Clinical and Revenue Cycle Management teams as needed to drive performance and improve revenue cycle key performance indicators (KPIs).
  - Builds and manages relationships with ASCs and physicians; schedules at a minimum quarterly on-site visits as business needs require.
  - Develops and mentors Center Administrators with all business office functions, focusing on critical functions such as clinical and revenue cycle to ensure operational alignment, priority setting, and execution of overall management.
  - Works with Center Administrators to deliver best in class staffing models; monitors full-time employee (FTE) utilization and makes recommendations to promote cost-effective labor hour practices.
  - Acts as a backup to assigned ASC administrative functions, i.e., payroll and payables, in the absence of the Center Administrator or other personnel when warranted.
  - Partners with corporate functional experts and support departments in a matrix organization to execute on management functions such as IT, HIPAA, audits, human resources, training and development, policies, procedures, quality, revenue cycle, and procurement.
  - Develops and/or identifies best practices; motivates the adoption of new opportunities.
  - Mitigates legal issues in collaboration with the VP of Operations and legal department.
  - Develops and executes on action plans at the ASC level by identifying opportunities and removing barriers.
  Customer Relationship Management 
  - Supports recruitment and retention of physicians for business development and market development.
  - Effectively collaborates and communicates with partners and ASC stakeholders.
  - Articulates corporate initiatives and partners to develop plans to support and implement them timely.
  - Brokers all appropriate AMSURG resources when needed; knows when, how, and why to engage them.
  - Maintains ownership of situations when AMSURG resources are engaged to ensure satisfactory resolution.
  - Collaborates with the VP on governance and fiduciary responsibilities for assigned ASCs.
  - Schedules and leads quarterly Board meeting agendas for each assigned ASC; solicits input from Physician partners and other stakeholders; captures board meeting minutes for transparency, legal and regulatory requirements.
  - Monitors and follows through on all action items identified during and outside of quarterly board meetings for assigned ASCs.
  - Responsible for governance oversight in all operational areas including:
  - - Quality oversight
    - Operational Efficiency
    - Labor Market/Staffing
    - Policy and Procedures
    - Risk Management
    - Regulatory compliance
    - Patient Experience
    - Information Technology- Risk Mitigation, Security
    - P&L
    Financial Management 
    - Manages and reports on ASC financial performance.
    - Develops and manages center budgets and distribution process with support from VP.
    - Works with Center Administrators on annual capital requests to help drive growth and manage aging equipment.
    - Overall management of the financial performance of assigned ASCs; meets volume and EBITDA targets.
    - Ensures awareness of financial performance and answers questions on variances to budget and expectations.
    - Budgets and forecasts the P&L for assigned ASCs with input from facility stakeholders and VPs.
    - Oversees Revenue Cycle Management of assigned ASCs to ensure A/R benchmarks are met and cash flow is efficient and effective.

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.

Excellent customer service skills.
Excellent interpersonal skills necessary to work cooperatively with physicians, all staff members, and external customers.
Strong leadership, management, and organizational skills.
Understanding of healthcare trends and their relationship to Ambulatory Care.
Able to juggle multiple projects; accustomed to tight deadlines while maintaining meticulous attention to detail.
Excellent verbal and written communication skills; comfortable delivering presentations to senior management, boards, community groups, physicians, and staff.
Self-motivated; able to work without direct supervision.
Ability to integrate and harmonize diversified functions.
Ability to understand, influence, and partner with others.
Excellent judgment and decision-making skills; able to resolve problems quickly and effectively.

Education/Experience:

Bachelor’s degree in healthcare administration or relevant field, and/or equivalent combination of education and work experience.
Minimum five to seven (5-7) years of healthcare management experience; experience preferred managing up to $40 million+ in revenue at a minimum.
Experience with contract negotiations and managed care models within a complex organization.
Multi-state healthcare system experience preferred.
Minimum three (3) years’ experience managing healthcare operations staff.
Knowledge of operations in an outpatient or physician specialty service line preferred.
Clinical and/or Revenue Cycle Management experience preferred.

Employment at AMSURG: Living Our Values Every Day
At AMSURG, our values define who we are and how we serve our patients, partners, and each other. As a national leader in ambulatory surgery, we are committed to a culture of excellence, integrity, teamwork and caring deeply. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care.
These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and make a difference every day.

Care Deeply for those around us.
Cultivate Integrity to build trust.
Champion Excellence for continuous improvement
Celebrate Teamwork every step to the way.

Benefits:

To ensure we retain and invest in great people, AMSURG provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Paid Time Off, Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.

Paid Time Off:

AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

EOE Statement:

AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: careers@amsurg.com. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process.

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About AMSURG

Provides management and operation services for ambulatory surgery centers.

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