Senior Operations Manager: Advanced Anesthesia Services

Join the Team Serv, a global executive recruitment partner, is hiring on behalf of Advanced Anesthesia Services for a Senior Operations Manager to help lead the company through its next stage of growth. Advanced Anesthesia Services is a fast-growing anesthesia group based in Seattle, Washington, currently serving 15 surgery centers across the Puget Sound region and employing over 40 providers. The business has built a strong reputation in a highly specialized healthcare niche and is becoming one of the largest providers in its category in the region. The company is at a pivotal inflection point. With strong momentum, an established footprint, and meaningful growth potential ahead, this is an opportunity to step into a critical leadership role and help build the operational foundation needed to scale. The right hire will bring experience, structure, and high-level execution to a business that is ready to grow significantly. Who You Are You are an outcomes-driven operator who knows how to turn complexity into momentum. You do not need hand-holding, step-by-step oversight, or constant direction. You understand the end goal, build the path, and get it done. You are highly independent, but also collaborative, and you know when to pull others in to move work forward. You bring a strong operational backbone, excellent judgment, and the confidence to work across multiple priorities without losing sight of the bigger picture. You are comfortable working with both internal teams and external partners, and you know how to build trust while keeping standards high. You have experience in healthcare operations and understand that this environment requires both precision and adaptability. Ideally, you bring direct experience with anesthesia billing and know how to navigate the operational realities of a specialized medical business. You are energized by growth and excited by the opportunity to help a founder-led company scale with intention. You are not looking to simply maintain what exists. You want to help take it to the next level. Position Overview: We are seeking a highly capable Senior Operations Manager to support the continued growth of Advanced Anesthesia Services. This role will serve as a key operational leader across the business, with responsibility spanning internal operations, surgery center relationships, provider support, and cross-functional coordination. The right candidate will bring a strong command of healthcare operations, a clear understanding of billing workflows, and the leadership maturity to help the company scale. The ideal candidate has experience in anesthesia billing, understands how to operate in a high-performance environment, and has the confidence to take ownership of outcomes across a dynamic and growing organization. This role has significant visibility and impact. It is designed for someone who can step in, build trust quickly, strengthen systems, and help create the operational infrastructure needed for the business to continue expanding. Position Responsibilities: Operational Leadership Provide day-to-day operational leadership across the business Create structure, accountability, and follow-through across key workflows Support the founder by taking ownership of operational priorities and execution Help build the systems and processes needed to scale effectively Anesthesia Billing Oversight Bring a strong understanding of anesthesia billing cycles and workflows Partner closely with the billing team and Billing Manager to ensure operational alignment Monitor billing-related processes and identify opportunities for efficiency and improvement Serve as an informed operational partner across the financial and revenue cycle side of the business Surgery Center Relationship Management Support relationships with surgery center partners across the Puget Sound region Ensure client needs, concerns, and operational issues are addressed quickly and effectively Act as a strong operational point of contact for external stakeholders Help maintain high service levels across all partner locations Provider Operations & Support Support the internal provider experience across the organization Partner with leadership to ensure anesthesia providers feel supported, informed, and set up for success Assist with recruiting coordination in support of anesthesia hiring efforts Help maintain strong communication and operational consistency across provider teams Cross-Functional Collaboration Work alongside finance leadership and other internal stakeholders to support business operations Coordinate across teams to ensure priorities are moving forward efficiently Identify operational gaps and proactively implement solutions Contribute to a collaborative, high-accountability culture focused on performance and results Growth & Scale Readiness Help prepare the business for continued growth across new and existing relationship Support operational infrastructure as the company scales year over year Bring leadership perspective that helps the company grow beyond its current stage Operate as a true partner in helping the organization reach its next level of performance Qualifications 5+ years of operations leadership experience in healthcare or a related medical environment Direct experience with anesthesia billing is required Strong understanding of healthcare operations, billing workflows, and provider-facing environments Proven ability to operate independently and drive outcomes without heavy oversight Experience managing complex workflows across multiple stakeholders Strong relationship management skills with both internal teams and external partners Excellent judgment, communication, and problem-solving ability Comfort working in a fast-paced, founder-led, high-growth environment Experience supporting growth-stage businesses or scaling operational infrastructure is strongly preferred Familiarity with recruiting coordination or provider support within a medical setting is an asset Compensation: Starting at 140K + bonus + benefits Location: Seattle, Washington preferred