Executive Director

Overview

Location: New Hampshire Orthopaedic Center (NHOC) – Southern NH

Reports To: NHOC Executive Board and the President/Chief Executive Officer, Northeast Orthopaedic Alliance (NOA)

FLSA Status: Exempt

Job Type: Full-Time

About NHOC and NOA

New Hampshire Orthopaedic Center (NHOC) is a leading orthopedic provider in Southern New Hampshire, known for excellence in musculoskeletal care. As a division of Northeast Orthopaedic Alliance (NOA), NHOC is supported by a region-wide network of top orthopedic and musculoskeletal specialists, leveraging shared resources and strategic integration to advance patient outcomes and operational performance.

Position Summary

The Executive Director/Administrator of NHOC is the senior business leader responsible for overseeing the operational and financial success of one of the largest divisions within Northeast Orthopaedic Alliance (NOA). This role focuses on driving business performance, developing and evaluating physician compensation models, cultivating strategic community relationships, and enhancing internal communications and organizational alignment. The Executive Director works in partnership with physician leadership and NOA executives to ensure NHOC's long-term sustainability, growth, and integration into the broader NOA vision.

Key Responsibilities

• Business & Financial Management : Identify and implement new business strategies, services, or partnerships that support growth and market competitiveness. Analyze financial performance and operational metrics to drive profitability and efficiency. Monitor revenue, expenses, and margin performance; oversee financial planning and budget management. Develop and recommend physician and provider compensation models that align with productivity, quality, and strategic goals.
• Strategic Leadership & Community Engagement : Represent NHOC in business, hospital, and community partnerships to elevate brand presence and develop referral pipelines. Build strong alliances with external stakeholders, including healthcare partners, employers, and community leaders. Translate NOA’s strategic goals into actionable initiatives at the divisional level.
• Physician & Provider Relations : Partner with physician leadership to understand productivity, compensation, and scheduling needs. Lead initiatives to enhance physician satisfaction, engagement, and performance alignment. Serve as a bridge between clinical and administrative teams to foster transparency and trust.
• Operational Oversight & Communication : Provide strategic leadership and direct oversight of weekly departmental managers’ meetings, managing a team that includes four Directors. To ensure coordinated execution of NHOC’s operational and business objectives. Foster a culture of accountability, continuous communication, and professional growth and development across all departments. Promote open, transparent communication with all staff levels to enhance morale, clarity, and retention. Act as the key liaison between NHOC and NOA leadership to ensure alignment of organizational vision, strategic initiatives, and operational implementation. Lead and coordinate bi-weekly NHOC Executive Committee meetings, including preparation of agendas, presentations, and meeting notes. Organize and facilitate the annual NHOC board retreat with physicians and director team to assess organizational performance, set strategic priorities, and establish long-term goals for the practice.

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, or related field required along with an MBA or MHA
• 7–10 years of progressive leadership experience in a physician practice, medical group, or healthcare business setting strongly preferred
• Preferred experience in private practice healthcare operations
• Demonstrated experience in developing or managing physician/provider compensation structures
• Proven success in financial oversight, growth, successful networking, operational execution, and strategic relationship management
• Exceptional interpersonal, analytical, and communication skills
• Highly business-savvy with a strong understanding of physician economics and market dynamics
• Proactive problem-solver with the ability to turn data into actionable business plans
• Strong communicator who fosters open dialogue with physicians, managers, and staff
• Strategic thinker with a collaborative, relationship-driven leadership style