Surgical Services Director of Business

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more ( about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits

We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here ( for more information ordownload the Employee Benefits Guide ( Benefits Guide.pdf) .

Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here ( to learn more!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here ( to learn more!

Surgical Services Director of Business

SURGICAL SERVICES (BILLINGS CLINIC CLINIC)

req11720

Shift: Day

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 1.00 = 80 hours every two weeks (Exempt)

Starting Wage DOE

The Director of Business Operations for Perioperative and Procedural Services at the Billings Clinic is responsible for organizing, directing, and coordinating business activities in support of the surgical and procedural service lines, including Pre/Post/PACU/OR, Endoscopy, Interventional Radiology, Cath Lab and Billings Surgery Center, along with the associated Physician Practices. 

Essential Job Functions

• Financial & Operational Strategy: Manages budgets, optimizes financial performance, reduces waste, and enhances productivity within the perioperative department.

• Data & Analytics: Utilizes data to drive decision-making, monitoring key performance indicators (KPIs) to improve turnover times and scheduling efficiency.

• Financial & Operational Strategy: Manages budgets, optimizes financial performance, reduces waste, and enhances productivity within the perioperative department.

• Data & Analytics: Utilizes data to drive decision-making, monitoring key performance indicators (KPIs) to improve turnover times and scheduling efficiency.

• Leadership: Collaborates with Physician Leadership, surgeons, anesthesiologists, all levels of clinical leadership to align business operations with organizational goals.

• Strategic Growth: Partnering with clinical leaders (Chiefs and Directors) to design business plans that support the growth of surgical service lines.

• Financial Management: Overseeing capital and operating budgets, performing ROI analyses for new equipment, and implementing cost-reduction strategies.

• Develop and implement centralized business operations strategies for Perioperative and Procedural Services.

• Supervise daily operations and staff within designated departments, including scheduling, charging, auditing, and preference card support.

• Assess educational needs for staff and plan programs or in-services to maintain core business and clinical competencies.

• Facilitate the adoption of standardized procedures and performance indicators through consensus-building.

• Collaborate with physicians and perioperative leaders to maximize system value and meet performance targets.

• Identify opportunities for integration and standardization across the health system.

• Monitor dashboards, scorecards, and timelines to track and execute initiatives.

• Lead the division team in business operations and provide guidance to department leaders.

• Utilize time and resources efficiently and guide teams to meet goals according to policy and procedure.

• Foster a collaborative environment across units for operational effectiveness.

• Direct staff on setting priorities aligned with division strategy, evaluating assignments, and supporting ongoing development.

• Assist in establishing programs, policies, and standard operating procedures reflecting unit and division objectives.

• Support the Vice President and Directors in connecting projects across the division and health system.

• Provide recommendations and direction on proposed projects and programs.

• Prepare and deliver presentations to executive stakeholders, translating complex information into actionable business terms.

• Perform professional, clinical, or technical competencies as required by department/unit.

• Other duties as assigned.

Minimum Qualifications

Education

• 4 Year / Bachelors Degree In a related field

• Master’s Degree in Healthcare Administration, Business Administration, Nursing, or a related healthcare field from an accredited institution preferred

Experience

• Minimum of 6-8 years of experience managing healthcare teams, demonstrating organizational leadership and change management success. Preferred experience in both outpatient and Inpatient Surgical/Procedural areas.

• Experience in business operations in complex surgical/procedural settings, or direct involvement in healthcare quality, improvement, or project management. 

• Previous leadership in large-scale surgical, procedural, or system-level projects. 

• Experience with surgical/procedural scheduling and pre-procedure workflows. 

• Background in surgical/procedural revenue cycle management. 

• Proficiency in Cerner or similar healthcare software. 

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at (

Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.