Payroll Administrator

Hospital Administrator – Grand Prairie, TX We are seeking a highly motivated and experienced Administrator to lead the development and ongoing operations of a new, orthopedic-focused Ambulatory Surgery Center (ASC) in Grand Prairie, Texas. This de‑novo leadership opportunity will involve strategy, operational execution, physician engagement, and financial performance. The ideal candidate is a licensed Registered Nurse in Texas with orthopedic experience, bringing both clinical credibility and strong business acumen. Key Responsibilities Provide full operational oversight of the ASC, including clinical, financial, and administrative functions Lead start‑up execution: licensure, accreditation, vendor selection, equipment procurement, and go‑live readiness Develop and manage the center's operating budget, P&L performance, and cost controls Implement processes to optimize surgical case volume, block utilization, and operational efficiency Clinical & Patient Care Oversight Ensure delivery of safe, high‑quality patient care in alignment with orthopedic best practices Partner with clinical leadership to establish workflows across pre‑op, OR, and PACU Maintain compliance with all regulatory and accreditation standards (CMS, state of Texas, and AAAHC) Build and maintain strong relationships with orthopedic surgeons and stakeholders Drive physician satisfaction, engagement, and case growth Recruit, hire, and develop a high‑performing, patient‑centered team Establish a culture of accountability, collaboration, and operational excellence Oversee staffing models, productivity expectations, and performance management Compliance & Quality Ensure ongoing regulatory compliance, survey readiness, and risk management Lead quality improvement initiatives and monitor key performance indicators Oversee infection prevention, patient safety, and clinical outcomes programs Qualifications Required: Active Registered Nurse (RN) license in Texas (in good standing) Bachelor's degree (BSN or healthcare-related) or equivalent experience required 5+ years of progressive leadership experience in an ASC or surgical services environment Demonstrated experience in orthopedic procedures and workflows Proven ability to manage operations, budgets, and multidisciplinary teams Strong understanding of ASC regulatory, accreditation, and compliance requirements Preferred: Prior ASC Administrator experience Experience leading a de‑novo, startup, or turnaround environment Experience with physician partnerships/joint ventures Fast‑paced, orthopedic‑focused ambulatory surgery setting Monday‑Friday schedule with case‑dependent hours Start‑up environment requiring adaptability, hands‑on leadership, and problem‑solving Why Join Opportunity to lead a new ASC from concept to full operations Direct partnership with physicians and Market CEO Significant influence over strategy, culture, and long‑term success Competitive compensation, bonus potential, and benefits Comprehensive health, dental, and vision insurance Health Savings Account with an employer contribution Life Insurance PTO 401(k) retirement plan with a company match And more! How to Apply Submit your resume along with a brief summary of your ASC leadership experience, including any orthopedic and/or startup involvement. Equal Opportunity Employer: This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr