Director, Operations

Director of Operations Full-Time | National | Executive Leadership Position Summary The Director of Operations is a senior leadership role that sits at the intersection of executive strategy and field execution. This individual serves as a direct extension of the anesthesia leadership team — working closely with the VP of Operations and clinical leadership to translate organizational priorities into operational reality across all markets. This role is responsible for leading, developing, and holding accountable a team of Regional Operations Managers while personally driving the operationalization of key initiatives across the organization. The Director of Operations does not just oversee execution — they are a thinking partner to senior leadership, a decision-maker in the field, and the connective tissue between strategy and the people doing the work. Reporting Structure Reports to: VP of Operations Direct reports: Regional Anesthesia Operations Managers Works closely with: Clinical Leadership, Credentialing, Finance, HR, Contracting, and facility/market stakeholders Role in the Organization Serving as the primary operational bridge between VP-level leadership and the regional operations managers who run day-to-day market activity Being a trusted partner to the VP of Operations and clinical co-leadership in designing, pressure-testing, and rolling out operational initiatives Representing operations leadership in cross-functional discussions with finance, credentialing, HR, and contracting Acting as the first escalation point for regional managers before issues reach VP-level — and knowing when they need to Bringing both strategic judgment and hands-on execution capability to the role — this leader is equally comfortable in a leadership team meeting and in the weeds of a market problem Key Responsibilities Operational Leadership & Initiative Execution Partner directly with the VP of Operations and clinical leadership to develop, refine, and execute operational strategies across the organization Translate high-level organizational initiatives into structured, market-ready operational plans with clear owners, timelines, and success metrics Lead cross-functional implementation efforts — coordinating with credentialing, finance, HR, and contracting to ensure initiatives are operationalized cleanly and consistently across all markets Identify operational gaps and inefficiencies across the organization and drive structured, scalable solutions that do not require VP-level involvement to sustain Own the operational playbook: build, document, and continuously improve the standard processes that govern how markets operate, how providers are onboarded, and how performance is managed Operations Manager Leadership & Development Lead a team of Regional Anesthesia Operations Managers, providing day-to-day direction, support, and accountability Set clear performance expectations for each operations manager, conduct regular 1:1s and performance reviews, and develop individualized growth plans Serve as the primary escalation point for operations managers facing market-level challenges that require senior judgment or cross-functional coordination Build a high-performing, cohesive ops team by establishing shared standards, consistent workflows, and a culture of accountability and execution Identify capability gaps on the operations team and address them through coaching, process improvement, or hiring Market Performance & Oversight Maintain visibility into key performance metrics across all regional markets, including OR utilization, provider productivity, scheduling efficiency, credentialing timelines, and financial performance Hold operations managers accountable to market-level performance targets and drive corrective action where needed Provider & Stakeholder Relations Build and maintain strong relationships with facility administrators, OR directors, Medical Directors, and clinical leaders across markets Serve as a senior operational point of contact for escalated provider relations issues, facility concerns, and contract-level disputes Partner with clinical leadership to align operational execution with clinical priorities and provider experience goals Support the credentialing and onboarding function by ensuring operations managers are driving provider activation timelines and that no provider is delayed by process failures Financial & Operational Accountability Partner with finance and VP leadership on regional P&L performance, identifying cost drivers and opportunities to improve margin across markets Oversee the operational inputs to financial performance: provider utilization, scheduling efficiency, coverage costs, and administrative overhead Support the processing of merit increases, compensation adjustments, and pay structure changes by ensuring regional operations managers have the context and approvals needed to move efficiently Develop and present regular operational performance reports to executive leadership, with clear analysis and recommended actions Cross-Functional Coordination Serve as the operational lead in cross-functional workstreams involving credentialing, finance, HR, and contracting — ensuring that organizational initiatives are implemented with operational rigor Translate decisions made at the leadership level into clear, actionable direction for the operations team — and translate field-level realities back to leadership so decisions are well-informed Lead or co-lead key organizational projects, from system implementations to provider model transitions to market restructurings Qualifications Required Bachelor’s degree in Healthcare Administration, Business, or a related field; MBA or MHA strongly preferred 7+ years of progressive operations experience in healthcare, with at least 3 years in a leadership role managing other operations professionals Demonstrated track record of operationalizing strategic initiatives in a multi-site or multi-market environment Experience managing distributed teams and holding people accountable to performance standards across geographies Strong financial acumen; able to read and act on P&L data, understand cost drivers, and connect operational decisions to financial outcomes Exceptional communication skills — equally effective presenting to executive leadership and coaching a frontline manager through a difficult market situation Preferred Experience in anesthesia, physician practice management, or a national physician management company Familiarity with provider credentialing workflows, payer enrollment, and 1099 contractor management Experience working across large health system relationships (HCA, SAGA, SCA, USPI or similar) Demonstrated experience building operational infrastructure from the ground up in a scaling organization Core Competencies Executive presence with the credibility to operate as a peer to clinical and business leadership Strategic thinker who can also execute — comfortable moving between long-range planning and same-week problem-solving People leader who develops talent, builds team culture, and holds people accountable without micromanaging Structured communicator who brings clarity to complex situations and keeps leadership well-informed without over-escalating Ownership mentality — takes responsibility for outcomes, not just activities Builder’s mindset — energized by creating systems, processes, and team capability in an environment that is still maturing Education Bachelor’s degree from an accredited university required. Equivalent combination of education/experience will also be considered. Experience Minimum five (5) year experience in facility management preferred. Two (2) years of supervisory experience required. Additional Qualifications N/A Knowledge Possess knowledge of organizational policies and procedures to manage operations. Thorough understanding of fiscal management, human resource management, government regulations, and compliance requirements. Performance Requirements Possess knowledge of organizational policies and procedures to manage operations. Thorough understanding of fiscal management, human resource management, government regulations, and compliance requirements. Skills And Abilities Demonstrated excellence in organizational and time management skills. Perform effective communications skills both verbal and written. Proven ability to manage multiple priorities: delegating and achieving goals and objectives. Develop and maintain relationships at all levels of the organization and can influence positive outcomes. Adapt, innovate, and lead in a fast-paced environment where change is constant. Capable of exercising high degree of initiative, judgment, and discretion. Proven ability to quickly identify, respond, and resolve patient/staff problems. Be able to identify, analyze, and interpret complex data and provide resolutions to operational problems. Demonstrate solid commitment to researching, evaluating and recommending continuous quality improvement plans. Possess calm demeanors to be able to lead and guide during emergency situations. Proficient in Microsoft Office and appropriate practice management software. Equipment Operated This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Work Environment This job operates in professional office environments. Physical Requirements While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrates the diversity of our physicians, staff and patients. We firmly believe our service is greatly enriched by our diversity of thought, experience, perspective, culture, and background. Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check. 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