Director of Business Operations

Urgent Surgery Associates (URSA) - a subsidiary of Integrative Emergency Services, LLC ("IES") - is seeking a Director of Business Operations who will be responsible for the independent oversight in managing key administrative functions and strategic planning for the enterprise. This role is responsible for standardizing and optimizing administrative business operations, in alignment with executive leadership's growth initiatives, while overseeing the financial health of the enterprise. Operational focus will be the surgical services space and supporting practices that can vary in specialty. As new practices are brought in, will be responsible for triggering and overseeing the processes required, including interdepartmental coordination with legal, credentialing & enrollment, RCM, IT, etc. Work will be based at Corporate office in North Dallas, 75244 with periodic local travel. ESSENTIAL DUTIES AND RESPONSIBILITIES Partner with executive leadership on strategic operational planning, budgeting, forecasting, and long-term strategy for business operations. Identify and communicate operational performance, risks, and strategic initiatives to executive leadership. Lead special projects aimed at enhancing operational effectiveness, process improvement, and data reporting. Implement and oversee the refinement and standardization of provider contact agreements in alignment with employment structures and compensations models that support fiscal responsibility. Collaborate with finance, analytics and revenue cycle teams for preparedness of Monthly Operating Reviews (MORs), supporting monitoring and reporting of financial health and AR trends across the enterprise. Monitor and support end-to-end workflows that span multiple departments, ensuring operational requirements, timelines, and service expectations are met. Drive adoption, training, and optimization of technology solutions to improve operational efficiency and staff productivity to support scalability of growth initiatives. Develop and define compliance policies and standard operating procedures in partnership with operations, legal and compliance teams. Partner with department leaders to align processes, responsibilities, and operational performance standards across the network. Serve as a central point of contact for interdepartmental coordination, proactively identifying gaps, dependencies, and process breakdowns that impact operational and financial performance. Lead cross-functional collaboration with internal billing managers to evaluate provider documentation trends and proactively address downstream financial and compliance risks. Identify and mitigate operational risks, ensuring consistent application of regulatory standards. Develop and oversee continuous marketing enhancements of the network’s visual representation. Provide strategic leadership and oversight of enterprise growth initiatives, ensuring operational scalability, alignment with organizational objectives, and long-term sustainability. Lead the development, documentation, and maintenance of standardized administrative workflows that promote consistency and operational efficiency across departments. Serve as an escalation point for administrative operational issues that require cross-department collaboration or leadership intervention. Provide direct supervision and guidance to assigned administrative support staff. Support onboarding, training and performance development of network administrative team members. Conduct routine performance reviews to ensure accountability, alignmentwith operational goals and professional development. SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. QUALIFICATIONS Knowledge, Skills, Abilities Comprehensive knowledge of healthcare operations, including surgical and specialty practice workflows. Understanding of regulatory and accreditation requirements such as HIPAA, OSHA, and CMS. Knowledge of financial and operational performance management, including budgeting, forecasting, AR trends, and enterprise reporting. Familiarity with provider contracting structures, compensation models, and administrative compliance standards. Strong analytical skills with the ability to interpret operational data, identify risks, and recommend improvements. Skilled in project management, process improvement, and standardization of administrative workflows and SOPs. Ability to lead cross‑functional initiatives, coordinate interdepartmental workflows, and resolve operational issues requiring multi‑team collaboration. Strong leadership and supervisory abilities, including coaching, performance development, and team accountability. Excellent communication skills, with the ability to convey complex information to executive leadership and cross‑functional teams. High level of organization, attention to detail, and ability to manage multiple priorities in a fast‑paced environment. Ability to drive adoption of new technologies, processes, and performance standards across a growing enterprise. Ability to identify operational gaps, assess risk, and implement mitigation strategies that support compliance and financial performance. Ability to support enterprise growth initiatives, ensuring scalability, alignment with organizational goals, and long‑term sustainability. Understanding of marketing principles related to network branding and visual representation. Education / Experience Required: Bachelor’s degree in Healthcare Administration, Business Administration, or a related field Minimum of 5 years of progressive experience in healthcare operations, preferably within a surgical or specialty practice setting. Demonstrated experience delivering measurable operational outcomes aligned with organizational goals. Experience supervising administrative staff and leading cross‑functional teams. Experience developing and optimizing workflows, processes, and operational standards Preferred: Master’s degree in healthcare administration or related field. PHYSICAL DEMANDS Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus While performing the duties of this job, the employee is regularly required to talk and hear Frequently required to stand, walk, sit, use hands to feel, and reach with hands and arms. Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.) Occasionally lift and/or move up to 20-25 pounds Fine hand manipulation (keyboarding) WORK ENVIRONMENT Primarily Corporate and office environments Corporate: 4835 Lyndon B Johnson Fwy, Dallas, TX 75244 May visit hospital, clinic, and vendor partners The noise level in the work environment is usually low TRAVEL Local travel within DFW required Corporate: 4835 Lyndon B Johnson Fwy, Dallas, TX 75244 Clinic:2710 Swiss Ave, Dallas, TX 75204 Additional clinics throughout DFW ADA & Reasonable Accommodation Statement IES is committed to providing equal employment opportunities to qualified individuals with disabilities. In accordance with the Americans with Disabilities Act (ADA), reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. If you require accommodation during the application or employment process, please contact View email address on click.appcast.io. EEO Statement The company is committed to creating a diverse, inclusive, and equitable environment and is proud to be an equal opportunity employer. Qualified applicants of any age, race, religion, nationality, sexual orientation, gender identity or expression, disability, or veteran status will receive equal consideration for positions. We welcome people of diverse backgrounds, experiences, and abilities and believe that the unique experiences of our team drive our success. #J-18808-Ljbffr