Surgery Center Administrator (ASC)

Position : Surgery Center Administrator (ASC)
Location : Nashville, TN or Charlotte, NC – full-time, on-site
Compensation : $165k – $185k base + annual bonus, signing bonus, full benefits, paid relocation

Key Responsibilities

(what you will lead and deliver)

Operational Leadership

• Direct day-to-day operations for a 4 ORs + 1 treatment room; specialties include ENT, General Surgery, GI, GYN, Ophthalmology, Oral Surgery, Orthopedics, Podiatry, Pain Management.
• Serve as chief liaison among Governing Board, Medical Staff, and all facility departments; report facility performance at scheduled board meetings.
• Designate and mentor an acting administrator when absent; ensure seamless leadership coverage.
• Plan and execute facility growth strategies, service mix, and capital projects in line with partnership agreements.
• Lead monthly Operations Review with the home-office team, presenting KPIs, financials, and improvement plans.

Business & Financial Management

• Own the annual operating and capital budgets; oversee staffing levels, supply chain, and GPO compliance.
• Establish procedure pricing through cost analysis and market benchmarking.
• Negotiate and manage external contracts (physician block time, ancillary services, maintenance, purchasing).
• Deploy and monitor EDGE™ operational processes and integrate them into the Quality & Performance Improvement (QPI) program.
• Safeguard internal controls and ensure ongoing accreditation and regulatory compliance (CMS, AAAHC/Joint Commission, OSHA, HIPAA).

Clinical & Quality Oversight

• Partner with the Medical Director to sustain high clinical standards, update policies, and introduce new surgical services.
• Oversee nursing, SPD/central supply, medical records, housekeeping, and all contracted clinical services.
• Chair—or delegate to—Quality Improvement and Infection Control programs; track metrics, investigate variances, and drive corrective actions.

People & Culture

• Lead, develop, and evaluate exempt and non-exempt staff; conduct annual reviews and implement training, orientation, and productivity programs.
• Champion a culture of zero harm, patient‐first service, and continuous improvement.
• Facilitate monthly all-hands meetings to communicate goals, progress, and recognition.

Business Development & Community Relations

• Execute the facility sales/marketing plan; cultivate surgeon relationships and identify service-line expansions appropriate for an ASC.

• Represent the center at corporate meetings and in professional associations; maintain positive public and physician relations.

Requirements

Proven leadership as an Administrator (or equivalent director role) in an Ambulatory Surgery Center or hospital surgical services with ASC exposure.
• Demonstrated success managing multi-specialty OR operations, budgets, and regulatory surveys. Education & Credentials • Bachelor’s degree in healthcare, business, nursing, or related field (master’s preferred).
• Current ACLS/BLS certification (or ability to obtain). Financial Acumen • Hands-on P&L responsibility, budgeting, and contract negotiation experience. Regulatory & Quality • In-depth knowledge of CMS Conditions for Coverage, state/federal regulations, and accreditation standards (AAAHC, Joint Commission, etc.). Leadership & Communication • Track record of building high-performing teams, fostering physician partnerships, and presenting to executive boards.
• Excellent written and verbal communication skills. Technical Proficiency • Familiarity with EDGE™ or comparable performance-improvement systems and EMR/PM software common to ASCs. I - Demonstrated management of higher-scale P&Ls (high six- to low seven-figure revenue) corresponding to larger OR count and expanded service lines - Proven ability to deploy and oversee EDGETM (or comparable QPI system) across nine surgical specialties at higher case volumes Relocation • Willingness to relocate to Walnut Creek, CA (paid relocation provided).

California Department of Public Health (CDPH) vs. TN Dept. of Health

Benefits

What We Offer

• Competitive base salary with performance bonus and sign-on bonus
• Comprehensive medical, dental, vision, and 401(k) plan
• Paid relocation and generous PTO/holiday schedule
• Professional development support and a collaborative, patient-centric culture

Ready to advance a high-performing ASC? Apply today and help us deliver exceptional surgical care while continually raising the bar on quality and efficiency.