Director of Operations, Medical and Surgical

Director of Operations Hudson Regional Health Medical Group is seeking an exceptional Director of Operations to lead the outpatient and inpatient operations of its specialty medical and surgical service lines across Northern New Jersey. This is a senior operations leadership position accountable for the full financial, operational, clinical support, and ancillary performance of the assigned service lines, wherever that care is delivered. The Director of Operations functions as the general manager of the assigned specialty and surgical service lines. The incumbent owns the profit and loss, the access and throughput performance, the staffing model, the regulatory posture, the ancillary and diagnostic service integration, and the operational relationship with the physicians and advanced practice providers who deliver the care. The role is deliberately designed to be portable across service lines so that HRHMG can assign, combine, and reassign scope as the portfolio grows through acquisition, infusion, diffusion, and de novo development. This position sits at the intersection of the ambulatory enterprise and the three Hudson Regional Health hospital campuses. The successful candidate will be equally credible standing in a practice discussing template utilization with a surgeon and standing in a hospital operating room control desk discussing block release with perioperative leadership. Scope of Responsibility The scope of this position is fully integrated and spans both outpatient and inpatient settings. The Director of Operations is accountable for the financial, operational, clinical support, ancillary, and administrative performance of the assigned service lines wherever care is delivered: in HRHMG ambulatory practices and de novo sites, in hospital based outpatient departments, in procedural and diagnostic suites, and on the inpatient units, consult services, and hospital based programs of Hudson Regional Hospital (Secaucus), Bayonne University Hospital, and Hoboken University Hospital. Service Lines in ScopeThis position may be assigned to any single specialty medical or surgical service line, to any combination of service lines, or to the entire specialty and surgical portfolio, at any and all assigned locations. The listings below are illustrative of the current and planned HRHMG portfolio and are not exhaustive or limiting. Current State (illustrative, not exhaustive) Medical specialties, including Cardiology, Rheumatology, Endocrinology, Gastroenterology, Neurology, Nephrology, Pulmonary and Sleep Medicine, Infectious Disease, Hematology and Oncology, and Physical Medicine and Rehabilitation. Surgical and procedural specialties, including General Surgery, Orthopedic Surgery and Sports Medicine, Bariatric and Metabolic Surgery, Vascular Surgery, Urology, Otolaryngology, Ophthalmology, Podiatry, Plastic and Reconstructive Surgery, Neurosurgery and Spine, and Interventional Pain Management. Women health services, including Obstetrics and Gynecology, Maternal Fetal Medicine support, and gynecologic procedural services. Behavioral health and psychiatric services, including the outpatient psychiatric practices, the Partial Hospitalization Program and Intensive Outpatient Program, the Community Mental Health Centers, and the Giant Steps program, operating in bridge with the inpatient psychiatric units at all three hospital campuses. Hospital based and inpatient facing programs, including Hospitalist Medicine, inpatient consultative services, and the in sourcing of hospitalist coverage across the three hospital campuses. Infusion and biologic therapy services, including the HRHMG Gout Institute and the gout and autoimmune infusion pathway, rheumatologic and immunologic biologics, and specialty pharmacy coordination. Ancillary and diagnostic services supporting the specialty portfolio, including Laboratory, Diagnostic Imaging and Radiology, non-invasive cardiac and vascular diagnostics, Sleep Laboratory, Physical and Occupational Therapy, Wound Care, and in office procedural suites. Planned and Future State (illustrative, not exhaustive) Ambulatory surgery center alignment and procedural migration to the most appropriate and lowest cost site of service. Expansion of the Institute into a broader autoimmune and biologic infusion institute with multi site infusion capacity. Development of a comprehensive spine, joint, and musculoskeletal program integrating surgery, interventional pain, physiatry, and rehabilitation. Cardiovascular institute development integrating outpatient cardiology, diagnostics, and hospital based cardiac services. Women health institute development integrating obstetrics, gynecology, breast health, and related diagnostics. Oncology and infusion expansion, including medical oncology alignment and supportive care services. Comprehensive wound care and hyperbaric program expansion across the hospital campuses. De novo specialty sites, acquired specialty practices, and provider infusions and diffusions executed through the HRHMG MAIDD growth model, including the integration of newly acquired management services organization practices. Role Expectations and Key Responsibilities The Director of Operations is expected to operate as a general manager of the assigned service lines, accountable for results rather than activity, and to lead through a disciplined daily management system. Financial Leadership, Outpatient and InpatientOwn the profit and loss for every assigned specialty and surgical service line and every assigned location, including budget development, monthly variance analysis, forecasting, and written countermeasures for adverse variance. Drive contribution margin improvement through volume growth, payer mix optimization, site of service optimization, supply and implant cost control, and labor productivity. Own provider productivity management, including work relative value unit performance, session and template utilization, panel and procedural volume, and compensation plan administration in partnership with Finance and the Chief Executive Officer. Partner with Revenue Cycle to improve charge capture, coding accuracy, prior authorization performance, denial prevention, and days in accounts receivable for both professional and technical components. Own supply chain performance for the assigned service lines, including implant and high cost item standardization, preference card management, vendor consolidation, contract compliance, inventory turns, and expiry waste. Build and defend pro formas for new providers, new procedures, new equipment, new locations, and service line expansion. Manage the financial performance of hospital based arrangements supporting the assigned service lines, including medical directorships, co management structures, call coverage arrangements, and professional service agreements, in partnership with Finance, Legal, and Compliance. Operational Leadership, Outpatient and InpatientOwn access performance for the assigned service lines, including third next available appointment, new patient lag, referral to appointment interval, procedure to schedule interval, and template and session design. Design, standardize, and enforce scheduling templates, session counts, hours of operation, block schedules, and coverage models across all assigned locations. Own patient throughput and cycle time in the ambulatory setting, including check in, rooming, provider contact, procedure, checkout, and follow up scheduling. Own procedural and operating room block utilization, release practices, first case on time start performance, turnover time, and case scheduling accuracy for the assigned surgical service lines, in partnership with perioperative leadership at each hospital campus. Own inpatient facing operational performance for the assigned service lines, including consult response time, rounding structure, discharge support, transfer and admission workflow, and on call coverage adequacy. Standardize operations across all assigned sites so that a patient, a provider, or a staff member experiences the same process at every HRHMG location. Lead performance improvement using Lean, Six Sigma, or equivalent structured methodology, with documented A3 or equivalent problem solving for every material performance gap. Own facilities, space utilization, equipment readiness, preventive maintenance coordination, and environment of care for all assigned locations. Serve in the operational leadership structure for emergency management, downtime, and business continuity events affecting assigned locations. Clinical Operations, Quality, and Regulatory Compliance Partner in a dyad model with service line physician leaders, medical directors, and site Chief Medical Officers on clinical workflow, protocol adoption, care pathway standardization, and provider performance. Own operational readiness for all applicable regulatory, licensing, and accreditation standards, including New Jersey Department of Health requirements, Centers for Medicare and Medicaid Services conditions of participation and conditions for coverage, The Joint Commission or equivalent accreditation standards, Clinical Laboratory Improvement Amendments and College of American Pathologists standards for laboratory services, American College of Radiology and radiation safety standards for imaging, Occupational Safety and Health Administration standards, and Health Insurance Portability and Accountability Act privacy and security requirements. Own infection prevention operational compliance, sterile processing and high level disinfection oversight, instrument tracking, and procedural safety standards for all assigned procedural areas. Own medication and biologic handling operations for assigned infusion and office based services, including storage, temperature monitoring, chain of custody, waste, and controlled substance operational controls, in partnership with Pharmacy and Compliance. Lead survey readiness, mock surveys, audits, payer reviews, and external inspections, and own the corrective action plan and its verification of effectiveness. Own patient experience performance for the assigned service lines, including survey results, complaint and grievance resolution, service recovery, and closed loop communication. Participate in quality and safety event review, root cause analysis, and failure mode and effects analysis, and implement the operational components of the resulting corrective actions. Exercise immediate authority to suspend any