System Medical Director, Anesthesiology

About the Role

Vituity is seeking an Anesthesiology System Medical Director for its Milwaukee, WI locations. The position offers autonomy, local control, and a national system of support within a 100% physician‑owned partnership. The role includes financial transparency, a comprehensive benefits package, profit distribution, and multiple career development opportunities.

Responsibilities

• Develop and execute a comprehensive system‑wide or regional annual practice management plan for designated practices.
• Align Medical Directors and Practice Management Teams to system/region performance goals.
• Ensure compliance with Vituity policies and fiduciary obligations.
• Represent Vituity in system/regional governance and executive leadership forums.
• Account for overall system/regional financial performance and practice solvency at assigned practices.
• Review monthly practice performance reports and ensure corrective action.
• Optimize documentation, coding, reimbursement, and productivity metrics.
• Partner with Regional Director on contract negotiations, renewals, and managed care discussions.
• Operate new practices to budget and oversee Year One performance stabilization.
• Ensure Practice Management Team (PMT) demonstrates comprehensive understanding of hospital expectations and upholds compliance with all contract terms.
• Ensure system‑wide/regional operational and quality metrics exceed contractual benchmarks.
• Lead performance improvement initiatives across practices.
• Drive specialty integration across the acute care continuum.
• Oversee regulatory, documentation, and compliance standards.
• Mentor and hold Practice Management Teams accountable for performance outcomes.
• Mentor and hold practice Medical Director accountable for practice culture, performance, and financial outcomes.
• Ensure adequate practice management teams are formed to carry out performance, operations, and financial outcomes.
• Support recruitment, onboarding, and leadership succession planning.
• Promote inclusive leadership and equitable practices.
• Participate in leadership development programs and ensure PMTs are engaged.
• Maintain executive‑level relationships with CEO, CMO, COO, CFO, and CNO.
• Meet regularly with health system or regional leadership to review performance and strategy.
• Serve as strategic advisor regarding throughput, quality, and service line growth.
• Monitor and intervene appropriately in hospital/provider conflicts with involvement of the Regional Director.
• Ensure PMT representation and value demonstration in hospital committees, medical staff leadership, and the local community.

Required Experiences and Competencies

• Licensed physician (M.D. or D.O.) with current, unrestricted state license.
• Physician Partner status required.
• Membership and privileges on the clinical site’s medical staff, complying with bylaws, rules, regulations, and policies.
• Demonstrated operational and fiscal management expertise.
• Ability to internalize organizational mission and translate strategic priorities into actionable practice‑level goals.
• Skill in developing, executing, and adjusting annual practice management plans across multiple sites or a region.
• Ability to align Medical Directors and PMTs around shared performance goals and hold them accountable.
• Working knowledge of organizational policy, fiduciary duty, and regulatory compliance with discipline to enforce consistently.
• Executive presence and credibility representing the organization in governance and leadership forums.
• Financial acumen to interpret P&L statements and performance reports and take timely corrective action.
• Knowledge of documentation, coding, reimbursement, and productivity metrics sufficient to drive improvement.
• Skill in contract negotiations, renewals, and managed care discussions.
• Ability to operate new practices to budget and manage Year One stabilization.
• Ability to monitor and exceed contractual quality and operational benchmarks across practices.
• Familiarity with performance‑improvement methodologies and ability to lead multi‑site initiatives.
• Ability to drive specialty integration across the acute care continuum.
• Skill in mentoring and holding PMTs and practice MDs accountable for performance, financial, and cultural outcomes.
• Ability to assess needs and build appropriate management teams to deliver on practice goals.
• Competency in recruitment, onboarding, and leadership succession planning.
• Commitment to inclusive leadership and equitable practices.
• Active participation in and promotion of leadership development for self and direct reports.
• Ability to build and sustain relationships with C‑suite stakeholders (CEO, CMO, COO, CFO, CNO).
• Ability to advise health system leadership on throughput, quality, and service‑line growth.
• Skill in identifying and appropriately intervening in hospital/provider conflicts, escalating to Regional Director when needed.
• Ability to ensure practice teams are visibly represented in hospital committees, medical staff leadership, and the local community.
• Clear communication across clinical, administrative, and executive audiences.
• Sound judgment prioritizing competing financial, operational, quality, and people demands.
• Adaptability to lead teams through organizational, regulatory, or market change while sustaining performance.

Practice Locations

• Ascension St. Francis Hospital – Wisconsin
• Ascension SE Wisconsin Hospital – St. Joseph Campus – Wisconsin
• Ascension SE Wisconsin Hospital – Elmbrook Campus – Wisconsin
• Ascension Columbia St. Mary’s Hospital – Ozaukee Campus – Wisconsin
• Ascension SE Wisconsin Hospital – Franklin Campus – Wisconsin
• Ascension Columbia St. Mary's Hospital – Milwaukee, Wisconsin

Community

• Milwaukee offers a rich tapestry of culture and history, including Summerfest, Polish Fest, and Festa Italiana.
• Sitting on Lake Michigan, the city provides freshwater recreation and scenic beauty.
• Known as “The Beer Capital of the World,” Milwaukee has numerous local breweries serving as social hubs.
• Strong sports culture with professional teams year‑round.
• Commitment to green initiatives and sustainability aimed at environmental friendliness.

Benefits

• Superior health plan options.
• Dental, vision, HSA, life and AD&D coverage, and more.
• Partnership model with K‑1 status pay structure for high tax deductions.
• Extraordinary 401(k) plan with high tax reduction and accelerated balance growth.
• Eligibility for annual profit distribution and yearly cash bonus.
• Employee Assistance Program (EAP) and travel assistance.
• Student loan refinancing discounts.
• Purpose‑driven culture focused on improving lives of patients, communities, and employees.

Compensation

Estimated annual base compensation ranges from $275,000 to $900,000, depending on site, specialty, clinical volume, schedule, and experience. Part‑time and per‑diem roles are prorated based on clinical hours worked. Physicians participate in the partnership model from day one, receiving profit distributions, equity ownership, and K‑1 tax advantages. Total compensation, including partnership income, varies by site and may significantly exceed the listed range.