VP Ambulatory Services - Franklin, TN

Essential Functions

• Multi-State Strategic & Operational Leadership: Provides executive oversight for all ASCs across the multi-state footprint, driving operational standardization, scalability, multi-market harmonization, and an exceptional patient care culture across the entire corporate portfolio.
• Physician Partnership & JV Governance: Serves as the primary corporate operational liaison for all ASC joint ventures. Sits as a voting representative on multiple distinct ASC Governing Boards, manages relationships with diverse cohorts of physician owners, and leads matrixed physician equity syndication and recruitment efforts.
• Enterprise Financial & P&L Mastery: Owns portfolio-level P&L and Adjusted Operating Profit (EBITDA) across all states. Drives revenue integrity, optimizes cross-market labor productivity, manages scaled supply chain economies, and collaborates with payer contracting on market-specific reimbursement strategies.
• Portfolio Growth & M&A: Leads geographic expansion, ASC acquisition, integration, and de novo development activities. Identifies macro-market opportunities to expand high-margin, high-acuity service lines (e.g., Orthopedics/Total Joints, Cardiology/Cath Labs, GI, Ophthalmology).
• Performance Metrics & Innovation: Implements advanced, real-time data analytics and standardized KPI dashboards to monitor key metrics (OR turnaround times, on-time starts, cancellation rates, and utilization) across all facilities to identify and remediate underperforming sites.
• Multi-State Quality & Continuous Survey Readiness: Partners with Medical Directors and Clinical leaders to ensure strict compliance with CMS guidelines, state licensing frameworks (including Certificate of Need regulations where applicable), and accrediting bodies (AAAHC/The Joint Commission).
• Talent Pipeline Development: Mentors, coaches, and develops a high-performing pipeline of ASC Facility Administrators, Regional Directors, and site leadership teams across the multi-state footprint.

Qualifications

• Master’s Degree in Healthcare Administration (MHA), Business Administration (MBA), Nursing (MSN), or related field - Required
• 10+ years of progressive executive leadership in ambulatory services or surgical operations, specifically including multi-site, multi-state oversight of 10 or more centers - Required. 3-5 years of direct experience managing complex Joint Venture (JV) partnership models across multiple independent physician-owned facility boards - Required. 1-3 years of experience with ASC acquisitions, syndication, and de novo start-ups - Preferred.
• Clinical Fluency: background as a Registered Nurse (RN) or perioperative clinical leader - Preferred.
• Knowledge, Skills & Abilities: Multi-State Regulatory Acumen: In-depth understanding of varying state legal frameworks, CON (Certificate of Need) laws, safe harbors, compliance rules regarding multi-site physician ownership, and regional managed care contracting. Advanced Executive Presence: Exceptional talent for building credibility, transparency, and trust across geographically dispersed and culturally diverse cohorts of independent surgeons, anesthesia partners, and health system executives. Macro-Operational Metrics Driven: Proven ability to manage scaled operations via remote dashboards, turning data into action across multiple time zones regarding OR efficiency, supply cost management, and case-mix index optimization. Tech Savvy: Familiarity with modern enterprise ASC-specific EMRs and centralized scheduling systems.

Compensation

• Competitive Executive Compensation – Comprehensive salary and incentive package
• Long-Term Financial Security – 401(k) with employer matching and executive-level benefits
• Comprehensive Benefits – Medical, dental, vision, PTO, and executive wellness programs