Executive Director

Miles HR; Surrey; On-site; CAD 180,000 - 300,000; Full time

Job summary

Miles HR is partnering with a well-established Multi-Specialty Medical Clinic in the Metro Vancouver area to recruit an Executive Director. This role provides strategic and operational leadership, partnering directly with physician owners to guide growth and success.

The Executive Director will oversee financial performance, operational leadership, and HR strategy, directing teams across multiple service lines in a high-volume clinical environment, and will drive growth initiatives while

Qualifications

• Significant senior leadership experience as an Executive Director or similar role.
• Proven track record managing multi-million dollar budgets.
• Experience in physician-led, partnership environments.
• Strong financial acumen and strategic growth experience.
• Ability to lead across multiple teams and service lines.

Responsibilities

• Serve as operational partner to physician owners with accountability for performance, people, and growth.
• Provide leadership across teams, physicians, and service lines in a high-volume clinical environment.
• Oversee budgets, cost control, revenue optimization, and financial forecasting.
• Drive improvements in clinic flow, patient access, staffing models, and efficiency.
• Design and execute strategic growth initiatives and major organizational change.
• Manage relationships with physicians and partners to maintain alignment.
• Provide strategic oversight of Human Resources and workforce planning.
• Support managers and provide oversight rather than day-to-day HR tasks.
• Act as liaison between physicians, staff, and leadership, ensuring open communication.
• Maintain high accountability while cultivating a positive culture.

Skills

Executive leadership

Healthcare leadership

Budget management

Strategic planning

Operational excellence

Job description

Our client, a Multi-Specialty Medical Clinic, is a well-established, physician-led

organization recognized for delivering high-quality, patient-centered care across

multiple service lines. As the organization continues to scale, they are seeking an

accomplished Executive Director to provide strategic and operational leadership,

partnering directly with physician ownership to guide the organization's continued

growth and success.

The successful candidate will bring demonstrated senior leadership experience within a

complex, high-volume environment, together with strong financial acumen, operational

rigour, and a proven record of executing strategic growth initiatives. This is a pivotal

role, accountable for the organization's financial performance, operational leadership,

and overarching direction of the Human Resources function.

This opportunity will suit an experienced and decisive executive who is comfortable

operating within a physician-led, partnership environment, and who brings the

judgment and presence required to lead at the most senior level.

The Role: Executive Leadership and Strategic Oversight

Reporting to and partnering closely with the clinic's physician owners, the Executive

Director will hold overall accountability for organizational performance, people, and

growth. This individual will bring executive presence and sound judgment to advance

operational standards, strengthen accountability, and cultivate a high-performing

culture across the organization.

Key Responsibilities:

• Serve as the principal operational partner to the clinic's physician owners and physician leadership, with full accountability for organizational performance, people, and growth.
• Provide leadership and direction across multiple teams, physicians, and service lines within a complex, high-volume clinical environment.
• Oversee multi-million dollar budgets, ensuring disciplined cost control, revenue optimization, and rigorous financial planning and forecasting.
• Drive improvements in clinic flow, patient access, staffing models, and overall operational efficiency through systems and process-based leadership.
• Design and execute strategic growth initiatives, expansions, and major organizational change, translating executive vision into structured, measurable outcomes.
• Manage relationships across physicians and partners, exercising sound judgment to navigate expectations, resolve conflict, and maintain alignment.
• Provide strategic oversight of the Human Resources function, including workforce planning, recruitment and retention strategy, performance management frameworks, and resolution of complex employee relations matters.
• Support and develop managers across the organization, providing guidance and oversight rather than day-to-day HR administration.
• Act as the principal liaison between physicians, staff, and leadership, fostering open communication and effective resolution of organizational issues.
• Maintain a high standard of accountability while cultivating a positive, high-performing organizational culture.

Qualifications:

• Significant senior leadership experience as an Executive Director, Chief Operating Officer, or Director of Operations, ideally within healthcare or another large, complex service-based organization.
• Demonstrated ability to lead at scale within a complex, high-volume environment encompassing multiple teams, physicians, and service lines.
• A proven track record managing multi-million dollar budgets, with strong expertise in cost control, revenue optimization, and financial planning and forecasting.
• Experience improving clinic flow, patient access, staffing models, and operational efficiency through disciplined, process-oriented leadership.
• A demonstrated record of successfully executing growth initiatives, expansions, or major organizational change.
• Experience operating within physician-led or partnership environments, with strong judgment in managing stakeholder relationships and resolving conflict.
• Comfort providing strategic oversight of Human Resources and people strategy, with core strength in operations and organizational performance.
• Strong executive presence and credibility, with a decisive, structured, and solutions-oriented leadership style.
• A career trajectory reflecting increasing responsibility within organizations where scale, growth, and financial performance were key priorities.