ASC Strategy & Portfolio Operations Director

MedHQ; Newport Beach (CA); On-site; USD 180,000 - 260,000; Full time

Job summary

MedHQ is seeking a Senior Director, ASC Operations to serve as the strategic and operational partner to the Governing Board, physician leadership, and facility Administrators across a multi-site ASC portfolio. The role parallels a Chief of Staff, translating board priorities into actionable initiatives and ensuring alignment across centers.

Stewardship of financial and operational performance includes P&L, EBITDA, and case metrics, with an emphasis on standardizing processes and driving cost

Qualifications

• Master's degree in healthcare administration, business, finance, or related field preferred.
• 7-10+ years of progressive experience in ASC, surgical services, or healthcare operations.
• Strong understanding of ASC operations and physician-owned ASC environment.
• Experience working with senior leadership, physicians, Governing Boards, or ownership groups.
• Strong financial acumen and the ability to discuss P&L, EBITDA, budgets, case volume, labor, utilization, and other ASC performance indicators.
• Working knowledge of ASC regulatory, accreditation, QAPI, credentialing, and governance requirements.
• Strong analytical, organizational, and project management skills.
• Advanced Excel and executive-level reporting/presentation skills.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities across several facilities while maintaining appropriate accountability and documentation.

Responsibilities

• Serve as a strategic operational partner to the Governing Board and physician leadership.
• Partner with facility Administrators to identify operational priorities, opportunities, risks, and issues requiring Board attention.
• Review and interpret financial and operational performance, including P&L, EBITDA, case volume, labor, payer mix, case costs, and physician utilization.
• Translate financial and operational data into clear, actionable insights for physician owners and Board members.
• Coordinate Board and leadership reporting across the ASC portfolio.
• Support Governing Board, MEC/MAC, and Members Meetings, including preparation, reporting, follow-up, and tracking of decisions and action items.
• Drive accountability for Board priorities and strategic initiatives across Administrators, physicians, management partners, and other stakeholders.
• Identify opportunities to improve operational efficiency, standardize processes, reduce costs, and strengthen performance across facilities.
• Support physician utilization and operational analytics, including case volume, block utilization, capacity, and performance trends.
• Provide oversight and visibility into quality, QAPI, credentialing, regulatory, vendor, and facility matters requiring Board awareness or action.
• Support vendor and service agreement evaluations, contract discussions, and major operational or capital initiatives.
• Serve as a central point of coordination for cross-facility initiatives and ensure appropriate follow-through and communication.
• Develop executive-level reports and presentations for physician owners and the Governing Board.

Skills

Strategic thinker

Financial acumen

Executive communication

Project management

Education

Master's degree in healthcare administration or related field

Tools

Excel

Job description

MedHQ is seeking a Senior Director, ASC Operations to serve as the strategic and operational partner to the Governing Board, physician leadership, and facility Administrators across a multi-site ASC portfolio. The role parallels a Chief of Staff, translating board priorities into actionable initiatives and ensuring alignment across centers.

Stewardship of financial and operational performance includes P&L, EBITDA, and case metrics, with an emphasis on standardizing processes and driving cost