Executive Director, Emergency Medicine

BREVARD PHYSICIAN ASSOCIATES, PLLC; Melbourne (FL); On-site; USD 160,000 - 240,000; Full time

Job summary

BREVARD PHYSICIAN ASSOCIATES, PLLC is seeking an Executive Director for Emergency Medicine to oversee administrative, financial, and operational functions of the ED in Melbourne, FL. This role ensures alignment between physicians, staff, and external partners to optimize patient care and departmental performance.

The Executive Director leads strategic initiatives, manages budgets, revenue cycle, HR, regulatory compliance, and performance improvement, and represents the ED in hospital and BPA

Qualifications

• Bachelor’s degree in Business Administration, Healthcare Administration, or related field.
• Master’s (MBA) degree preferred for senior leadership.
• 7+ years of healthcare administration at director level or above.
• Experience with operational oversight including provider scheduling, financial management, HR and payroll, quality initiatives, and regulatory compliance.

Responsibilities

• Lead department decision‑making and act as a strategic partner to meet goals.
• Coordinate with physician leaders across Emergency Subdivision-North and South.
• Provide leadership, training, and accountability for ED staff and Practice Managers.
• Ensure compliance with hospital by‑laws, regulations, and federal law.
• Attend and participate in ED leadership meetings and project initiatives.
• Oversee budgeting, revenue cycle, payroll, and cost containment.
• Manage HR functions including performance evaluations, timecards, and staffing.
• Develop and modify divisional policies and reports, and communicate with Health First.

Skills

Strategic leadership

Operational management

Financial management

Regulatory compliance

HR management

Education

Bachelor’s degree in Business Administration or Healthcare Administration

MBA preferred

Job description

The Executive Director, Emergency Medicine is responsible for ensuring the smooth and efficient operation of the Emergency Medicine division by overseeing administrative, financial, and operational functions.This position serves as a key liaison between the physicians, staff, and external partners, facilitating communication and collaboration to optimize patient care and departmental performance.

Essential Duties and Responsibilities:

• Lead department decision-making and function as a strategic partner in executing actions to meet established goals.
• Serve as triad leader, collaborating with Emergency Subdivision-North and Emergency Subdivision-South physician leaders.
• Provide leadership, guidance, training, and support to Practice Managers and ED staff. Resolve any issues and hold employees accountable for performance expectations.
• Ensure providers are complying with hospital by-laws, regulatory requirements, and federal laws.
• Coordinate, attend, and participate in all ED quarterly leadership meetings.
• Participate in new Health First project initiatives, go-lives, downtime, and application enhancements.
• Provide ongoing communication between the ED and Health First, including new application implementations, training, and current events.
• Schedule, facilitate, and/or participate in various meetings, including credentialing meetings, department staff meetings; partner meetings; and other meetings as requested.
• Serve as the point of contact for administrative ED-related items for Health First, and for provider/Health First issues.
• Create reports, conduct analysis, and distribute information, including the monthly productivity reports and monthly review of NRC AHP reviews.
• Create monthly shift schedule for all Training Track AHP's.
• Perform yearly functions, including external comparison/analysis of scribe services, facilitating annual AAEM coverage for physicians, providing mandatory annual physician stroke CME, and leading annual color testing initiative for Health First.
• Create and modify divisional policies, as needed.
• Perform HR related functions, including conducting performance evaluations, ensuring timecard completion and submission, posting job openings, and PTO review.
• Work with HR on any employee leaves of absence, employee relations matters, and terminations.
• Initiate retention and recognition efforts for ED providers.
• Oversee scheduling to ensure full-time requirements are met for Allied Health Professionals (AHP's).
• Oversee and monitor financials, including budgeting, cost containment, payroll, and revenue cycle management. Provide oversight and analysis of scribe financial costs.
• Track W2 physicians worked hours to ownership threshold.
• Identify measures, track, and report MIPS, in order for providers to correct deficiencies.
• Perform payroll processes, including overseeing Director payments, submission of K-1 owners hours, 1099 hours and payments, quarterly AHP bonus distributions, monthly First Flight payments, and quarterly partner distributions.
• Request chart audits and communication of education with providers.
• Facilitate meetings with external billing company and applicable BPA staff.
• Assist Finance Department in developing and managing department budget.
• Identify cost-saving opportunities and implement efficiency measures.
• Oversee revenue cycle management, reimbursement processes, and payer contract negotiations relative to the Emergency Department
• Monitor market trends to assess opportunities for business development
• Implement risk management strategies to minimize liability exposure
• Optimize clinical workflow and operational efficiency across emergency room sites.
• Oversee integration of Electronic Health record (EMR) feeds with various vendor systems.
• Represent the emergency medicine department in hospital meetings, BPA board meeting, and industry events.Attends other meetings on a weekly, bi-weekly and monthly basis.
• Create and manage and negotiate all divisional Contractor Agreements, Employment Agreements, and Member Employment Agreements.
• Identifying and vetting qualified provider candidates, along with initiating and conducting all interviews.

The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform.

Education and Experience Requirements:

• Bachelor’s Degree in Business Administration, Healthcare Administration, or related field required. Master’s Degree in Business Administration, preferred.
• 7+ years of experience in healthcare administration working at a director level or above, preferably in an urgent care or emergency medicine practice, or similar field.
• Experience managing teams at a director level or above.
• Experience with operational oversight managing provider scheduling, personnel, financial management, revenue cycle management, HR and payroll functions, quality initiatives, and ensuring compliance with facility and hospital by-laws as well as regulatory laws.

Knowledge/Skills/Abilities:

• Strong leadership skills.
• Operational management, with high degree of initiative, judgment, discretion, and decision-making.
• Skilled in strategic planning, financial management, regulatory compliance, quality improvement, and human resource management.
• Skilled in stakeholder engagement, collaboration, and crisis management.
• Ability to make decisions under pressure and deadlines.
• Knowledge of trends and best practices.

Physical Requirements (X = Required for Job):

X Sitting for extended periods

X Lifting/carrying up to 20 pounds various items

X Extended periods viewing computer screen