Executive Director of Ancillary Services

Billings Clinic; Billings (MT); On-site; USD 180,000 - 280,000; Full time

Benefits offered by this job

Medical

Dental

Vision

403(b) Retirement Plan with employer-m

Defined Contribution Pension Plan

Paid Time Off

Employee wellness program

Job summary

Billings Clinic is seeking an Executive Director of Ancillary Services to provide strategic and operational leadership for multiple service lines, ensuring safe, high-quality, and efficient patient care.

The role focuses on financial stewardship, regulatory compliance, workforce development, and collaboration with physicians, leaders, and interdisciplinary teams to optimize service delivery and the patient experience.

Qualifications

• Masters or equivalent in health care administration, business, or related field.
• Minimum 3–5 years of senior management/leadership experience in health care delivery systems.
• Experience leading multidisciplinary teams and strategic initiatives.

Responsibilities

• Lead ancillary services through strategic planning and operational excellence.
• Oversee budgeting, financial performance, and resource management.
• Collaborate with physicians, leaders, and staff to ensure high-quality patient care and service delivery.
• Model and promote Billings Clinic's mission, values, and code of conduct.

Skills

Leadership

Strategic planning

Financial stewardship

Team development

Education

Master's Degree in health care administration or business

Tools

Healthcare information systems

Job description

Executive Director of Ancillary Services

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits

We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including

• Medical
• Dental
• Vision
• 403(b) Retirement Plan with employer matching
• Defined Contribution Pension Plan
• Paid Time Off
• employee wellness program
• and much more.

Click here for more information or download the Employee Benefits Guide .

Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as aMagnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here to learn more!

Executive Director of Ancillary Services

GENERAL ADMINISTRATION (Billings Clinic Main Campus)

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Shift: Day Employment Status: Full-Time (.75 or greater) Hours per Pay Period: 1.00 = 80 hours every two weeks (Exempt) Starting Wage DOE

The Executive Director of Ancillary Services provides strategic and operational leadership for assigned ancillary service lines, ensuring high-quality, safe, and efficient patient care. This role is responsible for advancing organizational goals through operational excellence, financial stewardship, regulatory compliance, workforce development, and collaboration with physicians, leaders, and interdisciplinary teams to optimize service delivery and the patient experience.

Essential Job Functions

• Develops, implements and assists in the advancement of the mission, vision, and values of Billings Clinic establishing a vision of excellence with a customer service orientation and demonstrated quality outcomes. Participates in establishing philosophy and culture of DBC. Leads groups through strategic planning sessions and motivates team to execute strategic objectives. Responsibilities include the promotion of, adherence to, the elements of Billings Clinic Code of Business Conduct and the corporate compliance program.
• Ensures the success and credibility of Billings Clinic through the delivery of innovative, quality, cost efficient programs. Leads the administration and ongoing refinement of comprehensive programs, including well defined protocols, policies and procedures assuring high quality standards and the cost effective delivery of the appropriate level of care in the appropriate care delivery setting. Assures the highest standard of clinical outcomes, patient satisfaction, and responsive/accessible customer service. Provides consultation services for community and health care providers.
• Leads service lines in the overall marketing, program development, and service priorities. Coordinates with physicians and other Billings Clinic leadership to assure continuity in pursing system goals and synergy in implementing plans. Identifies and addresses synergies/problems across service lines, providers, and within the community. Communicates relevant developments to staff.
• Develops/maintains financial and budgetary goals/objectives and oversees/assists with the development of departmental business plans which support Billings Clinic goals and objectives. Communicates and coordinates corporate and administrative information for use by Billings Clinic leadership and governing bodies, including feasibilities, projections, and results reporting.
• Practices process improvement principles and oversees assessment and improvement of the quality of the service and patient care provided. Maintains competency in all organizational, departmental, and outside agency safety standards relevant to services provided and ensures compliance.
• Develops, retains, recruits, and leads a talented management team committed to accomplishing the goals and objectives of Billings Clinic. Conducts appropriate performance actions to include motivation, training, coaching, and counseling of employees. Acts as a mentor, promotes and encourages professional growth and development of all staff. Takes responsibility for own professional growth and development needs; meets all system educational requirements.
• Establishes culture and standards; participates, fosters, demonstrates and encourages an ethic of open communication and teamwork throughout the organization and in the community. Builds an environment of shared commitment to Billings Clinic goals and responsibility to achieve quality outcomes. Maintains a high level of satisfaction within Billings Clinic among physicians and employees by providing an environment conducive to maximum individual and collective productivity. Provides consultation for related concerns and acts as a customer and community advocate by demonstrating sensitivity to ethical and legal ramifications of practice.
• Participates in evaluating, selecting and integrating health care technology and information systems that support quality of care, financial needs and efficient use of resources. Assures information systems meet the objective of providing appropriate, accurate, and timely information to all internal and external constituencies.
• Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
• Performs all other duties as assigned or as needed to meet the needs of the department/organization.

• Strategic Leadership Provides executive leadership for ancillary service lines including Environmental Services (EVS), Food & Nutrition, Facilities, Pharmacy, Imaging, Laboratory, Security, Emergency Management, Rehabilitation Services, and other assigned support services. Leads the planning, implementation, and execution of strategic initiatives, service expansions, and operational improvements. Collaborates with physicians, nursing, and executive leadership to improve patient care and organizational performance.
• Operational Excellence Ensures safe, efficient, and high-quality operations through performance metrics, continuous improvement, and regulatory compliance. Oversees departmental readiness for accreditation, regulatory surveys, and organizational standards. Promotes a culture of patient safety, quality, service excellence, and accountability.
• Financial & Resource Management Maintains accountability for operating and capital budgets, productivity, labor management, and financial performance. Identifies opportunities to improve operational efficiency, resource utilization, and fiscal stewardship.
• People Leadership Provides leadership, coaching, and development for directors, managers, and department leaders. Fosters employee engagement, workforce planning, succession planning, and talent development to build high-performing teams. Leads change management initiatives while promoting collaboration, innovation, and organizational values.

Minimum Qualifications

Education

• Masters Degree in business or health care administration or an equivalent combination of education and experience will be considered

Experience

• Minimum 3-5 years of senior level management/leadership experience, preferably in an integrated health care delivery system related to the above tasks, knowledge, skills and abilities
• Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus

Billings Clinic is committed tobeing an inclusive and welcoming employer, that strives to be kind, safe, andcourageous in all we do. As an equal opportunity employer, our policies andprocesses are designed to achieve fair and equitable treatment of all employeesand job applicants. All employees and job applicants will be provided the sametreatment in all aspects of the employment relationship, regardless of race,color, religion, sex, gender identity, sexual orientation, pregnancy, maritalstatus, national origin, age, genetic information, military status, and/ordisability. To ensure we provide an accessible candidate experience forprospective employees, please let us know if you need any accommodations duringthe recruitment process.

Human Resources is located on the corner of North 29th and8th Avenue North. Enter through the main entrance to the building and go to the lower level. Human Resources is located at the bottom of the main entrance staircase to the right.