Regional Vice President of Operations

Gilder Search Group; Charlotte (NC); On-site; USD 180,000 - 240,000; Full time

Benefits offered by this job

Executive-level role

Competitive compensation

Leadership development

Job summary

Gilder Search Group is seeking a Regional Vice President of Operations to lead a network of skilled nursing facilities in North Carolina. This executive role focuses on strategic oversight, operational excellence, and financial performance across multiple communities.

The ideal candidate has extensive SNF leadership experience, deep knowledge of CMS regulations, and a proven ability to develop leaders, improve census, and drive quality outcomes.

Qualifications

• Bachelor’s degree required; master’s preferred.
• 5+ years of progressive healthcare operations leadership experience.
• Multi-facility regional leadership experience strongly preferred.

Responsibilities

• Provide strategic leadership for multiple SNF facilities.
• Partner with Executive Directors and clinical leadership to meet goals.
• Drive census growth, occupancy, revenue, and financial performance.
• Monitor KPIs and implement improvement plans.
• Ensure CMS/state regulatory compliance.
• Promote quality of care and resident satisfaction.
• Develop leaders through coaching and succession planning.
• Oversee budgets, labor management, and capital planning.
• Travel regularly across North Carolina.

Skills

Strategic leadership

Operational excellence

Financial acumen

Regulatory compliance

Staff development

Travel willingness

Education

Bachelor’s degree in healthcare/related field

Master’s degree (preferred)

Job description

Regional Vice President of Operations

Location: North Carolina
Industry: Skilled Nursing / Long-Term Care
Employment Type: Full-Time

Position Overview

We are seeking an experienced Regional Vice President of Operations to provide strategic and operational leadership across a portfolio of skilled nursing facilities in North Carolina. This executive-level leader will be responsible for driving operational excellence, financial performance, regulatory compliance, quality outcomes, and employee engagement across multiple communities.

The ideal candidate is a proven healthcare operations leader with extensive skilled nursing experience and a strong understanding of the clinical, regulatory, financial, and business demands of long-term care.

Key Responsibilities

• Provide strategic leadership and operational oversight for multiple skilled nursing facilities.
• Partner with facility Executive Directors/Administrators and clinical leadership to achieve operational and organizational goals.
• Drive census growth, occupancy, revenue, and overall financial performance.
• Monitor key performance indicators and develop action plans to improve results.
• Ensure compliance with federal and state regulations, including CMS and North Carolina requirements.
• Promote high standards of quality care, resident satisfaction, and clinical outcomes.
• Support facility leaders with recruitment, retention, employee engagement, and leadership development.
• Conduct regular facility visits, operational reviews, and performance assessments.
• Identify operational challenges and implement effective, measurable solutions.
• Collaborate with clinical, human resources, finance, sales/marketing, and other corporate departments.
• Assist with budgets, capital planning, labor management, and expense control.Lead and support turnaround initiatives when necessary.
• Build strong relationships with residents, families, employees, physicians, and community partners.
• Maintain awareness of industry trends and regulatory changes affecting skilled nursing operations.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, Nursing, or a related field required; Master’s degree preferred.
• 5+ years of progressive healthcare operations leadership experience, with significant skilled nursing experience.
• Multi-facility regional leadership experience strongly preferred.
• Strong knowledge of skilled nursing operations, CMS regulations, state survey processes, and reimbursement.
• Demonstrated success improving census, financial performance, quality metrics, and operational outcomes.
• Proven ability to lead, coach, and develop facility-level leaders.
• Strong financial, analytical, communication, and problem-solving skills.
• Ability to travel regularly throughout North Carolina.

Ideal Candidate

The successful candidate will be a hands-on, strategic, and results-driven leader who understands that strong operational performance starts with strong facility leadership and exceptional resident care. This individual should be comfortable working in a fast-paced environment, managing multiple priorities, holding leaders accountable, and developing high-performing teams.

Why Join the Organization?

• Executive-level leadership opportunity with significant operational impact
• Collaborative leadership environment
• Opportunity to influence growth and performance across multiple communities
• Competitive compensation and benefits package
• Professional growth and leadership development opportunities