System Director, Clinical Operations (Physician)

NYC Health + Hospitals; New York (NY); On-site; USD 250,000 - 400,000; Full time

Benefits offered by this job

401(k) Company Contribution

Generous Annual Paid Time Off

Top-tier Medical, Prescription, and Dental Coverage

Job summary

A leading healthcare provider in New York is seeking a System Director in Clinical Operations. This role demands a physician leader with strong business acumen and operational success in a large health system. Key responsibilities include supporting systemwide clinical initiatives, developing operational programs, and partnering with various departments to implement strategic initiatives. The ideal candidate will hold an MD or DO with relevant leadership qualifications, and possess over 5 years of experience in clinical operations. This position offers a competitive salary with an extensive benefits package.

Qualifications

• 5–7+ years of progressive clinical leadership experience.
• Demonstrated success in hospital operations and clinical program implementation.
• Strong financial and business skills with budget management capability.

Responsibilities

• Support systemwide clinical initiatives.
• Develop and operationalize clinical programs.
• Partner with hospital leadership and departments for cross-functional initiatives.

Skills

Operational focus

Strong business acumen

Leadership in hospital-based care

Effective communication

Strategic thinking

Education

MD or DO with current Board Certification

MBA, MHA, MPH, or equivalent business/leadership degree

Tools

Performance dashboards

Budget management

Job description

Provider Careers at NYC Health + Hospitals

System Director, Clinical Operations (Physician)

Physician Affiliate Group of New York (PAGNY) and NYC Health + Hospitals’ Division of Enterprise Clinical Operations are seeking an accomplished and operationally focused System Director to support systemwide clinical initiatives and drive measurable improvements in healthcare operations and program implementation.

PAGNY, a multispecialty medical practice group, staffs several municipal hospitals and clinics within New York City through an affiliation agreement with NYC Health + Hospitals. PAGNY’s Corporate staff provides administrative, practice management, and human resources services in support of nearly 4,000 clinical providers.

The mission of NYC Health + Hospitals is to extend equally to all New Yorkers, regardless of the ability to pay, comprehensive health services of the highest quality in an atmosphere of humane care, dignity, and respect. Their Values are built on a foundation of social and racial equity and has established the ICARE standards for all staff.

NYC Health + Hospitals is the nation’s largest municipal health care delivery system in the United States. Dedicated to providing the highest quality health care services to all New Yorkers with compassion, dignity and respect, and regardless of immigration status or ability to pay.

This role is ideal for a physician leader with strong business acumen, a proven track record of operational success, and demonstrated collaborative leadership in hospital-based care. Experience managing within a large, complex health system with diverse partners and external stakeholders is preferred. The ability to oversee multiple projects simultaneously is a valuable asset.

Opportunity Details:

• Support NYC Health + Hospitals systemwide.
• Develop and operationalize clinical programs aligned with system priorities.
• Partner with hospital leadership, nursing, operations, finance, and IT to execute cross-functional initiatives.
• Create and monitor business plans, budgets, ROI models, and performance dashboards.
• Maintain a part-time clinical practice (40–50%) to support clinical engagement.
• Foster a culture of teamwork, accountability, and continuous improvement.
• Create initiatives that address medical education, patient safety, and quality improvement.
• Support Fellowship in providing feedback and mentorship.
• Offer clinical guidance to build and offer feedback to programs.

Ideal Candidate:

• Operationally-minded
• Execution-oriented
• Driven by data
• Energetic and able to balance multiple priorities simultaneously
• Skilled in leading complex, multi-stakeholder initiatives
• Effective communicator able to influence and engage physicians and teams
• Strategic thinker with strong business judgment

Qualifications

• MD or DO with current Board Certification.
• Eligible for medical licensure in New York State.
• MBA, MHA, MPH, or equivalent business/leadership degree required.
• 5–7+ years of progressive clinical leadership experience.
• Demonstrated success in hospital operations, clinical program implementation, and strategic execution.
• Strong financial and business skills; ability to manage budgets and service-line performance.
• Excellent communication, interpersonal dynamics, and change-leadership abilities.
• Current or past NYC Health + Hospitals employees or NYC Health + Hospitals affiliates are encouraged to apply.

Wages and Benefits include:

Annual Base Salary: $250,000* - $400,000* based on medical specialty and clinical/administrative experience.

The annual total value of compensation package is estimated at $275,000** and $436,000**, which includes the baseline salary, 401(k) contribution, and other factors as set forth below:

• 401(k) Company Contribution (subject to IRS contribution limits):
  • Employees are immediately vested in a 3% company contribution of base earnings. No employee match is required.
  • After one year of service, employees receive an additional 7% company contribution of base earnings. No employee match is required.
• Generous Annual Paid Time Off (PTO).
• Medical, Prescription, and Dental Coverage: Top-tier plans with employee contributions significantly below market rates.
• Life Insurance and Accidental Death and Dismemberment (AD&D) Coverage.
  • Additional employee-paid Voluntary Life and AD&D coverage is available for you and your family.
• Healthcare and Dependent Care Flexible Spending Accounts (FSAs).
• Pre-tax employee-paid contributions for commuting expenses.

Physician Affiliate Group of New York, P.C. (PAGNY) mission is to provide accountable, responsive, quality care with the highest degree of sensitivity to the needs of the diverse population that lives in our New York community. PAGNY is one of the largest physician groups in the country and directly employs nearly 4,000 physicians and allied health professionals who provide services to NYC Health + Hospitals, the largest municipal health care system in the nation, serving more than a million New Yorkers annually. Our providers are highly skilled professionals with outstanding credentials who deliver the highest level of quality healthcare to patients throughout New York City.

Physician Affiliate Group of New York, P.C. (PAGNY) is an equal opportunity employer committed to equitable hiring practices and a supportive workplace. All candidates are considered based on their individual qualifications, potential, and experience. To learn more about our culture and ongoing workplace practices, please visit our Workplace Culture | PAGNY page .

*Salary Disclosure Information:

The salary listed for this position complies with New York City's Salary Transparency Law for Job Advertisements. The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, or benefits. Actual total compensation may vary based on factors such as experience, skills, qualifications, historical performance, and other relevant criteria.

**The annual total value of the compensation package shown is provided as an illustration and is not guaranteed.

This role is employed by PAGNY at NYC Health + Hospitals. You will be redirected to the PAGNY career site to complete the application process.

This role is employed by PAGNY at NYC Health + Hospitals. You will be redirected to the PAGNY career site to complete the application process.

JOB DETAILS

Annual Base Salary based on a 40-hour work week: $250,000 - $400,000*

Position type: Full-Time

Department: Administration

Category:

Posted: Jan 15, 2026

LOCATION

PAGNY

Suite 1750

New York, NY 10170

PAGNY

420 Lexington Avenue

Suite 1750

New York, NY 10170

Grand Central-42 St (4,5,6) ,

5 Av (7)

15 minutes walk from nearest station to the hospital.

ABOUT PAGNY

Physician Affiliate Group of New York (PAGNY) is comprised of over 4,000 physicians and healthcare professionals who provide services to NYC Health + Hospitals, the largest public health system in the United States.
PAGNY is committed to recruiting and retaining productive and enthusiastic physicians and promotes our health professionals’ wellness.