Vice President Anesthesia Operations

HCA Healthcare; Brentwood (TN); On-site; USD 180,000 - 260,000; Full time

Benefits offered by this job

Comprehensive medical coverage

401(k) Plan with 100% match on 3%–9%

Education assistance

Stock Purchase Plan

Fertility and family-building benefits

Job summary

HCA Healthcare (Corporate) is seeking a Vice President of Anesthesia Services Operations based in Brentwood, TN. Lead anesthesia services across divisions, drive financial performance, and partner with senior leaders to advance enterprise-wide strategy.

Responsibilities include program development, operational excellence, and scalable planning with physician recruitment support, aiming to optimize clinical, financial, and operational outcomes.

Qualifications

• Bachelor’s degree in Business, Healthcare Administration or a related field.
• Master’s degree in Business or Healthcare Administration is required.
• 12+ years in healthcare systems, anesthesia operations, or consulting with senior leadership experience.

Responsibilities

• Provide leadership across anesthesia services, operations, compliance, and budgets.
• Drive strategic growth through new programs, partnerships, and service expansions.
• Oversee implementation and stabilization of new programs with scalable playbooks.
• Maintain stakeholder relationships and communicate plans to senior leadership.
• Develop and monitor financial and operational KPIs, and lead performance improvement.
• Manage concurrent large-scale initiatives with cross-functional teams.

Skills

Executive leadership

Stakeholder management

Healthcare operations

Financial performance management

Education

Bachelor's degree in Business/Healthcare Admin

Master's degree in Business/Healthcare Admin

Job description

This position is incentive eligible.

Introduction

with HCA Healthcare, where excellence creates excellence. Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a Vice President of Anesthesia Services Operations with HCA Healthcare, where excellence creates excellence. This role will be based in Brentwood, TN.

Benefits

HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

Job Summary and Qualifications

Responsible for leadership of the Anesthesia Service line and operations across assigned divisions. Key responsibilities include oversight of financial performance, development and stabilization of new and existing programs, management of personnel, implementation of strategic initiatives, and execution of business development activities. This role drives operational excellence by aligning best practices with enterprise goals and optimizing outcomes across the anesthesia continuum.

The role includes assessment and consulting services for non-managed programs and the creation of scalable solutions to support sustainable growth as well as direct management of incoming new programs. Serves as a subject matter expert for anesthesia operations and is responsible for developing business models, implementation frameworks, and performance monitoring systems to enhance clinical, financial, and operational results.

Works in collaboration with Group, Division, and facility CEOs, CMOs, CFOs, and other senior leaders across HCA to advance enterprise-wide anesthesia strategy, execution, and growth.

SUPERVISOR: President of Anesthesia Service Line

DUTIES INCLUDE BUT NOT LIMITED TO:

Leadership

• Provides leadership across anesthesia services, operations, compliance, and expense management to drive alignment with HCA’s strategic plan.
• Leads the launch and operationalization of new anesthesia programs, including staffing models, workflow integration, onboarding, and post-launch stabilization.
• Identifies underperforming operations and designs turnaround plans in collaboration with local and enterprise teams.
• Establishes performance dashboards, benchmarks, and KPIs to ensure sustainable operations post-implementation.
• Partners with facility and division leadership to scope, plan, and implement new anesthesia services or expansions, including support for physician recruitment and infrastructure development.
• Develops go‑to‑market strategies and supports growth of service line through internal partnerships and relationship development.
• Cultivates a culture of performance, innovation, and accountability across the service line.
• Builds relationships with senior executives (CMO, CFO, COO, etc.) by discussing industry trends, operational best practices, and aligning on strategic priorities.
• Mentors and develops facility and division anesthesia leaders to build capability and leadership succession.

Business Development & Strategic Execution

• Leads strategic assessments and due diligence processes for potential anesthesia program growth opportunities (including new hospital contracts, joint ventures, and practice acquisitions).
• Collaborates with HCA’s Physician Resource Team (PRT) to analyze market dynamics, evaluate ROI, and prepare pro forma and capital planning for anesthesia service line expansion.
• Supports integration planning for acquired or contracted groups including alignment of clinical models, billing, compliance, and performance goals.
• Builds relationships with physician practices and external stakeholders to facilitate service line expansion and integration.
• Acts as executive liaison to external partners and stakeholders as needed for program success.

Implementation & Stabilization

• Oversees cross-functional implementation teams during launch and transition phases of new anesthesia programs.
• Assists in the development of scalable playbooks and implementation toolkits to guide field operations through start-up and stabilization phases.
• Leads root cause analyses and rapid cycle improvement initiatives when performance gaps are identified in anesthesia operations.
• Ensures a smooth transition to steady‑state operations, with hand‑off plans and ongoing monitoring protocols for sustained success.

Customer Service

• Maintains strong stakeholder relationships through clear, proactive communication and collaboration.
• Proactively addresses stakeholder needs, aligns on expectations, and incorporates feedback into service enhancements.
• Builds internal customer confidence and commitment to service excellence.

Financial

• Drives achievement of financial goals by establishing service line and facility‑level budgets, managing expenses, and identifying efficiency opportunities.
• Leads financial modeling and scenario planning to evaluate new opportunities or programmatic changes.
• Develops financial and operational KPIs, tracks progress, and leads corrective action planning when necessary.

Project Management

• Manages concurrent large‑scale initiatives, balancing timelines, budgets, and stakeholder expectations.
• Delegates effectively to direct reports and matrixed teams to execute service line initiatives.

General Knowledge and Competencies

• Deep understanding of anesthesia and hospital operations, including financial, regulatory, and compliance dimensions.
• Strong interpersonal and executive communication skills.
• Comfortable with travel, matrixed reporting structures, and fast‑paced environments.
• Able to lead complex change initiatives and cross‑functional teams with accountability and clarity.
• Practices and adheres to the Code of Conduct philosophy, mission and vision statements.

EDUCATION:

• Bachelors Degree in Business, Healthcare Administration, or Nursing – Required
• Masters Degree in Business or Healthcare Administration, or a related clinical or operational field e.g. PA, Pharmacy, Nursing Public Health, etc. is required .

EXPERIENCE:

• 12+ years of experience in healthcare systems, anesthesia operations, or consulting with a minimum of 7 years of experience at the Director level or higher.
• Proven experience in business development, clinical implementation, and service stabilization within a healthcare or hospital system.
• Strong working knowledge of Health Systems Management, Hospital Operations, Practice Management, Revenue Cycle, and strategic growth frameworks.

HCA Healthcare (Corporate) , based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities , every person has a solid foundation for success. Nashville is also home to our Executive Development Program , where exceptional employees are groomed to take on CNO- and COO‑level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

“Bricks and mortar do not make a hospital. People do.”- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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