VP Ambulatory Services - Franklin, TN

Community Health Systems, Inc.; Franklin (TN); On-site; USD 260,000 - 450,000; Full time

Job summary

Community Health Systems, Inc. seeks an innovative Vice President of Ambulatory Services to lead a multi-state ASC portfolio, optimize OR utilization, and drive sustainable growth.

You will partner with physician owners, boards, and ASC leaders to maximize EBITDA and ensure clinical excellence across markets. The role emphasizes strategic, operational, and financial leadership, including overseeing acquisitions, de novo development, and joint ventures, while ensuring CMS and accreditation

Qualifications

• Master's degree in healthcare administration or related field required.
• 10+ years of executive leadership in ambulatory/surgical operations across multiple sites/states.
• 3–5 years managing complex JV partnerships across physician-owned facilities.
• 1–3 years ASC acquisitions, syndication, and de novo start-up experience preferred.
• RN or perioperative leadership background preferred.

Responsibilities

• Provide strategic and financial leadership for a multi-state ASC portfolio.
• Oversee JV governance and physician owner relationships.
• Drive portfolio P&L, EBITDA, and revenue integrity across markets.
• Lead M&A, geographic expansion, and de novo development activities.
• Implement real-time analytics and KPI dashboards for OR utilization and quality.
• Ensure CMS/state licensing and accrediting compliance across sites.
• Develop talent and leadership across ASC facilities.

Skills

Executive leadership

Multi-state operations

P&L management

Strategic partnerships

Education

Master's in healthcare administration (MHA)

MBA

Nurse leadership background (RN/perioOp)

Tools

EMR systems

Centralized scheduling systems

Job description

Community Health Systems is one of the nation's leading healthcare providers. With healthcare delivery systems in 32 distinct markets across 12 states, CHS operates 60 affiliated hospitals with more than 8,000 beds and approximately 800 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers.

OUR VISION

To make the healthcare experience exceptional for our patients, our communities, and each other.

What We’re Looking For

The Vice President, Ambulatory Services is responsible for the strategic, operational, and financial leadership of the organization's multi-state portfolio of Ambulatory Surgery Centers (ASCs). This executive role oversees large-scale, multi-site ASC operations, aggregate portfolio P&L performance, joint venture (JV) partnerships, acquisitions, and de novo development while ensuring clinical compliance, quality care, and patient safety across all markets. The Vice President collaborates closely with physician owners, health system partners, localized governing boards, and ASC facility administrators to maximize regional EBITDA, optimize operating room (OR) utilization, and drive sustainable volume growth.

Essential Functions

• Multi-State Strategic & Operational Leadership: Provides executive oversight for all ASCs across the multi-state footprint, driving operational standardization, scalability, multi-market harmonization, and an exceptional patient care culture across the entire corporate portfolio.
• Physician Partnership & JV Governance: Serves as the primary corporate operational liaison for all ASC joint ventures. Sits as a voting representative on multiple distinct ASC Governing Boards, manages relationships with diverse cohorts of physician owners, and leads matrixed physician equity syndication and recruitment efforts.
• Enterprise Financial & P&L Mastery: Owns portfolio-level P&L and Adjusted Operating Profit (EBITDA) across all states. Drives revenue integrity, optimizes cross-market labor productivity, manages scaled supply chain economies, and collaborates with payer contracting on market-specific reimbursement strategies.
• Portfolio Growth & M&A: Leads geographic expansion, ASC acquisition, integration, and de novo development activities. Identifies macro-market opportunities to expand high-margin, high-acuity service lines (e.g., Orthopedics/Total Joints, Cardiology/Cath Labs, GI, Ophthalmology).
• Performance Metrics & Innovation: Implements advanced, real-time data analytics and standardized KPI dashboards to monitor key metrics (OR turnaround times, on-time starts, cancellation rates, and utilization) across all facilities to identify and remediate underperforming sites.
• Multi-State Quality & Continuous Survey Readiness: Partners with Medical Directors and Clinical leaders to ensure strict compliance with CMS guidelines, state licensing frameworks (including Certificate of Need regulations where applicable), and accrediting bodies (AAAHC/The Joint Commission).
• Talent Pipeline Development: Mentors, coaches, and develops a high-performing pipeline of ASC Facility Administrators, Regional Directors, and site leadership teams across the multi-state footprint.

Qualifications

• Master’s Degree in Healthcare Administration (MHA), Business Administration (MBA), Nursing (MSN), or related field - Required
• 10+ years of progressive executive leadership in ambulatory services or surgical operations, specifically including multi-site, multi-state oversight of 10 or more centers - Required.
• 3-5 years of direct experience managing complex Joint Venture (JV) partnership models across multiple independent physician-owned facility boards - Required.
• 1-3 years of experience with ASC acquisitions, syndication, and de novo start-ups - Preferred.
• Clinical Fluency: background as a Registered Nurse (RN) or perioperative clinical leader - Preferred.

Knowledge, Skills & Abilities

• Multi-State Regulatory Acumen: In-depth understanding of varying state legal frameworks, CON (Certificate of Need) laws, safe harbors, compliance rules regarding multi-site physician ownership, and regional managed care contracting.
• Advanced Executive Presence: Exceptional talent for building credibility, transparency, and trust across geographically dispersed and culturally diverse cohorts of independent surgeons, anesthesia partners, and health system executives.
• Macro-Operational Metrics Driven: Proven ability to manage scaled operations via remote dashboards, turning data into action across multiple time zones regarding OR efficiency, supply cost management, and case-mix index optimization.
• Tech Savvy: Familiarity with modern enterprise ASC-specific EMRs and centralized scheduling systems

Licenses & Certifications

• CASC (Certified Administrator Surgery Center) – Preferred
• FACHE / CMPE (Fellow of the American College of Healthcare Executives or Certified Medical Practice Executive) - Preferred

Be Part of Our Team

Joining our organization as Vice President of Ambulatory Services means more than stepping into an executive role—it means leading transformation, driving growth, and shaping the future of ambulatory care across our network.

Why You’ll Love This Role

Executive Leadership Impact – Shape the strategic direction and growth of a multi-site ASC network
Professional Influence – Lead acquisitions, program expansion, and system-wide initiatives
Collaborative Culture – Partner with senior leadership and high-performing teams
Growth & Innovation – Drive advancements in ambulatory care, technology, and service delivery

What Sets Us Apart

Our ambulatory surgery network is built on a foundation of clinical excellence, innovation, and patient-centered care. We are committed to delivering high-quality surgical services in efficient, modern settings while expanding access and improving outcomes across the communities we serve.

As part of our executive leadership team, you will have the opportunity to shape the future of ambulatory care—driving growth, advancing technology, and creating meaningful impact at scale.

Schedule & Work Structure

• Full-Time, Executive Leadership Role
• Travel required across ASC locations - Must be able to travel 50%–60% (including frequent multi-state air travel and overnight stays) to interface directly with regional ASC facilities, physician partners, and localized board meetings.
• On-site and leadership presence expectations

Our Values in Action

We Put Patients First
We prioritize safety, quality, and compassion in every interaction.

We Work as a Team
We collaborate to achieve shared goals and better outcomes.

We Own It
We take accountability and lead with integrity.

We Always Do the Right Thing
We uphold the highest ethical and professional standards.

We Never Settle
We continuously improve and challenge the status quo.

We Lead the Way
We innovate to transform healthcare delivery.

Compensation

Competitive Executive Compensation – Comprehensive salary and incentive package

Long-Term Financial Security – 401(k) with employer matching and executive-level benefits

Comprehensive Benefits – Medical, dental, vision, PTO, and executive wellness programs

INDCHS