VP, Specialty Care Operations

Beth Israel Lahey Health; Cambridge (MA); On-site; USD 230,000 - 290,000; Full time

Job summary

Beth Israel Lahey Health is seeking a strategic, senior leader to oversee Specialty Care Operations across the system, reporting to the COO for BILH Medical Group. The VP will guide quality, safety, patient experience, and financial performance across 50+ practices in multiple regions.

This role requires deep ambulatory operations knowledge, Epic workflows, and proven ability to manage large, distributed teams.

Qualifications

• Bachelor's degree required; Master's preferred but not required.
• 10+ years of significant leadership responsibility in a large multi-site setting.
• Familiarity with ambulatory specialty operations, finance, HR, health IT, and quality/safety.

Responsibilities

• Oversee operations of BILH Specialty Care across 50+ practices and 30+ specialties.
• Lead operational strategy with COO and CMO to support growth and market competitiveness.
• Drive performance visibility across staffing, revenue cycle, and front-end operations across regions.
• Manage Executive Directors and Directors; oversee succession planning and caregiver resilience initiatives.
• Oversee space planning and ambulatory expansion; multi-site portfolio management.
• Navigate dual accountability between medical group and hospital-based services; credentialing and on-call coverage.

Skills

Leadership

Strategic planning

Operational management

Budgeting/financial management

Change management

Communication

Education

Bachelor's degree

MBA or MHA (preferred)

Tools

Epic workflows

Job description

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

Job Description

Reporting to the Chief Operating Officer for BILH Medical Group, the VP, Specialty Care Operations oversees all aspects of the BILH Specialty Care (BILHSC) clinical and administrative enterprise in a dyad partnership with the BILHSC Chief Medical Officer. This includes quality, safety, patient experience, colleague engagement, clinical program development, budgeting and financial management, career development and performance management of administrative staff and clinicians across more than 50 practices spanning 30+ clinical specialties across multiple regions and care settings. A defining feature of this role is the breadth and complexity of its external relationships. Within the Community Division, the VP, Specialty Care Operations will collaborate closely with local hospitals, including BID Plymouth, Mount Auburn Hospital, Anna Jaques Hospital, Beverly Hospital, Winchester Hospital, and others, to align specialty program strategy, physician and APP engagement, quality, and clinical standards. These relationships are essential to coordinating specialty referral networks, managing employed specialist alignment, and advancing service line development across the integrated system.

Primary Responsibilities

• Oversee all aspects of practice operations across BILHSC. Partner with the BILHSC CMO to optimize quality, safety, access, patient experience, provider and staff engagement, and financial performance. Maintain clinical operations in accordance with applicable accreditation, statutory, and regulatory requirements. (essential)
• Lead operational strategy execution. Collaborate with BILHMG leadership to develop and implement a strategic operational plan for BILHSC, ensuring practices have the readiness to support growth initiatives and remain market competitive. (essential)
• Drive performance visibility and accountability. Maintain full operational visibility across staffing models, supply utilization, Epic workflows, and front-end revenue cycle across all BILHSC specialties and regions. Identify and implement best practices and reduce regional variation where appropriate. (essential)
• Build and lead specialty affinity groups. Establish structured forums for cross-regional learning and best practice sharing within key specialties, with a longer-term view toward enhanced collaboration and coordinated program development. Ensure that performance reviews and leadership development plans are executed for all direct and indirect reports. (essential)
• Manage a team of Executive Directors and Directors with regional and/or specialty portfolio accountability. Provide direction, development, and accountability across all BILHSC operational leadership. Foster succession planning and caregiver resilience initiatives. (essential)
• Oversee space planning. Drive decisions about optimal use of current space and efficient allocation of resources across the BILHSC portfolio. Support strategic planning for ambulatory expansion and multi-specialty site development. (essential)
• Navigate the dual accountability structures inherent to specialty care. The vast majority of BILHSC physicians maintain obligations to both the medical group and their hospital-based clinical service. The VP must be prepared to manage credentialing, on-call coverage, hospital-based scheduling, and disciplinary processes in this layered environment. (essential)
• Support outmigration reduction and growth strategies. Partner with BILHMG and hospital leadership on service line expansion, ambulatory development, and specialty-specific initiatives to reduce controllable outmigration and grow market share. (essential)
• Lead budget management for BILHSC. In partnership with BILHSC and BILHMG leadership, oversee the budget process including volume, revenue, and expense accountability across all specialty practices. Develop and implement variance mitigation plans as needed. (essential)
• Lead and support Executive Directors, Directors, and Practice Managers in developing and improving operations to create optimal performance levels. Direct Reports: More than 7 Indirect Reports: More than 500

Required Qualifications

• Bachelor's degree required and Master's degree preferred but not required, or at least 10+ years of significant and graduated leadership responsibility, including clinical operations and financial management, preferably at a senior level in a large, geographically distributed multi-specialty practice network within an employed physician group or integrated health system.
• Nuanced understanding of ambulatory specialty operations, finance, human resource management, health IT, Epic workflows, and content knowledge regarding quality, safety, patient experience, and clinical performance management across a heterogeneous specialty portfolio. Familiarity with wRVU-based physician compensation models and specialty physician labor market dynamics.
• Credible, market-facing operational leader with strength of presence and strong influencing skills. Able to manage complex, shifting organizational dynamics across hospital-based and ambulatory settings. Demonstrated strength in both strategy and execution, with the ability to hold teams and individuals accountable in a dyad leadership model.
• Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.

Preferred Qualifications

• Advanced leadership training and/or M.B.A. or M.H.A. an asset but not required.

Competencies

• Decision Making: Ability to make decisions with significant, broad implications for the management and operations of a major department or multiple departments. Participates in decisions on overall strategy and direction of the organization.
• Problem Solving: Ability to address problems that are broad, complex and abstract, often involving Medical Center-wide issues and requiring substantial creativity, resourcefulness, staff engagement, Lean diagnostic techniques, negotiation and diplomacy to develop solutions.
• Independence of Action: Ability to set direction and vision for major departments or multiple departments. Establishes priorities, develops policies and allocates resources.
• Written Communications: Ability to communicate complex information in English effectively in writing to all levels of staff, management and external customers across functional areas.
• Oral Communications: Ability to verbally communicate complex concepts in English and address sensitive situations, resolve conflicts, negotiate, motivate and persuade others.
• Knowledge: Ability to demonstrate broad and comprehensive knowledge of theories, concepts, practices and policies with the ability to use them in complex and/or unprecedented situations across multiple functional areas.
• Team Work: Ability to lead and direct multiple collaborative teams for large projects or groups both internal and external to the Medical Center and across functional areas. Results have significant implications for the management and operations of the organization.
• Customer Service: Ability to lead operational initiatives to meet or exceed customer service standards and expectations in assigned unit(s) and/or across multiple areas in a timely and respectful manner.

Social/Environmental Requirements

• Work requires periods of close attention to work without interruption. Concentrated effort of up to 4 hours without break may be required.
• Work requires constant response to changing circumstances and using new information to adjust approach and to quickly respond to new needs.
• No substantial exposure to adverse environmental conditions
• Health Care Status: NHCW: No patient contact.- Health Care Worker Status may vary by department

Sensory Requirements

• Close work (paperwork, visual examination), Color vision/perception, Visual monotony, Visual clarity > 20 feet, Visual clarity feet, Conversation, Telephone.

Physical Requirements

• Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, and pulling objects. Sitting most of the time, with walking and standing required only occasionally

Pay Range

$230,000.00 USD - $290,000.00 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. In addition to base compensation, this position may be eligible for additional compensation, which may include performance-based incentive bonuses.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled