Job Description

The Senior Director, Operations is a foundational leadership role responsible for launching and scaling a new market for outpatient imaging services. This leader will stand up the defined geography’s operations through a mix of de novo center development and strategic M&A, with a goal of expanding to 15 centers over three years. Reporting directly to the Divisional President, the Senior Director will be accountable for establishing operational infrastructure, building high-performing teams, integrating clinical and business processes, and fostering a successful joint venture partnership with the health system and key physician stakeholders. This is a unique opportunity to shape the geography from the ground up and create a replicable growth engine for long-term success.

Essential Duties and Responsibilities

Build & Launch the Region

• Serve as the operational architect for the defined geography, leading initial planning, resource alignment, and go-live execution for new market entry.
• Stand up new outpatient imaging centers through both de novo development and M&A integration.
• Partner with real estate, development, and legal teams on site selection, JV structuring, and acquisition diligence.

Joint Venture & Stakeholder Management

• Serve as the day-to-day operational leader and primary point of contact for the joint venture partner(s), including hospital systems and affiliated physicians.
• Foster a high-trust, transparent JV relationship, aligned around clinical quality, operational performance, and financial returns.
• Prepare and present operating reports, performance updates, and strategic plans to the JV board and internal stakeholders.

Operational Leadership

• Oversee daily operations of imaging centers in assigned geographies, ensuring consistent execution of business and clinical workflows.
• Partner with Regional Operations Managers and Center Managers to drive efficiency, staffing optimization, scheduling, and patient throughput.
• Lead execution of company priorities, process improvements, and standard operating procedures across all locations.
• Support division leadership in long-term strategic planning, budget and forecasting processes.

Performance Management

• Own the geography’s P&L, with accountability for achieving volume, revenue, and margin goals.
• Monitor and manage operational KPIs, financial results, and quality metrics across assigned centers.
• Optimize workflow to positively impact throughput, decrease cancellations, and increase revenue.
• Identify and resolve performance gaps through proactive problem-solving, coaching, and support.
• Utilize talent and expertise to achieve goals and optimize staffing in alignment with the labor model.
• Share best practices for center operations and remote coverage.
• Collaborate with the finance team to manage budgets, forecasts, and P&L accountability at the center level.

Team Leadership & Development

• Hire, develop and supervise the leadership team, including center managers, clinical leads, and support functions, while fostering a high-performance culture.
• Ensure effective onboarding, training, and performance management practices across teams.
• Promote a culture of accountability, collaboration, and continuous improvement resulting in high employee engagement and patient NPS.

Cross-Functional Coordination

• Serve as the primary operational point of contact for centralized services teams (e.g. centralized patient services, RCM, HR, IT, compliance, clinical COE).
• Partner with sales leadership to ensure priorities are aligned and adjusted as needed to meet demand with modality offerings.
• Support the rollout of enterprise-wide initiatives, technology updates, and new workflows across assigned centers.
• Ensure alignment with corporate policies, compliance standards, and quality goals.
• Represent operational interests in local and enterprise forums, advocating for resource needs and operational input.

Minimum Qualifications

Education/Licensing/Certification:

Bachelor’s degree required (MBA, MHA or similar advanced degree preferred); healthcare administration, business, or related field preferred.

Experience (years and type):

• 8-10 years of operational leadership experience, ideally within a multi-site medical imaging environment
• Experience in new market build, site activation, or multi-site scale-up strongly preferred.
• Prior accountability for P&L management, physician partnership, and team development.
• Experience managing frontline teams and delivering results across distributed locations.

Knowledge and Skills:

• Demonstrated ability to drive performance and lead through influence in a matrixed organization; strong project management and change leadership capabilities.
• Deep understanding of clinical operations, revenue cycle, compliance, and healthcare regulations.
• Comfort navigating operational and clinical environments with a patient-first mindset.
• Strong analytical, communication, and team leadership skills, particularly with physicians, executives and JV stakeholders

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