Surgery Center Administrator (ASC)

Position: Surgery Center Administrator (ASC)
Location: Nashville, TN or Charlotte, NC – full-time, on-site
Compensation: $165k – $185k base + annual bonus, signing bonus, full benefits, paid relocation

Key Responsibilities

(what you will lead and deliver)

Operational Leadership

• Direct day-to-day operations for a 4 ORs + 1 treatment room; specialties include ENT, General Surgery, GI, GYN, Ophthalmology, Oral Surgery, Orthopedics, Podiatry, Pain Management.
• Serve as chief liaison among Governing Board, Medical Staff, and all facility departments; report facility performance at scheduled board meetings.
• Designate and mentor an acting administrator when absent; ensure seamless leadership coverage.
• Plan and execute facility growth strategies, service mix, and capital projects in line with partnership agreements.
• Lead monthly Operations Review with the home-office team, presenting KPIs, financials, and improvement plans.

Business & Financial Management

• Own the annual operating and capital budgets; oversee staffing levels, supply chain, and GPO compliance.
• Establish procedure pricing through cost analysis and market benchmarking.
• Negotiate and manage external contracts (physician block time, ancillary services, maintenance, purchasing).
• Deploy and monitor EDGE™ operational processes and integrate them into the Quality & Performance Improvement (QPI) program.
• Safeguard internal controls and ensure ongoing accreditation and regulatory compliance (CMS, AAAHC/Joint Commission, OSHA, HIPAA).

Clinical & Quality Oversight

• Partner with the Medical Director to sustain high clinical standards, update policies, and introduce new surgical services.
• Oversee nursing, SPD/central supply, medical records, housekeeping, and all contracted clinical services.
• Chair—or delegate to—Quality Improvement and Infection Control programs; track metrics, investigate variances, and drive corrective actions.

People & Culture

• Lead, develop, and evaluate exempt and non-exempt staff; conduct annual reviews and implement training, orientation, and productivity programs.
• Champion a culture of zero harm, patient‐first service, and continuous improvement.
• Facilitate monthly all-hands meetings to communicate goals, progress, and recognition.

Business Development & Community Relations

• Execute the facility sales/marketing plan; cultivate surgeon relationships and identify service-line expansions appropriate for an ASC.
• Represent the center at corporate meetings and in professional associations; maintain positive public and physician relations.

Requirements

Proven leadership as an Administrator (or equivalent director role) in an Ambulatory Surgery Center or hospital surgical services with ASC exposure.
• Demonstrated success managing multi-specialty OR operations, budgets, and regulatory surveys.Education & Credentials• Bachelor’s degree in healthcare, business, nursing, or related field (master’s preferred).
• Current ACLS/BLS certification (or ability to obtain).Financial Acumen• Hands-on P&L responsibility, budgeting, and contract negotiation experience.Regulatory & Quality• In-depth knowledge of CMS Conditions for Coverage, state/federal regulations, and accreditation standards (AAAHC, Joint Commission, etc.).Leadership & Communication• Track record of building high-performing teams, fostering physician partnerships, and presenting to executive boards.
• Excellent written and verbal communication skills.Technical Proficiency• Familiarity with EDGE™ or comparable performance-improvement systems and EMR/PM software common to ASCs. I - Demonstrated management of higher-scale P&Ls (high six- to low seven-figure revenue) corresponding to larger OR count and expanded service lines - Proven ability to deploy and oversee EDGETM (or comparable QPI system) across nine surgical specialties at higher case volumes Relocation• Willingness to relocate to Walnut Creek, CA (paid relocation provided).

California Department of Public Health (CDPH) vs. TN Dept. of Health

Benefits

What We Offer

• Competitive base salary with performance bonus and sign-on bonus
• Comprehensive medical, dental, vision, and 401(k) plan
• Paid relocation and generous PTO/holiday schedule
• Professional development support and a collaborative, patient-centric culture

Ready to advance a high-performing ASC? Apply today and help us deliver exceptional surgical care while continually raising the bar on quality and efficiency.