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Billings Clinic Executive Director of Operations in BILLINGS, Montana

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers.

Billings Clinic provides management services, information system and ancillary support services to 20 hospitals and clinics. In addition, physician and physician assistant services are provided in some locations. These are considered affiliate relationships.

Your Benefits

We provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here (https://www.billingsclinic.com/careers/employee-benefits/) for more information ordownload the Employee Benefits Guide (https://ncstoragemlbillings.blob.core.windows.net/public/2021%20Billings%20Clinic%20Staff%20Benefits%20Guide.pdf) .

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more!

Executive Director of Operations



Shift: Day

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 1.00 = 80 hours (Exempt)

Starting Wage DOE: Commensurate with experience

Executive Director of Regional Operations is responsible for executive leadership across the system regional network contributing to strategic market growth, development, community service, public relations and assists with CAH development as needed. Through effectively leveraging resources, the position strengthens the rural health care delivery system by enhancing business operations and improving the quality of clinical care delivery. Position is responsible for operational oversight and leadership of existing regional physician branch clinics, health care facility management contracts, and new physician and facility affiliations and alliances.

Essential Job Functions

(1)Develops, implements, and assists in the advancement of the mission and vision through strengthening the rural health care delivery system by ensuring retention of appropriate care locally through enhancement of business operations and improving the clinical quality of care delivery locally and within the region while overseeing Regional CAH CEOs at managed Critical Access Hospitals as a key executive leader on the Regional Services Team.

(2)Ensures the success and credibility of Regional Services Network through the delivery of innovative, quality, and cost-efficient programs that supports a more integrated regional system of health care and assists rural health care providers who seek out alliances for business and clinical quality reasons. Primary responsibilities include but are not limited to:

a) Professionally manages existing regional physician branch clinics, health care facility management contracts and facility affiliations within defined region. Through effective operational management, creates an environment that provides superior levels of physician and patient services, clinical quality and lower costs and aligns incentives within the spectrum of providers involved in the delivery of regional health care services.

b) Leads affiliate Board development functions, establishing a vision of excellence with a customer service orientation and demonstrated quality outcomes, charting the course in response to the developing and shifting needs of the community and the affiliate organization.

c) Leads Management Services Contract Review and Services across the region and development of affiliate relationships within defined geographic regional territory.

d) Promotes outreach initiatives for specified physician specialties within the community in collaboration with the Outreach, Telemedicine and Physician referral team.

e) Coordinates with regional health care providers, leadership, and physicians to assure continuity in pursing organization’s goals and objectives. Identifies and addresses synergies/problems across service lines, providers and within the community/region.

f) Acts as consultant to affiliate Boards and for regional health care collaborative initiatives, performs appropriate needs assessments and develops recommendations and proposals that are mutually beneficial.

(3) In collaboration with physician leadership and other medical staff, administration, and other health care providers, develops and implements strategic plans, and leads, develops, and revises programs, and assesses facility planning needs to enhance clinic practice services at regional branch clinic locations.

a) Provides leadership in developing, planning, and implementing regional business plans and oversees the business and financial operations. In collaboration with the Chief Medical Officer, Region team, develops and supports provider practices to include quality/safety initiatives, patient access, physician practice reports, revenue analysis, and billing/coding documentation.

b) Works collaboratively with the Regional Operations Nursing Leadership, Branch Clinic Nursing Leadership, and system Nursing Leadership to ensure the practice of nursing meets established standards of care and competency requirements, state/federal regulatory compliance, and accreditation standards for Magnet. Monitors compliance to these standards and works with Nursing Leadership to address areas of concern.

c) Develops and maintains community relationships as it relates to the continuum of care. Monitors clinic practice(s) medical activities and identifies trends, problems and/or issues.

(4)Develops, retains, recruits, and leads a talented team committed to accomplishing the goals and objectives of Billings Clinic and the regional health care providers. Recommends, implements, and evaluates plans and systems that assures sufficient number of qualified and competent staff to provide care/services. Adheres to administrative policy/procedures relating to human resource management.

(5)Serves as a liaison and channel of communication between all system programs and services. Participates in the development of patient care delivery models and/or care programs, policies and procedures that describe how patient care needs and/or patient populations receiving care are assessed, evaluated, and met.

(6)Promotes health care services that are produced in a cost-effective manner while maintaining high standards of quality.

a) Assures the sound fiscal operation of the institute including timely, accurate and comprehensive development of a realistic, cost-effective annual budget and its implementation.

b) Plans for capital equipment through budget and obtains approvals for capital purchases above specified threshold. Plans the use of physical resources for the institution and ensures against physical damages.

c) Arranges contractual relationships with consultants, contractors, architects, etc., on behalf of the Board in planning and developing facilities, finances, and personnel programs.

d) Combines organizational resources in such a way as to maximize quantity and/or quality to obtain a set of results.

e) Monitors periodic financial statements measuring the relevant business activity and financial position of the assigned clinical practice(s) and the organization to ensure appropriate financial management

f) Exercises due diligence throughout contract development, negotiations, and compliance by reviewing, analyzing, and consulting appropriate resources to diminish risk

(7)Ensures compliance and regulations of governing facilities and the rules of accrediting bodies by continually monitoring the organization’s service delivery and initiating changes as required.

(8) Fosters a smooth functioning, efficient organization through timely and effective resolution of disruptions.

(9)Maintains competency in all organizational, departmental, and outside agency environmental, employee or patient safety standards relevant to job performance.

(10)Demonstrates and encourages an ethic of open communication and teamwork throughout the organization and in the community/region. Builds an environment of shared commitment to Billings Clinic’s and the regional health care providers’ goals and responsibility to achieve quality outcomes. Maintains a high level of satisfaction within Billings Clinic and among regional health care providers’ physicians and employees by providing an environment conducive to maximum individual and collective productivity. Provides consultation for related concerns and acts as a customer and community advocate by demonstrating sensitivity to ethical and legal ramifications of practice.

(11)Performs other duties as assigned or needed to meet the needs of the department/organization.

Minimum Qualifications


• Bachelor’s degree in relevant field

• Master’s degree in hospital administration, health, business, or public health preferred


• Minimum of five to seven (5-7) years of senior leadership/management experience with experience in a physician practice, hospital and/or CAH setting

• CAH CEO experience, preferred

Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered.

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more atwww.billingsclinic.com/aboutus (https://www.billingsclinic.com/about-us/)

Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.