POSITION SUMMARYThe Chief Executive Officer - ASC Operations SWOT is a high-impact executive leader responsible for rapid deployment to ambulatory surgery centers (ASCs) requiring urgent stabilization, optimization, or transformation. This role demands a dynamic operator capable of diagnosing systemic issues, implementing corrective strategies, and driving measurable improvements in clinical quality, financial health, operational efficiency, and cultural alignment. The SWOT CEO serves as a catalyst for change, ensuring each ASC is positioned for long-term success and compliance with regulatory and accreditation standards.
ESSENTIAL FUNCTIONS- Lead operational turnaround and performance optimization initiatives across clinical, administrative, and financial functions, with an expectation to achieve full operational readiness within 30 days of deployment, drive improvement in efficiency metrics within 90 days, and record measurable scorecard gains in at least three performance domains within 60 days.
- Diagnose root causes of operational inefficiencies and implement corrective action plans that restore stability and foster continuous improvement, completing comprehensive root-cause analyses within 10 business days, executing at least 80 percent of identified corrective actions within 30 days, and resolving 90 percent of critical issues within 60 days.
- Oversee day-to-day operations to ensure safe, efficient, and cost-effective surgical services aligned with company mission, vision, values, and patient care standards, targeting an operating room utilization rate of at least 75 percent, an on-time case start rate of 90 percent or higher, staff turnover below 10 percent annually, and patient satisfaction scores of 85 percent or greater.
- Implement best practices in operating room utilization, scheduling, supply chain management, and staffing to minimize waste and maximize throughput, maintaining a case cancellation rate at or below 2 percent, benchmarking supply cost per case in the top quartile of national peers, sustaining scheduling accuracy at 95 percent or higher, and aligning staffing ratios with specialty-specific benchmarks.
- Monitor and analyze key performance indicators for quality, financial, and operational performance; course-correct proactively to sustain momentum, ensuring 100 percent compliance with weekly KPI dashboard reporting, resolving KPI variances within seven days, and driving month-over-month improvement in at least three core metrics.
- Ensure compliance with all state, federal, and accreditation requirements (AAAHC, CMS, state DOH, etc.), achieving zero critical deficiencies in mock surveys, maintaining a 100 percent compliance rate on all official audits and inspections, and securing full annual training completion for every staff member.
- Partner with physician leaders, anesthesia providers, and governing boards to sustain high-quality care delivery and physician engagement, working toward a physician satisfaction score of 85 percent or higher, 100 percent anesthesia coverage compliance, and at least 90 percent attendance at quarterly governance meetings.
- Lead financial improvement strategies-including cost containment, case mix optimization, and revenue cycle efficiency-to enhance profitability, targeting a 10 percent increase in EBITDA margin within six months, 5 percent year-over-year growth in revenue per case, days in accounts receivable of no more than 40, and a claims denial rate of 5 percent or less.
- Manage vendor contracts, negotiations, and facility service agreements to optimize value and service quality, delivering at least 8 percent annual cost savings through renegotiation, achieving a vendor performance score of 90 percent or above, and completing contract renewals within a 30-day cycle.
- Build and reinforce a performance-driven culture through coaching, recognition, accountability, and employee engagement, aiming for an employee engagement score of 80 percent or higher, 100 percent completion of annual performance reviews, at least 75 percent staff participation in development programs, and leadership turnover of no more than 5 percent.
- Serve as an integration leader during new acquisitions or leadership transitions, ensuring smooth alignment to corporate standards and culture by executing integration plans within 60 days, attaining a cultural alignment score of 85 percent or above within 90 days, retaining 90 percent of key staff post-integration, and stabilizing operations within 45 days of acquisition.
- Perform other duties as assigned, completing ad hoc assignments on schedule and securing stakeholder satisfaction ratings of 90 percent or higher for special projects.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
NOTE: The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager.
MINIMUM QUALIFICATIONS- Bachelor's degree in Healthcare Administration, Nursing, Business, or related field.
- 5+ years of progressive leadership experience in ASC operations or surgical services.
- Demonstrated success in operational turnaround, performance improvement, and cost containment.
- Strong knowledge of ASC regulations, payer dynamics (Medicare/Medicaid, commercial), and compliance requirements.
PREFERRED QUALIFICATIONS- Master's degree (MBA, MHA, MPH).
- Experience in multi-specialty ASC or physician joint venture models.
- Expertise in value-based care, bundled payments, and digital health solutions.
- Clinical background (DON, RN, or similar) strongly preferred.
PHYSICAL DEMANDS/ENVIRONMENT FACTORSOE - Typical Office Environment:
- Requires extensive sitting with periodic standing and walking.
- May be required to lift up to 20 pounds.
- Requires significant use of computer, phone and general office equipment.
- Needs adequate visual acuity, ability to grasp and handle objects.
- Needs ability to communicate effectively through reading, writing, and speaking in person or on the telephone.
- Requires travel.
SUPERVISORY RESPONSIBILITIES- Includes supervisory of all assigned ASC leadership and support staff.
DIRECTLY REPORTINGTYPE OF SUPERVISORY RESPONSIBILITIES- This position has full managerial scope and authority for employment actions, including coaching, candidate selection, training and development, performance appraisals, work assignments, and disciplinary action.
Leadership will strive to uphold the mission, vision, and values of the organization. They will serve as role models for staff and act in a people-centered, service excellence-focused, and results-oriented manner.
SCOPE AND COMPLEXITY- This role is designed for a transformational leader who thrives in high-stakes environments. The SWOT CEO must demonstrate agility, resilience, and a data-driven mindset to lead ASCs through periods of uncertainty and into operational excellence. Success in this role is defined not only by short-term stabilization but by the creation of scalable systems that ensure long-term growth and sustainability. The SWOT CEO interfaces directly with physicians, anesthesia groups, boards, regulatory agencies, and corporate leadership, ensuring compliance, operational efficiency, and cultural alignment. Success requires adaptability to evolving reimbursement models, healthcare policy shifts, and diverse patient populations.
