JOB TITLE: Facility Administrator
LOCATION: Grand Prairie, Texas
REPORTING: Market CEO
POSITION OVERVIEW:We are seeking a highly motivated and experienced Administrator to lead the development and ongoing operations of a new, orthopedic-focused Ambulatory Surgery Center (ASC) in Grand Prairie, Texas
This is a de novo leadership opportunity for a clinically grounded operator to work along side the corporate denovo team to build an ASC from the ground up-including strategy, operational execution, physician engagement, and financial performance. The ideal candidate is a licensed Registered Nurse in Texas with orthopedic experience, bringing both clinical credibility and strong business acumen.
KEY RESPONSIBILITIES:Operational & Business Leadership- Provide full operational oversight of the ASC, including clinical, financial, and administrative functions
- Lead start-up execution: licensure, accreditation, vendor selection, equipment procurement, and go-live readiness
- Develop and manage the center's operating budget, P&L performance, and cost controls
- Implement processes to optimize surgical case volume, block utilization, and operational efficiency
Clinical & Patient Care Oversight- Ensure delivery of safe, high-quality patient care in alignment with orthopedic best practices
- Partner with clinical leadership to establish workflows across pre-op, OR, and PACU
- Maintain compliance with all regulatory and accreditation standards (CMS, state of Texas, and AAAHC)
Physician Partnership & Growth- Build and maintain strong relationships with orthopedic surgeons and stakeholders
- Drive physician satisfaction, engagement, and case growth
Team Leadership & Culture- Recruit, hire, and develop a high-performing, patient-centered team
- Establish a culture of accountability, collaboration, and operational excellence
- Oversee staffing models, productivity expectations, and performance management
Compliance & Quality- Ensure ongoing regulatory compliance, survey readiness, and risk management
- Lead quality improvement initiatives and monitor key performance indicators
- Oversee infection prevention, patient safety, and clinical outcomes programs
QualificationsRequired- Active Registered Nurse (RN) license in the state of Texas (in good standing)
- Bachelor's degree (BSN or healthcare-related) or equivalent experience required
- 5+ years of progressive leadership experience in an ASC or surgical services environment
- Demonstrated experience in orthopedic procedures and workflows
- Proven ability to manage operations, budgets, and multidisciplinary teams
- Strong understanding of ASC regulatory, accreditation, and compliance requirements
Preferred- Prior ASC Administrator experience
- Experience leading a de novo, startup, or turnaround environment
- Experience with physician partnerships/joint ventures
Working Environment- Fast-paced, orthopedic-focused ambulatory surgery setting
- Monday-Friday schedule with case-dependent hours
- Start-up environment requiring adaptability, hands-on leadership, and problem-solving
Why Join- Opportunity to lead a new ASC from concept to full operations
- Direct partnership with physicians and Market CEO
- Significant influence over strategy, culture, and long-term success
- Competitive compensation, bonus potential, and benefits
Benefits:- Comprehensive health, dental, and vision insurance
- Health Savings Account with an employer contribution
- Life Insurance
- PTO
- 401(k) retirement plan with a company match
- And more!
How to ApplySubmit your resume along with a brief summary of your ASC leadership experience, including any orthopedic and/or startup involvement.
