Job Title

Director of Ambulatory Operations Location: Coldwater, MI Lead the Transformation of Rural Outpatient Care At Insight Hospital & Medical Center Coldwater, we are redesigning how outpatient care is delivered-improving access, eliminating inefficiencies, and creating a truly patient-centered experience. We are seeking a proven operator who has successfully transformed outpatient clinics-not just managed them. If you've walked into a struggling clinic and turned it into a high-performing, patient-focused operation… this role is for you. What You'll Do You will own operational performance across our outpatient clinics and lead measurable transformation in: Clinic Performance & Throughput * Redesign workflows to improve access, reduce wait times, and increase provider productivity * Optimize scheduling templates, staffing models, and visit flow * Drive measurable improvements in volume, cycle time, and patient access * Develop and execute strategies to reduce no-show and cancellation rates Operational Transformation * Identify inefficiencies and implement sustainable process improvements * Standardize best practices across clinics while allowing for specialty-specific needs * Lead change management with physicians and staff - this is where most people fail; we need someone who won't * Evaluate clinic viability and make recommendations on service line consolidation or expansion Staffing & Workforce Optimization * Assess and optimize clinic staffing models using industry benchmarks * Ensure appropriate staffing ratios across clinical and administrative roles * Identify staffing gaps and imbalances and develop plans to address them Business Analytics & Performance Intelligence * Own clinic-level performance reporting across productivity, efficiency, staffing, and financial metrics * Benchmark clinic operations against national standards (MGMA or equivalent) * Use data to identify underperforming areas and build targeted improvement plans * Present operational insights and recommendations to executive leadership Financial & Revenue Cycle Accountability * Own clinic-level financial performance including volume, expense, revenue, and contribution margin * Partner with revenue cycle on billing performance, charge capture, and denial management * Support compliance and margin optimization for pharmacy and ancillary service lines * Monitor provider compensation and contract compliance Physician & Staff Engagement * Partner with providers to improve clinic efficiency without compromising care quality * Build strong relationships and credibility with physicians (employed and independent) * Develop clinic managers and frontline teams through coaching, accountability, and performance management Growth & Expansion * Lead startup and ramp-up of new clinic locations and service lines * Support recruitment and onboarding of providers with a focus on operational success from day one What Success Looks Like (First 12-18 Months) * Measurable improvement in patient access and clinic throughput * Increased provider productivity (wRVUs/visits per session) * Improved patient satisfaction and experience metrics * Standardized workflows across clinics with reduced variation * Clinic staffing aligned to industry benchmarks * Recurring performance reporting cadence established * Strong physician engagement driven by partnership-not passive compliance Who You Are You're not a "policy enforcer." You're an operator. Required * 5+ years leading outpatient clinic operations * Demonstrated success improving clinic performance (throughput, access, financials, or patient experience) * Experience working directly with physicians to drive operational change * Strong understanding of ambulatory workflows, scheduling, staffing, and revenue cycle * Experience with healthcare benchmarking data (MGMA, AMGA, or equivalent) * Comfort with operational and financial data analysis * Experience managing clinic-level P&L or financial performance Preferred * Experience in multi-site, multi-specialty clinic management * Track record of clinic turnaround or transformation work * Lean / Six Sigma / process improvement experience (formal or practical) * Experience with EMR-based reporting and workflow optimization * Familiarity with BI tools (Power BI, Tableau, or similar) What Sets You Apart * You walk into chaos and see a system * You're comfortable challenging "how we've always done it" * You use data - but don't hide behind it * You can influence physicians without alienating them * You deliver results, not reports Why This Role Matters This isn't a maintenance role. This is a chance to reshape outpatient care in a rural market, expand access, and directly impact how patients experience care in our community. If you want a role where you can actually fix things-not just talk about them-this is it. Qualifications * Bachelor's degree required (Master's preferred but not required if experience is strong) * Demonstrated operational leadership in healthcare required About Insight Insight is committed to delivering high-quality, accessible care to the communities we serve. We are investing in our outpatient network and building a model that works-for patients, providers, and staff. Insight Hospital & Medical Center is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.