Executive Director

Working collaboratively with providers, medical directors, and the Chief Medical Officer, the Executive Director Middlesex Medical Group directs strategy, finances and daily operations of the medical practices within Middlesex Health Medical Group, including our primary care and specialty practices. Fosters an environment of support and collaboration between providers.

The Executive Director Middlesex Medical Group seeks opportunities to improve financial results through revenue enhancements or expense reductions, as well as alignment, common policies and procedures, and integration where possible. The Executive Director closely collaborates with hospital clinical departments and Middlesex Health supportive services, including but not limited to Human Resources, Engineering, Plant Operations, Marketing, etc. Additional focus on patient experience is critical to ensure balance while remaining alert to financial implications and staff engagement.

The Executive Director leads merger and integration efforts, including both the due diligence phase and the merger integration phase, coordinating with appropriate health system operational resources. The Executive Director is personally involved in provider recruitment to ensure acquisition of the best talent and a succession plan is in place given potential provider retirements.

Essential Duties & Responsibilities

Strategic and Operational Leadership

● Develops and implements the strategy and overall operations of all ambulatory practices, including primary care, urgent care, surgical, and specialty practices by working through the Director of Operations, Medical Director, and Regional Operations Managers.

● Develops and implements long-term strategic growth strategies and annual business plans for medical practices, including patient experience, access, quality, and financial performance targets.

● Oversees daily operations across all sites, ensuring consistency in patient care delivery, practice management structure, staffing models and clinical support.

● Leads efforts to optimize practice efficiency, standardize workflows, and improve operational performance across multiple locations.

● Actively seeks out opportunities to observe practice operations personally, network with staff and develop suggestions for improvement

● Serve as a key member of the executive leadership team, contributing to system-wide planning and performance initiatives.

Financial Management

● Develops and manages operating and capital budgets for medical practices; monitors performance against financial goals.

● Analyzes practice performance, revenue cycle indicators, and productivity reports; recommends corrective actions as needed.

● Partners with finance, contracting, and payer relations teams to optimize reimbursement, manage expenses, and ensure fair-market-value compensation for providers.

● Implements systems and controls to support fiscal accountability, transparency and sustainable growth.

Physician and Provider Relations

● Serves as the primary administrative leader for employed physicians, advanced practice providers, and clinical support teams.

● Partners with physician leaders to enhance engagement, productivity, and satisfaction.

● Fosters and builds relationships between providers to help build an environment of support and professionalism between physicians and APPs.

● Leads recruitment, onboarding, and retention strategies to attract and maintain high-quality providers.

● Collaborates with medical staff leadership to ensure effective communication, governance, and operational decision-making. Develops physician leadership capabilities and promotes engagement in governance and decision-making.

Quality, Compliance, and Patient Experience

● Ensures practices operate in full compliance with regulatory, accreditation, and payer requirements.

● Provides direction in the resolution of complex patient or risk management issues in coordination with other health system resources

● Oversees initiatives to improve clinical quality metrics, patient experience, and access to care.

● Champions a culture of patient safety, service excellence, and continuous improvement.

● Collaborates with clinical leaders to integrate quality improvement, population health, and care management initiatives.

Human Resources and Leadership Development

● Provides leadership and direction to practice administrators, managers, and staff.

● Promotes a culture of accountability, teamwork, and professional development.

● Ensures compliance with performance appraisal program, and directs succession planning, and staff development programs.

● Partners with HR to ensure consistent application of policies and fair, equitable management practices.

Technology and Information Systems

● Oversees effective use of electronic health record (EHR) systems, practice management platforms, and data reporting tools.

● Utilizes analytics and dashboards to monitor key performance indicators (KPIs).

● Partners with IT to identify opportunities for workflow automation, digital access, and data-driven decision-making.

Collaboration and Representation

● Represents the medical group in system-wide initiatives, committees, and community partnerships.

● Serves as a liaison between the practices and other departments, fostering effective communication and alignment.

● Participates in executive-level decision-making regarding access planning, facility utilization, and service expansion.

Minimum Qualifications

● 10 years healthcare and/or hospital progressive leadership experience, with executive level expertise in directing strategy and operations of ambulatory practices

● 5 years experience developing and using metrics to measure performance of teams, processes and services

● 5 Years experience planning and managing complex budget and financial performance

Minimum Education:

● Bachelor’s Degree in Business, Healthcare Administration or related field

Preferred Qualifications:

● Master’s Degree in Business, Healthcare Administration or related field

Knowledge, Skills, and Abilities:

● Healthcare Operations Management: Deep understanding of ambulatory care delivery, physician practice management, and regulatory requirements (HIPAA, OSHA, CMS, Joint Commission).

● Financial Management: Knowledge of budgeting, revenue cycle, payer contracting, productivity benchmarking, and cost containment strategies.

● Strategic Planning: Expertise in developing and implementing growth strategies aligned with organizational goals and market trends.

● Leadership & Change Management: Ability to lead multidisciplinary teams, drive engagement, and foster a culture of accountability and continuous improvement.

● Financial Acumen: Strong analytical and budgeting skills; able to interpret financial reports, identify trends, and recommend corrective actions.

● Strategic Communication: Exceptional written and verbal communication skills, adept at presenting to executives, physicians, and staff.

● Relationship Building: Skilled at cultivating physician, staff, and community relationships to enhance organizational reputation and partnerships.

● Negotiation & Influence: Effective at negotiating contracts, resolving conflicts, and gaining stakeholder buy-in for complex initiatives.

● Project Management: Ability to plan, execute, and oversee complex initiatives within scope, budget, and timeline.

● Team Development: Ability to mentor leaders and staff, promoting professional growth and succession planning.

Comprehensive Benefits Offered

• Competitive and affordable benefits package
• Shift Differentials
• Continuing Education assistance
• Tuition reimbursement
• Student Loan relief through Fiducius
• Quick commute access from I-84, Route 9 and surrounding areas

About Middlesex Health

The Smarter Choice for your Career!

Come join one of Connecticut’s Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.