*THIS IS AN IN-PERSON POSITION

**NO OUTSIDE RECRUITING FIRMS

This position reports directly to the CEO and in the absence of the CEO, the ACEO may be required to interpret hospital policy and provide guidance.

The ACEO oversees daily operations, staff (physicians, nurses, admin), finances, and compliance for rural clinics, ensuring high-quality, patient-centered care; key duties involve strategic leadership, workflow optimization, budget management, community engagement, and maintaining adherence to CMS regulations, acting as a crucial link between clinical staff, hospital administration, and the community. 

The responsibilities of the ACEO include, but are not limited to:

Completion of specific administrative projects, certain assigned functions and departments as assigned by key hospital management

Assisting with or fully coordinating facility and program planning budget preparation, administering hospital policy formulation

Representing the hospital at various professional, civic and governmental organizations and meetings.

Partnering with physicians who use, or will use, the hospital; taking a role in the recruiting and retention of physicians

Working with the Chief Executive Officer to ensure the hospital meets necessary regulatory and compliance approvals and quality accreditations in conjunction with the hospital's Chief Nursing Officer

Analyzing areas in planning, promoting and conducting organization-wide performance improvement activities

Assisting in planning of new services that generate additional sources of profitable revenue

Assisting in managing costs by continually seeking data that will identify opportunities and take action to eliminate non-value costs in conjunction with the hospital's financial and nursing officers

Participating in the hospital's monthly operation reviews as well as participating in corporate office meetings as deemed necessary

Operational Leadership: Direct daily clinic activities, develop policies, ensure efficient workflows, manage resources, and oversee emergency preparedness.

Staff Management: Recruit, train, supervise, and evaluate physicians, advanced practice providers (APPs), and support staff; foster a positive team environment.

Clinical Oversight: Ensure quality patient care, implement improvement initiatives (QA/CQI), coordinate referrals, and maintain high standards of medical ethics.

Financial Management: Develop and manage budgets, oversee billing/coding, identify revenue opportunities, and ensure fiscal responsibility.

Compliance: Maintain adherence to all federal (HRSA, CMS) and state regulations, including RHC certification requirements.

Community Engagement: Build local partnerships, participate in outreach, and represent the clinic within the community.

Liaison & Strategy: Serve as a liaison with hospital leadership, other departments, and the community; contribute to strategic planning. 

Essential Qualifications

Experience in managing multi-provider practices, ideally in a rural health setting.

Strong financial acumen, operational expertise, and knowledge of EHR systems.

Proven leadership, communication, and problem-solving skills.

Understanding of rural healthcare challenges and regulatory environments. 

Reporting Structure

Reports to the CEO.

Supervises physicians, nurses, and administrative staff.

Collaborates extensively with HR, Billing, IT, and other hospital departments.

Education:
Must possess a Bachelor's degree in Business Administration or related field from an accredited institution.

Master of Healthcare Administration or MBA with Healthcare concentration degree also required.

FACHE preferred

Experience:
Minimum 2 years recent hospital experience in a managerial position.

Experience in physician relations or recruitment helpful.

Abilities:
Must be proficient in written and verbal communication skills.

Must have proven ability to establish and maintain effective working relationships with physicians, hospital staff and community.

Ability to maintain confidential information concerning personal, financial, or medical matters.

Must have knowledge of technical and professional skills management, general principles of employment law and hospital economics.