Sr. Director , Department of Medicine

The Senior Director, Medicine is a senior operational leader responsible for the day-to-day and strategic execution of clinical, operational, financial, and administrative functions across a multi-site, multi-specialty platform within Brown University Health that includes inpatient and outpatient clinical services.

Reporting to the Senior Vice President and Department Chair, this role partners closely with the physician leaders, site leadership, and system stakeholders to ensure high-performing operations aligned with enterprise strategy, quality standards, and financial goals.

The Senior Director, Medicine will act as a liaison for the Department Chair with the VP of Cancer Services and SVP of Clinical Services Pediatrics and Primary Care for data and financial information related to physicians and operational/strategic expansion.

Accountable for division-based teams and leaders, the Senior Director is responsible for system-wide ambulatory performance within the department and service line, including patient access, wait times, throughput, patient experience, and financial outcomes as well as support inpatient services. This role translates service line and enterprise strategies into operational plans, drives execution of key initiatives, and ensures consistent performance across sites, with a strong focus on access improvement, operational standardization, and program growth.

The Senior Director plays a critical role in strengthening alignment between ambulatory practices and hospital-based services to support program development, capacity expansion, and downstream utilization.

The Senior Director fosters a culture that promotes interdisciplinary collaboration, accountability, innovation, and professional growth, while consistently demonstrating and reinforcing Brown University Health's CARE values-Compassion, Accountability, Respect, and Excellence-and a commitment to continuous improvement.

RESPONSIBILITIES:

Operational Leadership and Performance Management

* Provide operational leadership for ambulatory practices and clinical sites and inpatient services, ensuring consistent, efficient, and high-quality operations across multiple specialties and locations.

* Lead through Directors and Managers, with accountability for performance across sites and operational teams.

* Own system-level performance, including access (e.g., new patient wait times), clinic utilization, throughput, patient experience, quality, and financial performance.

* Establish and monitor operational performance metrics, dashboards, and reporting to support data-driven decision-making and continuous improvement.

* Identify operational risks, barriers, and performance gaps; develop and implement corrective action plans in collaboration with clinical and administrative leadership.

* Escalate significant operational, financial, or performance issues to the Senior Vice President, Clinical Services, and Department Chair, with recommended action plans.

Strategic Execution and Practice Growth

• Partners with the SVP, Clinical Services and Department Chair to operationalize departmental and service line strategies.
• Lead the execution of approved strategic initiatives, growth plans, and programmatic expansions within medicine services.
• Identify opportunities for program development, referral optimization, and improved alignment with hospital-based services to support growth.
• Support practice integration and standardization efforts across sites, including workflows, policies, procedures, and operating models.
• Conduct workflow and process analyses to improve efficiency, capacity utilization, and staff productivity.

Financial and Resource Management

• Partner with finance and department leadership to support the development, management, and monitoring of operating and capital budgets for all practices and sites.
• Monitor financial performance, including charges, expense management, productivity, and variance analysis; recommend and implement improvement actions.
• Support contract management, vendor relationships, and resource planning to ensure cost-effective operations.
• Promote financial stewardship and responsible use of resources across the department.

Quality, Safety, and Patient Experience

• Ensure clinical operations support high standards of quality, safety, and regulatory compliance.
• Partners with Division Directors and quality, safety, and compliance teams to address performance improvement initiatives and regulatory requirements.
• Lead or support patient experience initiatives, including development of service excellence standards and monitoring of patient satisfaction trends.
• Ensure clinical documentation, reporting, and operational processes support quality outcomes and performance goals.

Leadership, Culture, and Talent Development

• Provide leadership and direction to directors, managers, supervisors, and operational staff within assigned areas.
• Foster a culture of accountability, transparency, collaboration, and continuous improvement.
• Support recruitment, onboarding, performance management, coaching, and professional development of staff.
• Serve as a visible, engaged leader across clinical sites, promoting alignment with Brown University Health values and expectations.

Physician and Stakeholder Partnership

• Build strong, collaborative relationships with physician leaders, practice administrators, hospital leadership, and system partners. Serves as dyad partner for Medicine Division Directors

• Serve as a trusted operational partner to physician leadership, supporting clinical effectiveness, access, and practice performance.
• Communicate clearly and effectively with stakeholders regarding operational priorities, performance, and change initiatives.

Change Management and Special Projects

• Lead and support complex operational projects and initiatives, ensuring timely execution and achievement of intended outcomes.
• Apply structured change management approaches to support adoption of new workflows, systems, and operating models.
• Perform other duties as assigned to support the mission and strategic objectives of Brown University Health.

Required Qualifications

Education:

• Bachelor's degree in healthcare administration, business administration, or a related field required; Master's degree preferred.

• Equivalent combination of education and experience may be considered.

Experience:

• Minimum of seven to ten (7-10) years of progressive leadership experience in clinical operations or physician practice management, preferably within a multi-site or academic health system.

• Demonstrated experience partnering with physician leaders and managing complex clinical operations.

• Experience with Epic or comparable electronic medical record systems required.

• Demonstrated success leading performance improvement, operational analytics, and change management initiatives.

Supervisory Responsibility:

Direct supervisory responsibility for directors, managers, supervisors, and other assigned operational staff; indirect oversight of multidisciplinary teams supporting clinical operations.

Work Environment and Physical Requirements:

Primarily office-based with regular presence in clinical and operational settings; requires travel between clinical sites. Requires sitting, standing, walking, and use of standard office equipment.

Pay Range:

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

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