The Executive Vice-President (EVP) & Chief Operating Officer (COO) of Hospital Operations is the senior executive responsible for leading day-to-day hospital operations while translating the organization's strategic goals into reliable, high-quality execution across all care settings.
This role is central to ensuring that clinical, operational, financial, and workforce performance are tightly aligned to deliver safe, efficient, patient-centered care in a rapidly evolving healthcare environment.
The EVP & COO of Hospital Operations reports to the Chief Executive Officer/President and is responsible for the smooth and efficient operations of the hospital including management of the profit and loss statement for the hospital's business, as well as the resources associated with the hospital operations. The EVP &COO serves as the primary integrator of operations across inpatient, ambulatory, and support services, ensuring that throughput, access, quality, and experience are optimized across the continuum. In partnership with the CEO and executive team, the COO drives operational discipline, builds an aligned culture, and stewards resources to sustain margins while advancing growth and transformation priorities.
Provides oversight and leadership to key functions/services of the organization, including nursing care, throughout the hospital. The EVP & COO ensures that areas of responsibility meet their purpose and are consistent with the mission, philosophy, values, plans, and policies of GBMC and with regulatory and accrediting standards. Provides direction and facilitates the coordination of the following functions: development of hospital-wide patient care programs, participation in the hospital's decision-making structures and processes and involvement in quality improvement programs, leads joint ventures and has leadership responsibility for all employees who work at the hospital.
Education: Master's degree in healthcare administration, business administration, nursing, or related field (e.g. MHA, MBA, MSN) required Experience: Significant progressive leadership experience in hospital or health system operations; prior COO, hospital president, senior operations, or major service line leadership experience strongly preferred. Skills:
- Extensive track record of improving operational performance in a complex hospital or health system environment, including demonstrated success with throughput, access, cost, and quality metrics.
- Deep knowledge of hospital operations, clinical workflows, quality, safety, and regulatory requirements, with experience in value-based care and contemporary reimbursement models.
- Proven ability to build and lead high-performing, multidisciplinary teams and to manage in a distributed, multi-site environment at scale.
- High emotional intelligence, courage, and self-management, with the ability to make difficult decisions, manage competing interests, and create opportunities for others to succeed.
- Demonstrated success leading change, integration, and culture initiatives that align diverse stakeholders around shared goals.
- Strong financial and business acumen, including budget development, performance management, and portfolio optimization across services and sites.
- Demonstrates good business judgement and strategic insight
- Digital and analytic fluency, with experience using data, automation, and technology to redesign operations and enable better decisions.
- Ability to direct and delegate the work of others
- Demonstrates and facilitates collaboration and teamwork to achieve goals
- Seeks opportunities to be present, visible, & approachable in the organization.
- Demonstrates innovative and creative approaches to work
Principal Duties and Responsibilities: Operations Driver:
- Oversee daily hospital operations, including nursing, pharmacy (inpatient & outpatient), imaging, laboratory, cancer center, joint ventures, and support services including parking and security, environmental services, dietary, transport and volunteer services
- Lead efforts to improve patient throughput, capacity, and occupancy, ensuring efficient patient flow, timely access, and optimal utilization of beds, clinicians, and ancillary resources.
- Ensure compliance with clinical quality, safety, regulatory, and accreditation standards, integrating these requirements into operating models and performance management routines.
- Responsible for ensuring the system is prepared in the event of emergencies, develop business continuity programs and processes, serve as the system's incident commander during crisis incidents.
- Drive continuous improvement using data, Lean/process improvement, and standardization to meet or exceed key performance metrics related to quality, cost, experience, and workforce.
- Leads and oversees implementation and maintenance of orientation, continuing education, mandatory education and development of the staff to ensure maintenance of all corporate and clinical competencies and to support professional development, customer focus, and service excellence.
Fiscal Discipline:
- Operates areas of responsibility within the fiscal and productivity goals of the organization. Operates areas of responsibility within approved budget as evidence by justified variances from plan. Recognizes the importance of efficiency and cost effectiveness in providing services and identifies continuous efforts to conserve resources.
- Align operating and capital budgets, staffing models, and resource allocation with volume, acuity, and strategic priorities, in close collaboration with finance and clinical leadership.
Forward Thinker:
- Proactively identify emerging challenges and opportunities, spearhead digital transformation initiatives, and conduct scenario planning.
- Develop and implement innovative strategies to advance operational excellence, patient care, and organizational growth.
- Lead organizational preparedness for regulatory changes and evolving patient needs.
- Apply lessons from diverse contexts to the evolving healthcare landscape.
Growth Accelerator:
- Expand market reach, broaden patient coverage, enhance service offerings, and drive growth in primary & secondary markets.
- Evaluate new partnerships, integrate acquisitions, and scale successful innovations.
- Champion customer centricity and facilitate innovation in operations.
Alignment Catalyst:
- Build and lead high-performing, interdisciplinary teams; set clear expectations, deploy dashboards and operating reviews, and hold leaders accountable for results.
- Foster an aligned culture that connects enterprise strategy with frontline reality, breaking down silos and promoting collaboration across service lines, sites, and functions.
- Stakeholder Communication: Open, transparent, & strategic communication of operational and financial performance with Internal stakeholders (CEO, Board of Directors, executive team, physician leaders, employees, & management team) and External stakeholders (auditors, regulators/policymakers, vendors/suppliers, payers, community, & patient/families).
- Partner effectively with physicians and clinical leaders as peers, engaging medical staff in operational decision-making and co-leading initiatives that impact care delivery and workflow.
- Lead change management for major operational, clinical, or technology initiatives, creating clarity amid complexity and helping teams navigate ambiguity and transformation.
- Champion a culture of safety, equity, and patient-centeredness, ensuring that operational decisions reinforce organizational values and support workforce well-being.
- Represents GBMC through participation in community activities, professional organizations and/or Hospital functions to promote GBMC services. Demonstrates customer service and focus. Coaches direct reports in achieving standards.
All roles must demonstrate GBMC Values: Respect I will treat everyone with courtesy. I will foster a healing environment.
- Treats others with fairness, kindness, and respect for personal dignity and privacy
- Listens and responds appropriately to others' needs, feelings, and capabilities
Excellence I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.
- Meets and/or exceeds customer expectations
- Actively pursues learning and self-development
- Pays attention to detail; follows through
Accountability I will be professional in the way I act, look and speak. I will take ownership to solve problems.
- Sets a positive, professional example for others
- Takes ownership of problems and does what is needed to solve them
- Appropriately plans and utilizes required resources for various job duties
- Reports to work regularly and on time
Teamwork I will be engaged and collaborative. I will keep people informed.
- Works cooperatively and collaboratively with others for the success of the team
- Addresses and resolves conflict in a positive way
- Seeks out the ideas of others to reach the best solutions
- Acknowledges and celebrates the contribution of others
Ethical Behavior I will always act with honesty and integrity. I will protect the patient.
- Demonstrates honesty, integrity and good judgment
- Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers
Results I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.
- Embraces change and improvement in the work environment
- Continuously seeks to improve the quality of products/services
- Displays flexibility in dealing with new situations or obstacles
- Achieves results on time by focusing on priorities and manages time efficiently
Pay Range $325,000.00 - $650,000.00
Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs. Equal Employment Opportunity GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
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Greater Baltimore Medical Center (GBMC)
Apr 24, 2026