ECU Health has filed 6 layoff notices in the last twelve months, covering 161 workers, most recently March 2026. These are public filings with state labor departments, and an open role can sit alongside them. See the filings

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Position Summary The Director of Ambulatory Facilities provides strategic and operational leadership for a growing portfolio of independent, physician-partnered endoscopy ambulatory surgery centers (ASCs) across eastern North Carolina. Initially accountable for four endoscopy ASCs with local boards at each site governed by the AF, LLC Board. The leader ensures high reliability operations, standardized practices, and superior clinical quality, with end-to-end oversight of revenue cycle integrity, supply chain optimization, capital planning, annual budgeting, HR, regulatory and accreditation compliance, privileging/credentialing, and quality outcomes. The role will also shape physician ownership pathways (buy-in) and shared-revenue models with local ASCs, while positioning AF, LLC for future expansion (e.g., additional endoscopy ASCs, radiation oncology, surgical ASCs). Minimum Requirements Education: Master's degree in Business, Health Administration, Public Administration, Nursing, or a related field; or 10 years of progressively responsible leadership experience in lieu of a degree.

Leadership Experience: 3 to 5 years of leadership experience in ambulatory or surgical services, ASC administration, or multi-site healthcare operations.

Operational and Partnership Success: Demonstrated success in board relations, physician partnership development, and multi-site operational performance management.

Preferred Requirements:

Physician Partnership Experience: Experience with physician ownership, joint venture structures, and ASC buy-in models.

Regulatory and Accreditation Knowledge: Knowledge of CMS requirements, state regulations, and ASC-relevant accreditation standards, including AAAHC and The Joint Commission.

Clinical or Perioperative Background: Clinical experience, such as an RN background, and/or perioperative leadership experience. Pay Range $123572.80 - $203902.40 Other Information #LI-EJ1 ECU Health About ECU Health Medical Center

ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people. General Statement It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.