Senior Director/VP, Strategic Initiatives

Senior Director/VP, Strategic Initiatives
Confidential Search | Job Description
Reports to: Chief Financial Officer/Chief Executive Officer
About the Company
Our client is a rapidly growing, physician-led national specialty care organization. In roughly four and a half years, the company has scaled from launch to approaching $1 billion in revenue, with 4,200+ employees.
Having already captured its early operational gains, the company is now making a $65–70 million investment in seven strategic initiatives designed to drive its next phase of growth, including:
• De novo expansion: opening roughly 15 new offices over 2027 and 2028.
• Provider growth: recruiting and deploying 50 additional advanced practice providers.
• Value-based care and revenue performance: advancing payer contracting and revenue cycle capabilities.
• New service lines: launching a new business entity and expanding the services offered to patients.
• National Command Center: scaling a proven centralized operations program to the next level.
• Clinical AI: building on back-office AI already in place to bring AI into clinical care.
These initiatives are tied to multi-year EBITDA goals set by the CEO and have direct visibility with the Board. The company is headquartered in Central Florida, and much of its corporate team works remotely. For a leader who wants to shape how a high-growth, mission-driven healthcare platform delivers on its most important priorities, this is a rare opportunity.
Position Summary
The Senior Director/VP, Strategic Initiatives partners with the CEO, CFO and other executive leadership team to translate enterprise priorities into clear plans, coordinated action, and measurable results. This leader owns the day-to-day management and execution of a portfolio of high-priority initiatives, aligns stakeholders across corporate functions and practices, and drives resolution of obstacles and challenges that slow progress.
Success requires strong program management discipline, sound business judgment, and the ability to influence across a federated organization. The Senior Director/VP connects enterprise objectives with practice realities, bringing structure, accountability, and hands-on execution while building trust with physicians and operational leaders.
Key Responsibilities
Program Management and Execution
• Develop and maintain an integrated master project plan covering all initiatives in scope, with clearly defined milestones, owners, dependencies, timelines, and deliverables.
• Establish standardized project management processes, dashboards, and reporting across initiatives.
• Conduct regular project reviews with initiative owners to track progress, address delays, and drive accountability.
• Proactively identify critical-path dependencies, resource constraints, and execution risks, and develop mitigation plans.
• Establish clear escalation mechanisms to ensure timely executive decisions and resolution of obstacles.
• Lead cross-functional initiatives from planning through implementation, ensuring decisions lead to sustained results.
• Help leadership sequence priorities based on business impact, capacity, dependencies, and risk.
• Identify gaps between strategic objectives and execution, recommending practical solutions.
Financial Accountability and EBITDA Realization
• Partner with Finance and initiative owners to translate the CEO's long-term EBITDA goals into measurable interim financial targets and milestones for each initiative, aligned with operational execution plans to ensure progress toward achieving the overall objectives.
• Track projected versus realized financial benefits, identify performance gaps, and collaborate with initiative owners to develop and implement corrective action plans to keep initiatives on track.
• Evaluate the financial implications of project delays, changes in scope, and resource constraints.
• Coordinate with Finance to ensure financial impacts are reflected in enterprise forecasts and executive reporting.
Enterprise Alignment and Accountability
• Coordinate work across Operations, Finance, People, Legal, IT, and practice leadership.
• Establish a consistent approach to monitoring progress, escalating issues, and following through on commitments.
• Surface competing priorities and unresolved decisions early, helping leaders reach alignment.
• Clarify responsibilities while maintaining functional leaders' ownership of their teams and results.
Executive Decision Support
• Provide timely, concise, and actionable updates to the CEO and CFO on initiative status, risks, and decisions needed.
• Prepare analyses, recommendations, and progress updates to support executive decisions.
• Evaluate business opportunities and operational challenges in partnership with relevant subject matter experts.
• Support executive and board discussions with clear materials outlining progress, risks, decisions needed, and next steps.
• Lead selected assignments on behalf of the CEO within established authority.
Change Management and Implementation
• Partner with practice and corporate leaders to implement enterprise initiatives in a manner that reflects the company's federated model.
• Engage stakeholders early, explain the business rationale, and incorporate operational feedback into implementation plans.
• Assess adoption and effectiveness after launch, addressing barriers and refining approaches as needed.
• Develop repeatable methods that improve execution as the organization grows.
Qualifications
• Bachelor's degree in business, healthcare administration, or a related field; advanced degree preferred.
• Ten or more years of progressive experience in strategic initiatives, enterprise program management, business operations, or consulting, with a strong emphasis on hands-on execution.
• Demonstrated success leading large-scale, complex, cross-functional programs from planning through implementation and measurable results.
• Strong hands-on experience in enterprise program management, including project planning, milestone tracking, dependency management, risk mitigation, and executive reporting.
• Proven ability to manage multiple concurrent initiatives with competing priorities and resource constraints.
• Experience delivering measurable financial and operational improvements by partnering with project owners.
• Demonstrated ability to work effectively with senior executives and influence without direct authority.
• Strong analytical, financial, communication, and organizational skills.
• Experience in healthcare services, multisite organizations, or PE-backed companies strongly preferred.
• PMP, PgMP, or comparable program management credentials preferred but not required.
Leadership Expectations
• Exercises discretion and sound judgment when handling sensitive business matters.
• Builds credibility through clear communication, reliable follow-through, and practical recommendations.
• Balances urgency with an understanding of organizational capacity and change readiness.
• Navigates differing viewpoints constructively and brings unresolved issues forward.
• Maintains focus on business results and the organization's commitment to patient care.
Measures of Success
• Priority initiatives achieve agreed milestones and intended business outcomes.
• Projected EBITDA improvements materialize on schedule; performance gaps are identified early and addressed through corrective action plans developed with initiative owners and Finance.
• Leaders have clear visibility into progress, risks, and decisions requiring attention through standardized dashboards and reporting.
• Cross-functional obstacles are resolved promptly, with clear accountability and escalation.
• Enterprise initiatives gain adoption across participating practices and deliver sustained improvements.
• An integrated master project plan is maintained and actively used to drive execution across all initiatives.
Role Scope
This is a senior enterprise execution role. Functional leaders and ELT members retain accountability for their respective initiatives and financial outcomes. The Senior Director/VP provides the program management discipline, coordination, decision support, and follow-through needed to achieve shared priorities and ensure that projected financial benefits are realized.

Work arrangement
Yes