Hospital Administrator/Chief Executive Officer

Position Summary: The Chief Executive Officer (CEO)/Administrator serves as the senior executive leader of Scott County Community Hospital d/b/a/ Big South Fork Medical Center, a 25 bed Critical Access Hospital (CAH). The CEO/Administrator is responsible for the overall strategic, operational, and financial performance of the hospital. The position leads with a commitment to high-quality patient care, community engagement, regulatory compliance, and financial sustainability in a rural healthcare setting.

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Key Responsibilities (The job description below provides essential expectations of the position. Other duties may be assigned to meet the strategic goals of the Company and its operations.):

Leadership & Strategy

• Develop and implement short- and long-term strategic plans in collaboration with the Advisory Board of Directors.

• Provide visionary leadership in a rural health environment, adapting to changing healthcare landscapes.

• Identifies and evaluates new lines of service to advance hospital growth and community impact.

• Foster an organizational culture of quality, safety, and service excellence.

Operations Management

• Responsible for daily operations of the hospital and related outpatient services, ensuring high-quality patient care and staff performance.

• Ensure compliance with Critical Access Hospital regulations (CMS Conditions of Participation, Medicare guidelines, state licensure, etc.).

• Monitor hospital performance metrics and implement improvements as needed.

Financial Oversight

• Develop and manage hospital operating and capital budgets, financial performance and revenue cycle operations.

• Develop and implement strategies to maintain financial viability, including CAH-specific reimbursement models (e.g., cost-based reimbursement).

• Pursue grant funding, partnerships, and new service lines to enhance sustainability.

Human Resources & Talent Development

• Recruit, retain and mentor a high performing team including both clinical and non-clinical staff.

Community & Stakeholder Relations

• Identify and promote community outreach programs improving access to care.

Regulatory & Quality Compliance

• Ensure accreditation standards (as applicable) and regulatory compliance (e.g.DNV, CMS, state and federal regulators).

• Oversee quality improvement initiatives and patient satisfaction programs.

• Maintain a robust emergency preparedness and risk management program in coordination with the appropriate local and state entities.

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Qualifications

• Masters prepared (preferred) or bachelor’s degree in healthcare administration, business, or related field

• Minimum 5–7 years of healthcare leadership experience, ideally in a rural or CAH setting.

• Demonstrated ability to lead and manage multidisciplinary teams in a fast-paced clinical and administrative setting.

• Strong strategic thinking and decision-making skills to drive organizational growth, financial health, and community engagement.

• Proficiency in healthcare operations, including regulatory compliance, HIPAA standards, medical terminology, and quality improvement initiatives.

• Solid grasp of financial management, including budgeting, capital planning, and payer mix analysis.

• Proven ability to manage internal controls, risk management, and regulatory audits.

• Excellent interpersonal, written, and verbal communication skills to effectively engage with staff, providers, advisory board members, and the broader community.

• Familiarity with health information systems, medical technology platforms, and data-driven performance metrics.

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Work Environment:

• Rural hospital setting with 24/7 operational oversight.

• On-site leadership presence required; some travel may be necessary for conferences or affiliations.

Big South Fork Medical Center is a 25-bed hospital proudly serving Scott County and the surrounding areas.
We offer care in comfortable and familiar surroundings, conveniently close to home.