We are seeking a highly motivated and experienced Administrator to lead the development and ongoing operations of a new, orthopedic-focused Ambulatory Surgery Center (ASC) in Grand Prairie, Texas
This is a de novo leadership opportunity for a clinically grounded operator to work along side the corporate denovo team to build an ASC from the ground up—including strategy, operational execution, physician engagement, and financial performance. The ideal candidate is a licensed Registered Nurse in Texas with orthopedic experience, bringing both clinical credibility and strong business acumen.
KEY RESPONSIBILITIES:
Operational & Business Leadership
Provide full operational oversight of the ASC, including clinical, financial, and administrative functions
Lead start-up execution: licensure, accreditation, vendor selection, equipment procurement, and go-live readiness
Develop and manage the center’s operating budget, P&L performance, and cost controls
Implement processes to optimize surgical case volume, block utilization, and operational efficiency
Clinical & Patient Care Oversight
Ensure delivery of safe, high-quality patient care in alignment with orthopedic best practices
Partner with clinical leadership to establish workflows across pre-op, OR, and PACU
Maintain compliance with all regulatory and accreditation standards (CMS, state of Texas, and AAAHC)
Physician Partnership & Growth
Build and maintain strong relationships with orthopedic surgeons and stakeholders
Drive physician satisfaction, engagement, and case growth
Team Leadership & Culture
Recruit, hire, and develop a high-performing, patient-centered team
Establish a culture of accountability, collaboration, and operational excellence
Oversee staffing models, productivity expectations, and performance management
Compliance & Quality
Ensure ongoing regulatory compliance, survey readiness, and risk management
Lead quality improvement initiatives and monitor key performance indicators
Oversee infection prevention, patient safety, and clinical outcomes programs
Qualifications
Required
Active Registered Nurse (RN) license in the state of Texas (in good standing)
Bachelor’s degree (BSN or healthcare-related) or equivalent experience required
5+ years of progressive leadership experience in an ASC or surgical services environment
Demonstrated experience in orthopedic procedures and workflows
Proven ability to manage operations, budgets, and multidisciplinary teams
Strong understanding of ASC regulatory, accreditation, and compliance requirements
Preferred
Prior ASC Administrator experience
Experience leading a de novo, startup, or turnaround environment
Experience with physician partnerships/joint ventures
Working Environment
Fast-paced, orthopedic-focused ambulatory surgery setting
Monday–Friday schedule with case-dependent hours
Start-up environment requiring adaptability, hands-on leadership, and problem-solving
Why Join
Opportunity to lead a new ASC from concept to full operations
Direct partnership with physicians and Market CEO
Significant influence over strategy, culture, and long-term success
Competitive compensation, bonus potential, and benefits
Benefits:
Comprehensive health, dental, and vision insurance
Health Savings Account with an employer contribution
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