Director, Clinical Operations

The Internal Medicine, Clinical Operations Director is a highly visible operational leader responsible for supporting safe, high quality, patient-centered, cost effective, and integrated primary care services across OHSU Health Primary Care. Reporting directly to the Senior Director, Primary Care, this position provides operational leadership for the Division of General Internal Medicine (DGIM) primary care and specialty clinics and DGIM inpatient consult services, including oversight of clinic operations, staffing, workflows, space, access, and operational performance across Beaverton, Orenco, General Internal Medicine at Marquam Hill, IMPACT, HRBR, Skilled Nursing Facilities (SNF), HIV and the Geriatric Inpatient Consult Service.  The clinical footprint of DGIM includes approximately 100 faculty/fellows and 100+ clinical staff.  Ambulatory clinics = approximately 93,700 visits and 6000 inpatient encounters.   

The Director partners closely with the Department of Medicine and the Division of General Internal Medicine, including the DGIM Division Head, Senior Director of Administration and the Primary Care Section Head, to support strategic, operational, financial, educational, and clinical priorities aligned with OHSU Health Primary Care goals and the Ambulatory strategic plan. The role collaborates with physician, operational, and administrative leaders to support access, operational efficiency, patient experience, workforce engagement, standardization, patient safety, and performance improvement across Internal Medicine primary care services.

The Director also partners closely with operational leadership across Family Medicine in support of shared Primary Care clinics, specifically Beaverton and Orenco, and collaborates across Pediatrics, the Center for Women’s Health, and broader Primary Care operational leadership to advance coordination, alignment, and shared operational priorities across the Primary Care enterprise.  In addition, the Director will partner with leaders at Hillsboro Medical Center to support shared operations.

The Director demonstrates expertise in ambulatory operations, operational improvement, practice transformation, and change management within a complex academic healthcare environment and works in partnership with physician and operational leaders to advance the quintuple aim, health equity, patient experience, and care team wellness.

Operations & Clinical Practice Management

• Provides operational leadership for the primary care and specialty clinics and inpatient consult services within the Division of General Internal Medicine, including oversight of clinic operations, staffing, workflows, space, and operational resources.
• Partners closely with Department of Medicine and Division of General Internal Medicine leadership to support operational, financial, quality, and access priorities.
• Leads operational improvement efforts focused on access, efficiency, patient experience, standardization, and care team effectiveness.
  Oversees implementation of ambulatory and primary care operational initiatives, workflows, and standard work across assigned clinics.
• Monitors clinic performance metrics including access, staffing, patient experience, throughput, quality, and financial performance and develops operational action plans as needed.
• Supports development and implementation of staffing models, scheduling standards, and operational workflows across primary care clinics.
• Partners with physician and operational leaders to support practice optimization, clinic and inpatient consult service growth, and operational integration initiatives.
• Ensures effective coordination of clinic operations across multiple sites and operational teams.

Leadership and Team Development

• Provides direct leadership, coaching, mentorship, and performance management for operational leaders and clinic management teams.
• Develops high-performing teams focused on accountability, collaboration, service excellence, and continuous improvement.
• Supports recruitment, onboarding, retention, and leadership development efforts across operational teams.
• Fosters strong communication and collaboration across operational, clinical, and administrative teams.

Operational Alignment & Improvement: 

• Partners with Primary Care, Ambulatory, and School of Medicine leaders to support operational alignment and standardization across the primary care enterprise.
• Works collaboratively with the Directors of Operations in Family Medicine, Women’s, and Pediatric Primary Care services to align shared operational priorities and enterprise initiatives.
• Identifies operational improvement opportunities and leads change management efforts to improve efficiency, access, and patient care delivery.
• Supports implementation of initiatives focused on operational excellence, patient experience, workforce wellness, and health equity. 

Finance and Resource Management

• Supports budget management, operational forecasting, and resource planning for assigned clinics and operational areas.
• Monitors operational performance and resource utilization to support efficient and fiscally responsible operations.
• Assists in operational planning related to staffing, space, and clinic growth needs.
• Ensures operational compliance with organizational policies, regulatory standards, and ambulatory practice requirements.

• Bachelor’s degree in a related field or equivalent experience.  
• A minimum of 7 years managing a large staff in a healthcare nonprofit matrixed organization such as a community clinic, hospital, or managed care organization. 
• Strong background in financial operations including budgeting, long range forecasting, preparation of business plans, and fund accounting principles.
• Ability to plan, develop, implement, and evaluate clinical programs through a management team. 
• Proven ability to effectively manage operational resources (people, supplies equipment, space) to meet both quality and cost expectations/targets. 
• Proven ability to produce, analyze and improve key metrics in the areas of financial, administrative staff performance, and research program administration.  
• Experience that demonstrates the ability to meet stringent deadlines, undertake multiple priorities concurrently and self-prioritize in a dynamic environment.

• A Master’s degree in health care administration, business, or finance preferred
• Leadership experience in an academic medical center preferred.

• Monday – Friday, business hours – extra hours as needed to perform all aspects of the position. Some travel and weekend work required. Ability to commute/travel/drive to offsite locations around Oregon.
• Combination of remote and on-site work.   
• Ability to lift up to 40 pounds, sit for long periods of time, travel between locations.  Use a computer for extended periods of time.