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The Vice President of Business Operations & Strategy is a senior system-level leader responsible for the strategic direction, financial stewardship, operational excellence, and performance oversight of Food & Nutrition Services (FNS) and Environmental Services (EVS) across a multi-hospital health system, affiliated specialty centers, and a network of outlying clinics. This position will also function in a hands-on role individually managing both local and remote locations. This executive ensures consistent quality, patient experience, regulatory compliance, and cost-effective operations. The VP leads systemwide transformation initiatives to optimize service delivery, enhance financial performance, and modernize operations across all facilities.
Job Responsibility:
Develop and execute a multi-year strategic plan for FNS and EVS aligned with financial, operational, and growth objectives of the health system
Standardize service delivery, performance frameworks, and cost models across hospitals, specialty centers, and outpatient clinics
Evaluate market trends and emerging technologies to inform long-term investment and operational strategies
Oversee daily operations and ensure consistent service delivery across multiple hospitals and regional clinics
Develop systemwide KPIs and dashboards integrating financial and operational metrics (e.g., cost per meal, cost per square foot cleaned, productivity targets)
Lead continuous improvement and resource optimization initiatives to reduce waste, streamline workflows, and improve margin performance
Own all financial aspects of FNS and EVS, including multi-site budgeting, forecasting, capital planning, and long-range financial modeling
Analyze cost structures, identify savings opportunities, and implement strategies for labor efficiency, supply chain optimization, and cost-per-unit reductions
Negotiate and manage vendor contracts to achieve systemwide financial value, quality performance, and budget alignment
Provide financial insights and recommendations to executive leadership and the Board to support strategic decision-making
Lead and mentor system directors, regional managers, and support service teams across diverse locations
Build a culture of financial accountability, service excellence, and operational ownership
Implement workforce strategies that improve productivity while maintaining quality, patient experience, and staff engagement
Partner with clinical leaders, ambulatory leadership, finance, supply chain, facilities, infection prevention, and patient experience to align support services with system priorities and resource constraints
Lead systemwide initiatives involving capital investment, operational redesign, and regulatory readiness
Ensure support services contribute positively to organizational goals such as length of stay, throughput, and overall patient satisfaction
Drive modernization of food service programs, including enhanced patient dining, retail strategy, and nutrition-focused initiatives
Advance EVS innovations such as automated cleaning technologies, sustainability programs, and infection prevention enhancements
Implement digital tools, analytics platforms, and dashboards to improve financial visibility, operational transparency, and decision-making
Requirements:
Bachelor’s degree in Business Administration, Healthcare Administration, Finance, Hospitality Management, or related field required
Master’s degree (MBA, MHA, MPH or related discipline) strongly preferred
10+ years of progressive leadership experience in healthcare operations or a complex multi-site support services environment
Proven success managing Food & Nutrition Services and/or Environmental Services within a hospital or health system
Demonstrated ability to lead financial planning, operational budgeting, cost reduction initiatives, and performance optimization across multiple facilities
Managing multiple remote locations is strongly preferred
Experience with systemwide integration, shared services models, and cross-functional operations
Advanced financial acumen, including budgeting, variance analysis, cost modeling, forecasting, and capital planning
Strong analytical skills and ability to translate financial and operational data into actionable insights
Expertise in regulatory standards and healthcare compliance
Exceptional leadership, relationship building, and change management capabilities
Ability to lead in a matrix environment and influence stakeholders across diverse locations
Commitment to patient-centered care, service excellence, and continuous improvement