Ambulatory Practice Officer

Ambulatory Practice Officer

The Ambulatory Practice Officer demonstrates leadership expertise to drive excellence in patient care, operational performance, and financial outcomes across primary care, behavioral health and specialty clinics owned by the hospital. This role is responsible for the overall management, direction, integration, and coordination of all ambulatory clinic activities, including onboarding new practices and practice growth or reduction.

In partnership with physician leadership and service line leaders, the Officer provides strategic and operational oversight to ensure alignment with organizational goals, regulatory standards, and community needs. The Officer fosters an environment that empowers interdisciplinary teams to achieve high-quality, patient-centered outcomes while promoting efficiency, growth, and innovation.

• Operational Leadership
• Oversee daily operations across primary care, behavioral health and specialty clinics to ensure efficient, high-quality, patient-centered care
• Develop and standardize workflows, scheduling practices, and staffing models to improve access, throughput, and provider productivity
• Ensure appropriate staffing levels to maintain quality care while promoting efficiency and cost-effectiveness
• Oversee integration of newly acquired practices into the health system
• Accreditation & Clinical Practice Compliance
• Coordinate accreditation activities for physician practices (e.g., ACHC, AAAHC, NCQA, RHC or specialty-specific accrediting bodies).
• Maintain continuous survey readiness across all clinic locations.
• Ensure clinical and administrative policies align with evidence-based standards and accreditation requirements.
• Conduct internal compliance audits (HIPAA, OSHA, infection control, documentation standards).
• Partner with clinical leadership to implement and monitor corrective action plans.
• Regulatory & State Compliance
• Ensure compliance with applicable healthcare regulations including CMS guidelines, state medical board requirements, and scope-of-practice regulations.
• Track and manage provider licensure, DEA registrations, and state-specific requirements.
• Prepare and submit required reports, documentation, and regulatory filings.
• Monitor changes in healthcare laws affecting physician practices (billing, coding, telehealth, etc).
• Support readiness for external audits (e.g., Medicare, Medicaid, commercial payors).
• Payor Contracting & Managed Care
• Assist the CFO in the negotiation, onboarding, and maintenance of contracts with commercial insurers, Medicare Advantage plans, and Medicaid managed care organizations.
• Maintain accurate records of provider participation status and contract terms.
• Collaborate with billing and revenue cycle teams to ensure proper implementation of reimbursement terms.
• Analyze payor performance, reimbursement trends, and identify discrepancies or underpayments.
• Serve as liaison between the practice and payors for operational and contractual matters.
• Credentialing & Provider Alignment Support
• Coordinate with credentialing teams to ensure providers are enrolled and active with all contracted payors.
• Ensure alignment between credentialing, contracting, and compliance requirements.
• Track payor enrollment status and resolve delays impacting reimbursement.
• Documentation, Reporting & Audit Readiness
• Maintain organized records of accreditation materials, compliance activities, and contracts.
• Develop reports for leadership on compliance metrics, contract performance, and risk areas.
• Ensure documentation meets audit standards and supports billing compliance.
• Strategic Planning & Growth
• Lead strategic and operational planning for ambulatory services in alignment with the organization's mission, vision, and long-term goals
• Partner with Physician Leadership in a dyad leadership model to establish KPIs and standardize evidence-based practices across clinics
• Identify opportunities for program development, service expansion, and market growth
• Support provider recruitment, onboarding, and engagement
• Financial Management
• Develop and manage clinic budgets, ensuring financial sustainability and performance
• Monitor key financial indicators, including: visit volumes, provider productivity, timeliness of provider chart completion, revenue cycle performance, cost management, staffing matrixes and industry benchmark
• Implement strategies to optimize reimbursement, control expenses, and improve profitability
• Quality, and Patient Experience
• Partner with clinical leadership to monitor and improve…