The role
Reporting to the Executive Committee, the COO will serve as the operational leader and central point of coordination for the practice. This person will keep radiologists, operations staff, and hospital partners aligned, ensure that important information reaches the right people, and bring consistency and organization to how the group runs every day.
The COO will work alongside physician leadership to develop and execute a 5- to 10-year strategic growth plan, while taking ownership of the daily operational challenges that currently pull our physicians away from long-term planning. When the Executive Committee sets a direction, the COO will build the plan, manage the work, and carry initiatives through to completion.
Key responsibilities
- Represent the practice in hospital system relationships, contract negotiations, and service line planning, serving as the group’s primary operational liaison with hospital executives and imaging department leadership.
- Monitor and engage in hospital imaging department policy development, ensuring the practice has a seat at the table and a voice in decisions that affect our radiologists and patients.
- Lead radiologist and staff recruitment from first contact through signed offer, maintaining close communication with candidates so they move smoothly through the process, and oversee onboarding for new physicians and team members.
- Champion radiologist retention by listening closely to our physicians, identifying sources of frustration, and developing solutions that support both individual radiologists and the long-term health of the group.
- Evaluate and modernize the practice’s IT infrastructure, including oversight of IT personnel, PACS strategy and vendor selection, and the technology that supports our e-radiology growth.
- Oversee business operations, budgeting, financial performance, revenue cycle, and vendor relationships, providing clear and regular reporting to physician leadership.
- Identify and evaluate new growth opportunities, including expanded hospital partnerships, outpatient imaging, and e-radiology services.
What we’re looking for
- At least 10 years of progressive leadership experience in healthcare operations, with senior executive experience (COO, Executive Director, CEO, or similar) in a physician group, ideally radiology or another hospital-based specialty.
- A track record of working effectively with physician owners and hospital executives, including successful contract negotiation and strategic partnership development.
- Proven strength in strategic planning and execution, with the ability to manage daily priorities while staying focused on long-term goals.
- Strong financial acumen, organizational discipline, and communication skills, along with the emotional intelligence to earn trust across a physician-led organization.
- Familiarity with PACS, radiology information systems, teleradiology, and healthcare technology vendors is strongly preferred. A bachelor’s degree is required, and a master’s degree (MBA, MHA, or similar) is preferred. FACHE or FACMPE certification is a plus.
Why join us
This is a rare opportunity to step into an executive role with one of the Lowcountry’s most established medical practices. You’ll work directly with physician owners, have a real voice in strategic decisions, and play a defining role in the next chapter of a group with nearly 50 years of history in the Charleston community.
Compensation: $150,000–$300,000, commensurate with experience and qualifications.
If you’re a healthcare executive who enjoys building structure, solving complex problems, and helping a talented physician group thrive, we’d love to hear from you. Please send your CV or résumé to mazal@charlestonradiologists.com and nshaheen@charlestonradiologists.com.
Interested in this role?
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