System Director, Clinical Operations; Physician

Physician Affiliate Group of New York (PAGNY) and NYC Health + Hospitals’ Division of Enterprise Clinical Operations are seeking an accomplished and operationally focused System Director to support systemwide clinical initiatives and drive measurable improvements in healthcare operations and program implementation.

PAGNY
, a multispecialty medical practice group, staffs several municipal hospitals and clinics within New York City through an affiliation agreement with NYC Health + Hospitals. PAGNY’s Corporate staff provides administrative, practice management, and human resources services in support of nearly 4,000 clinical providers.

The mission of NYC Health + Hospitals is to extend equally to all New Yorkers, regardless of the ability to pay, comprehensive health services of the highest quality in an atmosphere of humane care, dignity, and respect. Their Values are built on a foundation of social and racial equity and has established the ICARE standards for all staff.

NYC Health + Hospitals is the nation’s largest municipal health care delivery system in the United States. Dedicated to providing the highest quality health care services to all New Yorkers with compassion, dignity and respect, and regardless of immigration status or ability to pay.

This role is ideal for a physician leader with strong business acumen, a proven track record of operational success, and demonstrated collaborative leadership in hospital-based care. Experience managing within a large, complex health system with diverse partners and external stakeholders is preferred. The ability to oversee multiple projects simultaneously is a valuable asset.

• Support NYC Health + Hospitals systemwide.
• Develop and operationalize clinical programs aligned with system priorities.
• Partner with hospital leadership, nursing, operations, finance, and IT to execute cross-functional initiatives.
• Create and monitor business plans, budgets, ROI models, and performance dashboards.
• Maintain a part-time clinical practice (40–50%) to support clinical engagement.
• Foster a culture of teamwork, accountability, and continuous improvement.
• Create initiatives that address medical education, patient safety, and quality improvement.
• Support Fellowship in providing feedback and mentorship.
• Offer clinical guidance to build and offer feedback to programs.

• Operationally-minded
• Execution-oriented
• Driven by data
• Energetic and able to balance multiple priorities simultaneously
• Skilled in leading complex, multi-stakeholder initiatives
• Effective communicator able to influence and engage physicians and teams
• Strategic thinker with strong business judgment

• MD or DO with current Board Certification.
• Eligible for medical licensure in New York State.
• MBA, MHA, MPH, or equivalent business/leadership degree required.
• 5–7+ years of progressive clinical leadership experience.
• Demonstrated success in hospital operations, clinical program implementation, and strategic execution.
• Strong financial and business skills; ability to manage budgets and service-line performance.
• Excellent communication, interpersonal dynamics, and change-leadership abilities.
• Current or past NYC Health + Hospitals employees or NYC Health + Hospitals affiliates are encouraged to apply.

Annual Base Salary: $250,000* - $400,000
* based on medical specialty and clinical/administrative experience.

The annual total value of compensation package is estimated at $275,000
** and $436,000**, which includes the baseline salary, 401(k) contribution, and other factors as set forth below:

• 401(k) Company Contribution (subject to IRS contribution limits):
  • Employees are immediately vested in a 3% company contribution of base earnings. No employee match is required.
  • After one year of service, employees receive an additional 7% company contribution of base earnings. No employee match is required.
• Generous Annual Paid Time Off (PTO).
• Medical, Prescription, and Dental Coverage:
  Top-tier plans with employee contributions significantly below market rates.
• Life Insurance and Accidental Death and Dismemberment (AD&D) Coverage.
  • Additional employee-paid Voluntary Life and AD&D coverage…