Exec. Director, Finance Opns.

About the job

Position Summary

The Executive Director provides executive leadership, strategic direction, and overall accountability for Atlantic Mobile Health (Atlantic Ambulance) and AtHome Medical. The position is accountable for the strategic, operational, financial, regulatory, and business performance of both organizations and ensures alignment with Atlantic Health priorities.

The position provides executive oversight of Air Medical, Critical Care Transport, Mobile Intensive Care Unit (MICU) operations, Basic Life Support and 9-1-1 EMS operations, contracted municipal EMS programs, the 9-1-1 Communications Center, the Atlantic Training Center, courier services, trucking and logistics operations, organizational shuttle services, and patient and executive car services.

Atlantic Mobile Health is a complex, multi-site, 24/7 enterprise comprising more than 800 team members. The Executive Director has four direct reports within Atlantic Mobile Health, with responsibility exercised through a layered leadership structure overseeing the broader organization.

AtHome Medical is a home respiratory focused durable medical equipment company with more than 140 team members across four locations, serving patients in 17 of New Jersey’s 21 counties.  Servies include  home oxygen, sleep therapeutics, invasive and non-invasive ventilation, enteral nutrition, and other durable medical equipment services, including associated supplies, clinical support, and patient education.

Day-to-day operations are managed by a General Manager who reports to the Executive Director and oversees the functional areas of Clinical Services, Operations, Business Development, and Revenue Cycle. Operations includes patient access, warehouse, delivery, and related logistics. The Executive Director maintains overall executive accountability for AtHome Medical through the General Manager.

The Executive Director serves as the senior administrative leader and principal liaison for both organizations with Atlantic Health executive leadership, hospital and clinical leaders, medical directors, municipalities, public safety agencies, regulatory authorities, referral sources, community partners, and external service providers.

Essential Responsibilities

Executive Leadership and Strategy

• Establishes the strategic vision, priorities, and operating objectives for Atlantic Mobile Health and AtHome Medical in alignment with Atlantic Health’s mission, strategic plan, clinical priorities, and contractual commitments.

• Provides executive oversight through each organization’s established leadership structure, maintaining clear management accountability.

• Develops short- and long-range plans addressing service demand, geographic expansion, municipal and healthcare partnerships, workforce requirements, capital investment, fleet and equipment requirements, technology, regulatory changes, and emerging models of care.

• Monitors market trends, regulatory developments, and emerging clinical and operational best practices to strengthen performance.

• Develops and presents recommendations, business cases, operational analyses, and strategic proposals to senior leadership.

• Establishes performance expectations and maintains accountability for quality, service, financial performance, team member engagement, safety, and operational reliability.

Air Medical and Critical Care Transport

• Provides executive oversight of the organization’s Air Medical program and Critical Care Transport services, including related clinical, operational, aviation-partner, financial, regulatory, and safety considerations.

• Ensures effective integration of air medical and critical care transport resources into the broader Atlantic Health patient-transfer and emergency-care continuum.

• Works with clinical leadership, aviation partners, receiving facilities, transfer centers, and public safety agencies to maintain safe and effective air medical and critical care transport operations.

• Partners with clinical, nursing, and service-line leaders to ensure air medical and critical care transport resources are equipped and trained to meet the evolving needs of Atlantic Health’s patients.

• Monitors program performance, utilization, quality, safety, and strategic opportunities.

Emergency Medical Services and Medical Transportation

Provides executive oversight for EMS response and medical transportation, including:

• Mobile Intensive Care Unit (MICU) / Advanced Life Support services.

• Basic Life Support EMS ambulance operations, including services provided pursuant to municipal or other contractual arrangements.

• Emergency and non-emergency medical transportation.

• Standby and special-event medical services, as applicable.

Ensures appropriate clinical, operational, staffing, equipment, fleet, deployment, documentation, and performance standards across these programs.

Works collaboratively with System physician medical directors, nursing and clinical leadership, hospital operations, emergency departments, transfer centers, public safety agencies, and other stakeholders to maintain high standards of clinical care and system performance.

Municipal and Community EMS Partnerships

• Serves as a senior organizational representative in relationships with municipalities, governmental entities, police departments, fire departments, emergency management agencies, dispatch centers, and other public safety partners.

• Oversees existing municipal EMS agreements and evaluates opportunities for new or expanded partnerships.

• Participates in contract development, negotiation, renewal, performance monitoring, and issue resolution.

• Ensures contractual service levels, response-time expectations, staffing requirements, clinical standards, reporting requirements, and other performance commitments are achieved.

• Represents Atlantic Health in sensitive or high-level discussions involving municipal leaders, public officials, public safety executives, and community stakeholders.

9-1-1 Communications Center

• Provides executive leadership and oversight for the Atlantic Mobile Health 9-1-1 Communications Center.

• Ensures reliable receipt, prioritization, dispatch, coordination, and documentation of emergency and non-emergency requests for service.

• Maintains appropriate standards for emergency medical dispatch, air medical flight following, communications technology, interoperability, redundancy, disaster recovery, staffing, quality assurance, and regulatory compliance.

• Ensures effective coordination among field units, hospitals, municipalities, public safety answering points, mutual-aid agencies, air medical assets, and other operational partners.

• Supports implementation and maintenance of contemporary computer-aided dispatch, radio, telephony, data, location, and communications technologies.

Training and Education

• Provides executive oversight of the Atlantic Training Center.

• Ensures the availability of high-quality initial and continuing education programs supporting internal personnel, Atlantic Health team members, public safety agencies, healthcare professionals, community partners, and other learners.

• Develops training and education programs that support Atlantic Mobile Health and Atlantic Health workforce development goals.

• Ensures appropriate clinical, operational, staffing, equipment, documentation, and performance standards across these programs.

• Works collaboratively with physician medical directors, nursing and clinical leadership, hospital operations, emergency departments, transfer centers, public safety agencies, and other stakeholders to support clinical competency and system performance.

Courier, Trucking, and Logistics Operations

Provides executive oversight of non-clinical transportation and logistics services supporting Atlantic Health, including:

• Commercial trucking and courier operations supporting the interfacility movement of supplies, equipment, specimens, documents, pharmaceuticals, and other materials.

• Fleet and logistics coordination.

• Employee, patient, and organizational shuttle services.

• Patient and executive car services.

Ensures these services are reliable, financially responsible, safe, efficient, appropriately staffed, and aligned with health-system operational requirements.

Develops systems to optimize routing, utilization, fleet deployment, scheduling, cost effectiveness, service reliability, and customer satisfaction.

AtHome Medical

Provides executive direction to the General Manager, who is responsible for day-to-day operations and leadership of Clinical, Operations, Sales, and Revenue Cycle.

• Establishes performance expectations and holds the General Manager accountable for operational, clinical, financial, and service results.

• Ensures effective coordination among functional leaders to support patient access, service delivery, and continuity of care.

• Establishes expectations for sales, referral development, business growth, and revenue-cycle performance.

• Oversees major organizational, workforce, capital, vendor, and business decisions.

• Ensures effective integration of AtHome Medical with Atlantic Health clinical and operational priorities, including discharge planning and transitions to the home.

Financial Management and Business Performance

• Maintains executive accountability for the financial performance of Atlantic Mobile Health and AtHome Medical.

• Oversees development and management of annual operating and capital budgets.

• Monitors revenue, expenses, productivity, labor utilization, overtime, fleet and equipment costs, reimbursement, revenue-cycle performance, contractual performance, capital requirements, and other key financial indicators.

• Identifies opportunities to improve operational efficiency while maintaining or improving patient care, safety, reliability, and service.

• Develops financial and operational analyses supporting capital purchases, new programs, staffing models, fleet and equipment replacement, technology investments, and business-development opportunities.

• Works collaboratively with Finance, Revenue Cycle, Managed Care, Supply Chain, Legal, Risk Management and other corporate functions.

Quality, Clinical Performance, and Patient Safety

• Establishes an organizational culture emphasizing patient safety, clinical excellence, professionalism, accountability, and continuous improvement across both organizations.

• Works with medical directors and clinical leaders to monitor patient-care quality and clinical outcomes, establish clinical standards, and identify quality goals.

• Oversees quality assurance and performance-improvement programs across clinical and operational service lines.

• Reviews key performance indicators, protocol compliance, adverse events, patient complaints, response-time performance, clinical indicators, safety events, and operational trends.

• Ensures corrective actions and performance-improvement initiatives are implemented when indicated.

• Promotes evidence-based practice and appropriate advancements in prehospital and transport medicine and home-based services.

Regulatory Compliance and Accreditation

Ensures compliance with applicable federal, state, and local laws, regulations, standards, licensure requirements, accreditation requirements, and payor requirements governing both organizations.

Areas of oversight include, as applicable:

• Joint Commission, CAAS, CAMTS, and ACE accreditation requirements.

• New Jersey Department of Health EMS requirements.

• Air, CCTU, MICU, BLS, and MAV licensing requirements.

• Emergency communications and 9-1-1 requirements.

• Federal and state Department of Transportation requirements.

• Occupational safety requirements.

• Controlled substances and medication-management requirements.

• HIPAA and patient privacy.

• Billing and reimbursement requirements.

• Vehicle and fleet safety.

• Aviation-related contractual and regulatory requirements.

• Training-center accreditation and certification requirements.

• Home medical equipment and respiratory-service regulatory, accreditation, and payor requirements.

• Atlantic Health policies, compliance standards, and corporate requirements.

Partners with Legal, Compliance, Risk Management, Patient Safety, Human Resources, and clinical leadership in evaluating and resolving significant operational or regulatory matters.

Emergency Preparedness and System Response

• Ensures Atlantic Mobile Health is prepared to support Atlantic Health during emergencies, disasters, mass-casualty incidents, severe weather events, infrastructure disruptions, public health emergencies, and other extraordinary events.

• Coordinates mobile healthcare and transportation resources with Atlantic Health emergency-management leadership.

• Maintains strong relationships with local, county, regional, state, and federal emergency-response partners.

• Ensures appropriate continuity plans, communications redundancies, resource-management processes, and emergency staffing strategies are maintained.

• Provides executive leadership during significant incidents affecting Mobile Health operations or requiring deployment of system transportation and EMS resources.

• Ensures AtHome Medical maintains appropriate continuity arrangements and provides executive leadership during significant operational disruptions.

Workforce Leadership

• Provides executive direction to Atlantic Mobile Health’s leadership team and AtHome Medical’s General Manager, maintaining accountability for workforce performance and effective leadership through each organization’s management and supervisory structure.

• Establishes leadership expectations, accountability, succession planning, and performance standards throughout both organizations.

• Selects, develops, coaches, and evaluates direct reports and ensures effective leadership development throughout the management structure.

• Promotes team member engagement, professional development, workforce safety, diversity, teamwork, and a culture consistent with Atlantic Health values.

• Partners with Human Resources and Talent Acquisition on recruitment, retention, compensation, employee relations, corrective action, and workforce planning.

• Develops strategies to address workforce shortages and changing labor-market conditions affecting EMS, transportation, communications, home medical equipment services, and related disciplines.

Fleet, Facilities, and Technology

• Provides strategic oversight for Atlantic Mobile Health’s substantial specialized vehicle fleet, including ambulances, critical care transport vehicles, logistics vehicles, trucks, shuttles, supervisory vehicles, and other operational assets.

• Oversees fleet-replacement planning, vehicle specifications, maintenance strategy, safety, lifecycle management, and capital planning.

• Ensures operational facilities across both organizations are appropriate for current and future service requirements.

• Evaluates and supports technology related to electronic patient-care documentation, computer-aided dispatch, communications, fleet management, vehicle location, scheduling, analytics, education, logistics, and other Mobile Health operational functions.

• Provides executive oversight of AtHome Medical’s major equipment, delivery-fleet, facilities, and technology investments through the General Manager.

• Ensures significant technology and infrastructure investments support organizational priorities, operational reliability, service quality, and financial performance.

System Integration and Relationship Management

• Works collaboratively with senior executives and leaders throughout Atlantic Health, including hospital presidents, clinical leaders, Emergency Medicine, Nursing, Finance, Human Resources, Legal, Compliance, Risk Management, Emergency Management, Information Technology, Facilities, Strategic Sourcing, Marketing, Government Relations, and other departments.

• Ensures both organizations’ capabilities are effectively integrated with health-system clinical and operational priorities.

• Maintains productive external relationships with regulatory bodies, municipal governments, EMS agencies, emergency communications centers, hospitals and healthcare organizations, air medical and aviation partners, educational institutions, police and fire departments, county and state agencies, professional associations, and community organizations.

• Develops and maintains strategic relationships with physicians, referral sources, payors, vendors, contractors, and other business partners.

• Provides executive leadership in resolving significant service, operational, contractual, and relationship issues.

Organizational Scope and Accountability

The Executive Director provides leadership for Atlantic Mobile Health’s complex, multi-site, 24/7 healthcare transportation, emergency medical services, communications, education, and logistics enterprise comprising more than 800 team members. The position has four direct reports within Atlantic Mobile Health, with broad organizational accountability exercised through a layered leadership structure.

Atlantic Mobile Health’s clinical and non-clinical service lines include:

• Air Medical Program operations.

• Critical Care Transport Unit services.

• MICU / Advanced Life Support operations.

• 9-1-1 EMS and Basic Life Support operations.

• Medical transportation.

• The 9-1-1 Communications Center.

• The Atlantic Training Center.

• Courier operations.

• Trucking and logistics services.

• Employee shuttle, patient, and executive car services.

AtHome Medical is a home respiratory focused durable medical equipment company with more than 140 team members across four locations, serving patients in 17 of New Jersey’s 21 counties. Its General Manager also reports to the Executive Director and is responsible for day-to-day operations through Clinical, Operations, Sales, and Revenue Cycle leadership.

The role has significant impact on patient care, emergency response, health-system operations, community relationships, workforce stability, regulatory compliance, organizational reputation, and financial performance.

Key Performance Accountability

The Executive Director establishes and monitors organizational performance indicators appropriate to each business, including:

• Patient and team member safety.

• Clinical quality.

• EMS response performance.

• Unit-hour utilization and deployment efficiency.

• Communications-center performance.

• Fleet availability and reliability.

• Team member recruitment and retention.

• Overtime and workforce productivity.

• Patient and customer satisfaction.

• Contract compliance.

• Training and competency.

• Regulatory compliance.

• Revenue-cycle performance.

• Operating budget performance.

• Logistics and transportation service reliability.

• AtHome Medical patient access, fulfillment, and delivery performance.

• Business growth and financial performance.

Salary range; *$280,000 - $390,000 *base salary only; excludes leadership incentive.

Qualifications**

Education

**Bachelor’s degree in healthcare administration, business administration, emergency medical services, public administration, emergency management, or a related field required.

Master’s degree in healthcare administration, nursing, business administration, public administration, emergency management, or a related discipline strongly preferred.**

Experience

**- Significant progressive leadership experience in air medical, critical care transport, emergency medical services, healthcare operations, medical transportation, public safety, logistics, or a related healthcare business.

• Substantial experience leading complex, multi-site, 24/7 operations.

• Demonstrated experience managing large multidisciplinary teams and subordinate leaders.

• Experience with financial management, budgeting, capital planning, revenue cycle, business development, and operational performance improvement.

• Experience with clinical or quality oversight, including performance improvement.

• Demonstrated ability to build and sustain effective relationships with health-system executives, hospital and clinical leaders, and key external partners.

• Experience overseeing regulated healthcare or public safety operations strongly preferred.

• Executive-level experience within a health system, EMS organization, governmental agency, or similarly complex organization preferred.**

Leadership Competencies

**The Executive Director must demonstrate:

• Executive presence, sound judgment, high ethical standards, and personal accountability.

• Strategic and systems thinking, with the ability to lead through complexity and change.

• Strong financial and operational acumen, balancing clinical quality, contractual commitments, team member needs, and financial stewardship.

• Ability to develop effective leaders and management teams.

• Exceptional communication and relationship-management skills, including negotiation and conflict resolution, across clinical, operational, executive, governmental, and community settings.

• Ability to translate strategy into measurable objectives, delegate authority effectively, and hold leaders accountable for results.

Additional Information

-** Job Identification: 33996 - Job Category: Finance/Accounting/Billing/PFS - Posting Date: 2026-10-30 - Locations: 475 South St, Morristown, NJ, 07960, US () - Minimum Salary (Hourly Rate): 107.030000 - Maximum Salary (Hourly Rate): 200.140000 - Assignment Category: Full-time - Hours per Week: 37.5 - Primary Shift: Day - Work Schedule: 8 am - 4 pm - Days and Shifts: Monday- Friday - 8am - 4pm - Department: 101000086533 - System Operations - Division: Corporate - Specialty: Other - Service Line: Leadership - Region: Corporate - Salary Admin Plan: EXD - Overtime Status: **Exempt