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Interim Chief Operating Officer (ICOO)

Under the guidance of the Chief Executive Officer, the Interim Chief Operating Officer (ICOO) plans, organizes, and directs all or most operations of the system or hospital. This is the second-highest executive in a health system or hospital.

The ICOO Senior Advisor will serve as an interim for the overall management of the Hospital operations. The ICOO will partner with onsite C-Suite professional team to provide leadership and strategic direction, ensure outstanding customer service, and administer clinical and administrative processes that complement the delivery of high quality and cost effective, customer-focused patient care. In this leadership role, the ICOO is responsible for the integrity of operational processes both administrative and clinical, patient access, budgets within areas of responsibility, human resources, turnaround, and compliance and regulatory standards. The job responsibilities may vary depending upon each client engagement.



  • Provides day-to-day management and/or operating oversight of hospital or health system.
  • Participates in risk management related activities targeted to proactively minimize risk and promote the safety of patients, families, employees and others.
  • Participates as a team member of various teams to create innovative solutions associated with the provision of medical care and the strategic development.
  • Participates as a team member of the Senior Leadership Team orchestrating the development and integration of the patient care experience across the organization.
  • Prepares monthly operations report and presents results to management, physicians and committees.
  • Follows organization guidelines, negotiates local equipment and lease contracts for assigned areas of responsibility.
  • Oversees the establishment of internal controls for compliance and develops tools to monitor controls.
  • Prepares capital requests to be modeled by finance by working with the management team and physicians.
  • Consistently administers human resources policies and procedures throughout all practice sites.
  • Monitors ongoing monthly performance and makes appropriate practice adjustments to ensure budgetary and operational success.
  • Collaborates with other members of the operations and financial team to deliver consistent, fiscally responsible, and constantly improving quality care.


Basic Qualifications:

  • Bachelor’s degree or Master’s degree in health administration or other related field is preferred.
  • Minimum of 15+ years experience as a Hospital COO
  • Previous experience as an ICOO preferred
  • Turnaround experience preferred
  • Academic medical center experience a plus
  • Ability to implement centralized processes in a large complex environment.
  • Demonstrated success in yielding unprecedented results within the area of health care operations management.


Submit Your Resume

We are currently accepting applications for future interim engagement needs. If your core experience falls into one of the following interim position categories, please submit your resume in Microsoft Word or PDF format. No phone calls please.

Spectrum Health Partners

341 Cool Springs Blvd
Suite 305
Franklin, TN 37067
Office: (615) 778-4650