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Position Summary

The Chief Operating Officer (COO) is a key member of the executive leadership team, responsible for overseeing daily operations and ensuring that Scotland Health Care System delivers safe, high-quality, compassionate, and sustainable services to the patients and communities we serve. This position provides strategic and operational leadership for multiple support departments, including Environmental Services, Food and Nutrition Services, Biomedical Engineering, Capital Projects, and Facility Engineering. The COO serves as the executive liaison to the Board of Trustees’ Building Committee.

The COO plays a critical role in fostering a culture of excellence, accountability, and continuous improvement—aligning operational initiatives with the organization’s mission, vision, and values while addressing the healthcare needs of a diverse rural region.

Department: Administration Reports To: Chief Executive Officer (CEO) Location: Laurinburg, North Carolina - Onsite Organization: Scotland Health Care System

Qualifications

Education and Experience

+ Master’s Degree in Health Administration, Business Administration, or related discipline required.

+ Six to eight years of progressive hospital or health system leadership experience required, preferably in an integrated or rural healthcare environment.

+ Proven experience managing multiple support departments in a healthcare setting.

Skills and Competencies

+ Demonstrated success in strategic planning, operations management, and financial stewardship.

+ Strong business and analytical acumen with the ability to develop and execute business plans.

+ Excellent written and verbal communication skills.

+ Proven ability to build and maintain collaborative relationships at all levels of the organization.

+ Exceptional organizational, problem-solving, and decision-making skills.

+ Positive, solutions-oriented approach to leadership and change management.

+ Commitment to the mission and values of community-based healthcare.

Professional Memberships

+ Active or eligible member of the American College of Healthcare Executives (ACHE) preferred.

Key Responsibilities

Operational Leadership

+ Provide leadership and direction for Environmental Services, Food and Nutrition Services, Biomedical Engineering, Capital Projects, and Facility Engineering departments.

+ Ensure departments operate efficiently and deliver safe, high-quality, compassionate, and sustainable services that support patient care and clinical operations. Provide exceptional internal customer service to Medical Staff and clinical divisions.

+ Oversee facility infrastructure, maintenance, and capital projects to ensure safety, compliance, and operational readiness.

+ Partner with department leaders to develop and execute operational plans that align with system goals.

Strategic and Financial Management

+ Collaborate with the CEO and executive team to develop and implement the system’s strategic plan.

+ Lead initiatives to enhance operational performance, reduce costs, and improve service delivery.

+ Develop and manage budgets for assigned departments; monitor financial performance and implement corrective actions as needed.

+ Participate in long-range facility planning, space utilization, and capital improvement projects.

Community and Regional Engagement

+ Work collaboratively with community stakeholders and partner organizations to expand and improve services that meet service area healthcare needs.

+ Support the health system’s mission to improve access, quality, and affordability of healthcare in a rural setting.

+ Ensure operations reflect an understanding of and responsiveness to community and regional priorities.

Leadership and Culture

+ Promote a positive, inclusive, and performance-driven culture consistent with Scotland Health Care System’s values.

+ Serve as a mentor and coach to department leaders, encouraging professional development and accountability.

+ Foster cross-departmental communication and collaboration to support system-wide goals.

+ Demonstrate respect, diplomacy, tact, and strong interpersonal skills in all interactions.

Compliance and Quality

+ Ensure operational compliance with federal, state, and local regulations as well as accreditation standards.

+ Partner with clinical and administrative leaders to support patient safety, quality improvement, and service excellence initiatives.

+ Monitor performance metrics and implement evidence-based best practices across operational areas.