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A.T. Still University

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KCOM - Executive Director Practice Management

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A.T. Still University's Kirksville College of Osteopathic Medicine (ATSU - KCOM) is seeking a full-time, exempt Executive Director for Practice Management on the Kirksville, Missouri campus. The Executive Director for Practice Management provides executive leadership and administrative accountability for the strategic, operational, financial, and workforce performance of assigned ATSU ambulatory practices, including Kirksville Family Medicine, Osteopathic Manipulative Medicine, and Psychiatry and Behavioral Health. This position directs practice operations, resource allocation, revenue cycle performance, regulatory compliance, accreditation and certification activities, and service development. The Executive Director leads managers and staff and collaborates with medical leaders to improve access, quality, patient safety, and financial sustainability. Finally, the Executive Director aligns clinical services with university priorities, community needs, and the clinical education mission. This position reports to the Dean, KCOM.



Duties & Responsibilities


  • Clinical Operations – Direct operations across assigned practices, including staffing, scheduling, patient access, referrals, workflows, facilities and equipment coordination, and service delivery. Establish operating expectations, resolve cross-department issues, and allocate resources to support reliable patient care and clinical education.
  • Financial Management – Lead budget development, financial planning, and monitoring of revenue, expenses, productivity, and operating variances. Evaluate staffing and capital needs, implement corrective actions, and oversee purchasing and resource stewardship within delegated authority in collaboration with Finance and clinical leaders.
  • Workforce Leadership – Direct recruitment, onboarding, supervision, performance evaluation, staff development, and succession planning for managers and staff. Address employee relations, discipline, and compensation within university policy and delegated authority; coordinate provider recruitment and workforce planning with medical leaders and HR.
  • Revenue Cycle and Technology – Oversee administrative revenue cycle performance, including charge capture, billing, reimbursement, claims, denials, and collections, in collaboration with Finance and billing teams. Lead operational improvements to EHR, practice management, reporting, and information exchange systems with IT and clinical leaders.
  • Strategy and Service Development – Develop and implement ambulatory operating plans and service expansion proposals using community needs, market demand, benchmarks, and financial feasibility. Lead implementation, evaluate results, and advise university leadership on practice sustainability, growth, and resource priorities.
  • Compliance, Accreditation, and Designations – Direct administrative oversight of Rural Health Clinic certification and National Health Service Corps site approval and maintenance. Lead survey preparation, renewals, required documentation, policy implementation, corrective action plans, and ongoing compliance monitoring. Oversee administrative compliance systems and coordinate residency accreditation support with the DIO and program directors.
  • Quality and Patient Safety – Establish and monitor operational measures for access, patient experience, productivity, efficiency, and safety. Lead process improvement and resolution of patient complaints and operational risks; collaborate with clinical leaders on quality initiatives, incident follow-up, and implementation of corrective actions.
  • Academic and Community Partnerships – Represent practice operations in collaboration with the Dean, Vice Dean, DIO (GME), program directors, HR, Finance, IT, and Communications and Marketing. Coordinate administrative support for clinical education and residency operations and maintain community partnerships that support patient access and university priorities.
  • Performs other duties as assigned.


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