Appalachian Regional Healthcare

Regional Chief Executive Officer

Job Locations US-KY-Hazard | US-KY-Hyden | US-KY-Whitesburg | US-KY-Harlan | US-KY-Middlesboro | US-KY-Barbourville
Requisition ID
# of Openings
Business Professional
Hazard Regional Medical Center
Posted Date
3 months ago(9/14/2023 1:26 PM)
Position Type
Regular Full-Time
Day Shift


RCEO is responsible and accountable for the performance and impact of the appoint region and its respective business units along each domain of the “Triple Aim” (patient safety and quality, service, and financial performance):

  • Developing, nurturing and improving a safe and cost-effective clinical culture that produces predictable patient outcomes;
  • Developing, nurturing and improving a service culture that supports and engages employees, medical staff, patients and the community; and
  • Developing, nurturing and improving a cost-effective operating culture that achieves established objectives.

Beyond the performance of the region and its respective business units, RCEO is accountable and responsible for developing, implementing and monitoring impactful strategic and tactical plans to identify and provide for the medical and clinical needs of the region in an efficacious manner, to reduce or mitigate unnecessary redundancy across the region and system, and to take fuller advantage of ARH’s opportunity and need to operate and invest regionally rather than locally.

At all times, RCEO will conduct her/himself in accordance with ARH’s behavioral standards and will execute her/his duties in accordance with established laws, rules, regulations and standards of all applicable governmental, regulatory and accrediting bodies, and with the policies and procedures of the appointed region and system.

Special Instructions

This position will oversee the KY River and Cumberland Valley Regions. These regions include: Hazard ARH, Whitesburg ARH, Mary Breckenridge ARH, Barbourville ARH, Middlesboro ARH and Harlan ARH.


Beyond those above, the primary duties of RCEO are generally described below. These essential functions are not intended to be, and should not be considered to be, a comprehensive list of duties or expectations.

  • Region Performance – RCEO is responsible and accountable for the performance of the appointed region and its respective business units. As such, RCEO shall develop and implement impactful strategies and plans to achieve established performance objectives along each domain of the Triple Aim.
    • Patient Safety & Quality – RCEO is responsible and accountable for developing and sustainably improving a clinical culture within the appointed region that is safe, efficient, and consistently produces expected patient outcomes in a cost-effective way.
      • Accreditation – The primary role of accrediting and regulating bodies is to assure that participating providers have sufficient policies, practices and safeguards in place to assure delivery of safe and predictable services to patients. RCEO is responsible and accountable for adherence to all relevant standards of applicable accrediting and regulatory bodies (e.g. JC, DNV, CMS, OIG, etc.). RCEO will assure that the business units within the appointed region are ready for accreditation surveys at all times, whether those surveys are planned and expected or not.
    • People, Service & Engagement – RCEO is responsible and accountable for sustainably improving the engagement and loyalty of the employees, medical staff and patients of the appointed region. As such, RCEO is consistently visible throughout the region inspiring conversations that lend to understanding, commitment and loyalty among these key groups.
      • Leadership Development – RCEO is responsible for establishing a leadership development and succession strategy for leadership of the business units of the appointed region to ensure a culture that continually advances the leadership potential of its employees. RCEO possesses the courage to lead, mentor, and coach so as to develop a high-performing collaborative team. RCEO demonstrates through her/his own behaviors, decision-making and management approaches a culture of learning, growing, performing, and appreciating.
      • Medical Staff Development - RCEO is responsible and accountable for the on-going review and analysis of the health systems medical staff requirements and works with the appropriate corporate representatives to develop plans to address areas of need. In addition RCEO is responsible and accountable for developing, nurturing and maintaining meaningful relationships with members of the medical staff and other providers, both independent and employed.
      • Patient Experience - RCEO is responsible for development and implementation of impactful strategies that consistently produce exceptional patient experiences, and thus patient loyalty.
    • Financial Effectiveness – RCEO is responsible and accountable for developing and sustainably improving an operating culture that conducts its daily activities in an efficient and cost-effective manner, and in which achieves established financial performance objectives.
  • Market Relevance – RCEO is responsible and accountable for the development and implementation of impactful strategies and plans to sustainably improve the region’s role and relevance among the communities served. RCEO will develop and implement effective programs and tools to monitor those strategies and plans, and will promptly implement impactful interventions to them if/when necessary. RCEO recognizes that the region’s role and relevance is directly influenced by its reputation, financial stability, competitiveness, and cost-effective clinical service offerings that the market can and will support.
  • Corporate Citizenry – RCEO is responsible and accountable for being a good corporate citizen. In addition to abiding by established policies and procedures, behavioral standards and other expectations, corporate citizenry includes but is not limited to: working effectively within ARH’s matrixed reporting environment; working effectively with regional- and system-level resources; and embracing ARH’s commitment to optimizing the value of its “system-ness” (e.g. regionalization, collaboration, etc.).
  • Community Citizenry – RCEO shall be an active participant of the region in which she/he is appointed and shall at all times conduct her/himself in a personal and professional manner consistent with ARH’s behavioral standards. Beyond her/his personal membership and participation with the region, RCEO will develop and maintain a constructive relationship with other regional medical providers , community leaders, elected officials, and other stakeholders.
  • “Systems Thinking” – Beyond her/his appointed departments, RCEO will facilitate or otherwise be engaged in many other endeavors across the system on a regular basis. RCEO at all times will facilitate collaborative working relationships across the system.RCEO continually searches for meaningful ways to improve upon the status quo by streamlining workflows, integrating novel practices, and sharing of resources across the region and system. RCEO, via her/his behaviors, actions and execution of day-to-day duties, demonstrates daily her/his commitment to optimizing the value of ARH’s “system-ness”. “Collaboration”, “integration”, “shared planning” – these and others are terms or ideas that RCEO values as demonstrated through her/his behavior and attitude.

All policies, procedures, practices, and standards referenced above and elsewhere in this document are subject to, and likely will, change from time to time. Adherence to any such change will continue to be the responsibility and accountability of RCEO.

Likewise, the responsibilities, duties and reporting relationships referenced above and elsewhere in this document may change from time to time. RCEO shall be responsible and accountable for any such change, and the general principles of this position description shall apply to any such change.


Required Skills, Knowledge, and Abilities:

• Ability to inspire and lead others, the humility to listen to and follow others, and the knowledge and discipline to know when to do which;
• Ability to adapt to and manage change in a timely and effective way;
• Ability to manage and mitigate conflict, including situations where RCEO is a party to said conflict;
• Courage to challenge established norms (policies, procedures, practices, directives, etc.) in an appropriate and impactful way;
• Humility to accept and embrace regional- or system-level strategies and endeavors which may from time to time be uncomfortable;
• Courage to ask for resources or help when necessary to accomplish established objectives or other expectations;
• Ability to think strategically to find novel solutions to complex problems;
• Energy, focus and aptitude necessary to effectively fulfil the duties of the role;
• Ability to surround a problem with the right people to affect a timely and effective solution;
• Ability to manage difficulty and crisis in a measured and effective manner, relying on data and counsel where able; and
• Ability to remain abreast of changes in the local market, the profession, and the industry.
• Possess an action-oriented disposition, relying on data and counsel where possible.


Educational Requirements:

• RCEO will be a graduate of an accredited college or university with a bachelor’s degree in Health Administration, Business Administration or other relevant field of study. Further, a master’s degree in Hospital Administration, Business Administration, or other relevant field of study is preferred.


Experience Requirements:

• Minimum of ten (10) years’ experience in relevant hospital chief executive leadership roles is preferred.

• Ideal preparation for this role would be prior service as CEO of a substantive IPPS Hospital or multi-hospital executive experience.


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