
The Senior Vice President (SVP), Service Line Operations serves as a senior executive leader responsible for the operational development, growth, integration, and performance of clinical service lines across Appalachian Regional Healthcare. This role provides executive oversight for the operational build-out and advancement of strategically significant service lines including, but not limited to, Orthopedics, Women’s Services, Cardiology, and other emerging clinical programs across the ARH system. The SVP partners closely with executive leadership, physicians, hospital operations, nursing leadership, and business functions to operationalize service line growth initiatives, improve patient access, strengthen physician alignment, increase volumes, and support long-term organizational sustainability. This role is responsible for building scalable operational structures, leadership models, governance frameworks, and care delivery approaches that support ARH’s continued expansion and modernization of clinical services. This position plays a critical role in identifying growth opportunities, reducing operational variation, improving coordination across facilities, and supporting the development of integrated, high-performing service line operations across the organization. Consistent with the ARH Executive Level 1 (E1) framework, this position carries Tier 1 organizational impact and supports the execution of short-to-mid-term operational initiatives across multiple hospitals, markets, and clinical service areas.
Education• Bachelor’s Degree in Healthcare Administration, Business Administration, or related field required.• Master’s Degree in Healthcare Administration, Business Administration, Public Health, or related field preferred.
Minimum Work Experience• Minimum seven (7) years progressive experience in healthcare leadership required• Experience leading hospital operations, service line operations, physician integration, or clinical growth initiatives required• Demonstrated experience leading large-scale operational improvement or organizational growth initiatives across multiple facilities preferred.
Required Skills, Knowledge, and Abilities• Strong knowledge of healthcare operations, physician integration, and service line development.• Strong operational, financial, and analytical leadership skills.• Ability to lead complex organizational initiatives across multiple hospitals and departments in a complex Union environment.• Experience building operational structures, governance models, and scalable clinical programs.• Strong communication, collaboration, and relationship management skills.• Ability to work effectively with physicians, executive leadership, operational leaders, and external stakeholders.• Experience driving operational improvement, growth initiatives, and performance accountability.• Knowledge of regulatory and accreditation requirements impacting hospital operations and clinical services.

Appalachian Regional Healthcare (ARH), the Healthcare System of Appalachia, and ranked as one of the Top 10 Employers in Kentucky by Forbes Magazine, is a not-for-profit health system operating 13 hospitals in Barbourville, Hazard, Harlan, Hyden, Martin, McDowell, Middlesboro, Prestonsburg, South Williamson, West Liberty and Whitesburg in Kentucky; as well as Beckley and Hinton in West Virginia, as well as multi-specialty physician practices, home health agencies, home medical equipment stores and retail pharmacies. ARH employs more than 6,000 people with an annual payroll and benefits of $330 million generated into our local economies. ARH also has a network of more than 600 active and courtesy medical staff members. ARH is the largest provider of care and single largest employer in southeastern Kentucky and the third largest private employer in southern West Virginia, and is consistently recognized for its medical excellence.