We are seeking an Assistant Administrator - Ambulatory & Access Operations who will provide strategic leadership and administrative oversight for the Department of Pediatrics’ outpatient clinics across all campuses and satellite locations. This role ensures operational efficiency while advancing the department’s clinical, educational, and research missions.

The position drives process improvement, quality and safety initiatives, and patient- and family-centered care strategies across pediatric ambulatory practices. Working closely with physician, nursing, and administrative leaders, the Assistant Administrator evaluates workflows, performance metrics, service delivery models, access performance, and patient experience outcomes.

Reporting to the CAO and partnering closely with SOM and JHH administrative leadership, this role contributes to fiscal planning, regulatory compliance, access optimization, and business development initiatives affecting outpatient care. The Assistant Administrator collaborates broadly across Johns Hopkins Medicine entities to ensure alignment, integration, and operational excellence, with a strong focus on access, analytics, and cross-departmental partnerships.

The Assistant Administrator Clinical provides leadership and management of the financial, operational, and administrative activities within a clinical department. The position reports directly to the Clinical Administrator. The position will focus on assigned areas of management responsibility which may include finances, human resources, program/business development. operational oversight and other patient care fiscal and administrative operations that typically span the Johns Hopkins University School of Medicine (SOM) and the Johns Hopkins Health System (JHHS). The Assistant Administrator Clinical partners with the Administrator to maintain sustainable financial success, implementing continuous performance improvement, and helping develop new programs. The Assistant Administrator is responsible for the clinical practice operations and annual revenue generated by physicians and advanced practice providers.

Specific Duties & Responsibilities

Financial

Manage divisional financial lines of business (clinical, research, gift, endowment, etc.) that generate budget expense and sponsored expense, including substantial institutional support that requires a high level of scrutiny and reconciliation.
Meet or exceed operating target set by the department and school and participate in annual performance improvement goals.
Review monthly account and/or business plan activity, correct errors, and identify and report problems or discrepancies.
Reconcile monthly financial statements between JHM entities.
Provide financial and other operational reports, as needed, for JHM, JHHS, JHU, and departmental leadership.
Provide, review, and analyze the clinical practice finances of the assigned area(s).
Develop appropriate billing strategies to maximize annual charges.
Develop faculty profit and loss statements or other metrics and provide regular updates to leadership on faculty productivity reporting.
Develop strategies with leadership and faculty for establishing and utilizing discretionary funds that align donor intent, budget guidelines and applicable JHU policies.
Monitor faculty, staff, and fellow percent of effort expended on research grants and contracts and maintain equivalent salary distribution on accounts.
Develop the annual operating budget for submission.
Assist with the clinical budgeting process and ensure performance improvement on the bottom line.
Design and produce various reports utilizing institutional data to create monthly, quarterly, and annual financial reports for leadership.
Prepare, or ensure the correct preparation of, various forms such as journal vouchers, check deposits, check requests, and telephone service requests.
Prepare electronic budgets and expenditure transfers.

Operations Management

Collaborate with faculty, nursing, and administrative leaders to ensure optimal clinic operations.
Provide practice management leadership as needed to all faculty practices
Ensure patient access goals are met for clinic visits and other appointment scheduling.
Develop systems for administrative workflow in accordance with departmental goals.
Manage departmental operations to ensure patient-centered activities and maximize patient satisfaction scores.
Utilize patient satisfaction data to identify opportunities for improvement in departmental workflow and improve patient satisfaction.
Investigate and respond to patient complaints
Ensure appropriate levels of staffing in all administrative areas.
Make recommendations to improve space utilization and define needs and justification for additional space to appropriate leaders.

Program/Project Planning & Development

Support the development of tactical business plans in conjunction with administrative leaders.
Develop project plans for identified opportunities, establish project goals, objectives and outcomes, secure leadership support and endorsement.
Determine project timelines to accomplish identified goals with milestones.
Assist in the implementation of projects, utilize organizational skills to execute steps of implementation, monitor progress towards outcomes and modify action plan, plan interventions as necessary to maintain timeline, recognize potential for integration/collaboration.
Evaluate project outcomes, collect data to determine efficiency, make and implement recommendations to improve outcomes or processes, develop summary reports, and make recommendations to leadership.

Human Resources

Work closely with department, SOM and Central, and JHHS Human Resources staff on routine and non-routine HR issues.
Ensure performance management is carried out consistent with appropriate policies.
Provide recommendations for staffing resource allocations.

In addition to the duties described above

Financial Management

Oversee financial performance across enterprise-wide clinical operations (all sites/locations)
Lead budgeting, forecasting, and financial planning with Finance and operational leaders.
Guide clinical practice financial strategy, including productivity and sustainability.

Operations Management

Ensure efficient, high quality clinic operations in partnership with clinical and administrative leaders.
Optimize workflows, patient access, staffing, and space utilization.
Monitor patient satisfaction and lead service delivery improvements.

Ambulatory Operations Leadership

Direct operational strategy, performance improvement, and regulatory compliance across pediatric ambulatory clinics.
Implement key initiatives (e.g., Epic enhancements, care transitions) and support clinic managers.
Strengthen multidisciplinary care models and outpatient standards.

Access Management

Lead ambulatory access operations and scheduling strategy.
Optimize provider templates, referral workflows, and scheduling utilization.
Drive access improvement initiatives and throughput performance.

Program Planning & Performance Improvement

Develop and support strategic and operational business plans.
Lead initiatives focused on access, efficiency, quality, and patient experience.
Establish goals and metrics and deliver data driven recommendations.

Data & Metrics Management

Monitor KPIs across access, productivity, safety, and satisfaction.
Ensure accurate, actionable dashboards and reporting tools.
Provide clear operational insights to leadership.

Human Resources & Team Leadership

Partner with HR on staffing, performance management, and complex personnel matters.
Guide staffing models and resource planning.
Foster a culture of quality, accountability, and service excellence.

Relationship Management

Build strong partnerships across clinical, administrative, and operational teams.
Represent the department in cross functional initiatives.
Collaborate externally to enhance patient experience, community engagement, and network development.

Information Systems

Support evaluation and optimization of ambulatory operational systems.
Partner with IT to improve workflows, reporting, and technology-enabled performance.

Minimum Qualifications

Bachelor’s Degree in Finance, Accounting, Business, Health Care Administration, or a related field.
Six years of progressively responsible professional-level administrative and financial experience related to monetary or non-monetary resources of a division within a clinical department, e.g., planning, directing, monitoring, organizing, and controlling monetary and non-monetary resource).
Supervisory experience.
Additional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula.

Preferred Qualifications

Master’s Degree in Healthcare Administration, Business Administration, or a related field.
Demonstrated experience in clinical operations within an academic medical center or complex health system.
Strong background in medical practice management, including ambulatory operations, access, and provider productivity.
Experience partnering with physician leadership in dyad or triad leadership models.
Working knowledge of healthcare finance sufficient to guide strategy and collaborate effectively with Finance partners.
Experience leading access, throughput, or operational improvement initiatives.
Ability to translate data into actionable operational and strategic insights.
Strong executive communication and stakeholder management skills.

Classified Title: Assistant Administrator - Clinical
Job Posting Title (Working Title): Assistant Administrator, Ambulatory & Access Operations (SOM Pediatric Administration)
Role/Level/Range: ATP/04/PF
Starting Salary Range: $85,500 - $149,800 Annually ($130,000 targeted; Commensurate w/exp.)
Employee group: Full Time
Schedule: M-F; 8 to 5
FLSA Status: Exempt
Location: School of Medicine Campus
Department name: SOM Ped General Administration
Personnel area: School of Medicine

Assistant Administrator, Ambulatory & Access Operations (SOM Pediatric Administration)

Johns Hopkins University

Johns Hopkins University, Baltimore, MD, USA