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Executive Search for a Clinic Administrator

Northwest Iowa Bone, Joint and Sports Surgeons, Spencer, Iowa

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Orthopedic Clinic Leadership Opportunity in Iowa

Our client, NWIA Bone, Joint & Sports Surgeons, is seeking a highly capable and experienced Practice Administrator to serve as the operational and administrative leader of a dynamic, physician-led orthopedic practice.

This is a senior leadership role with broad accountability across finance, human resources, clinical operations, strategic planning, and governance—offering the opportunity to shape the long-term growth and health of a well-established specialty practice.

Spencer, Iowa, is ideally positioned in Northwest Iowa, offering convenient access to the region’s premier lake destinations. 

Interested? Book a time to connect with Hunter Ambrose Int. Let's start the conversation.

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Northwest Iowa Bone, Joint, and Sports Surgeons has delivered orthopedic care across Northwest Iowa and Southwest Minnesota since 1977. The organization provides specialized services in orthopedic surgery, total joint replacement, sports medicine, arthroscopic surgery, hand surgery, foot surgery, and fracture treatment.

Its team includes some of the most experienced orthopedic surgeons in the region, supported by advanced medical technology. Care is designed to help patients maintain active, independent lives, with services structured to support individuals and families across all stages of life.

With 11 locations, the practice performs more than 200 surgeries each month and serves over 20,000 patients annually. Ongoing advancements in procedures and equipment have significantly reduced recovery times, allowing patients to return home and resume daily activities more quickly.

Northwest Iowa Bone, Joint and Sports Surgeons continues to serve the region with a long-term commitment to accessible, high-quality orthopedic care close to home.

About the Position

  • Reports directly to the Board of Directors and Physician Owners
  • Monday- Friday on campus position in Spencer, Iowa
  • Weekly or as needed travel to other locations
  • Ideal for a leader with experience in orthopedic, surgical services, ambulatory settings, or high-volume multi-specialty clinic operations
  • Access to collaboration and administrative support from partner hospitals
  • Direct engagement with senior leadership for mentorship, guidance, and strategic alignment
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Leadership Responsibilities

  • Develop and oversee accounting, financial controls, and procurement systems
  • Direct accounts payable operations and prepare year-end, government-required reports
  • Produce monthly financial statements and perform variance and performance analyses
  • Oversee coding, reimbursement policies, and fee schedules in coordination with billing and partner hospitals
  • Negotiate and manage third-party contracts and reimbursement agreements with partner hospitals
  • Lead investment and retirement planning, including management and compliance oversight
  • Ensure compliance with tax laws, filing procedures, and regulatory requirements
  • Develop and administer compensation and benefits programs
  • Oversee all HR functions, ensuring compliance with employment laws and regulations
  • Manage payroll operations, including compliance with payroll taxes and reporting requirements
  • Prepare and submit bi-weekly and semi-monthly 401(k) and pension reports

Business & Clinical Operations

  • Facilitate business operations planning and patient flow process design

  • Develop and implement facilities planning and maintenance programs

  • Oversee patient communication systems and monitoring for licensure, credentialing, and recertification

  • Facilitate physician coverage across all practice worksites, including emergency call scheduling

  • Perform all physician licensing and credentialing processes, Planning, Marketing & Strategic Growth

  • Pursue and establish partnerships and strategic alliances

  • Develop and implement community outreach, public relations, and patient relations programs

  • Create and maintain marketing plans to support practice growth, Information & Risk Management

  • Oversee and direct all information management systems to ensure proper data capture and reporting

  • Maintain corporate history and develop record-keeping procedures

  • Assess and procure liability insurance; establish personnel and property security plans

  • Develop and implement quality assurance programs

  • Oversee patient, staff, and organizational confidentiality policies

  • Work with Partners to construct and maintain the governance system 

  • Facilitate and coordinate Partner meetings, agendas, and schedules 

  • Evaluate and continuously improve organizational policies and processes

  • Facilitate staff development and team cohesion

  • Support the physician's understanding of business management, finances, and practice policies 

About the Spencer, Iowa Community

Median Housing Price
  • Average home value: ~$185K–$190K
  • Median home value range: ~$156K–$180K
  • Median rent: ~$650–$825/month
  • Homeownership rate: ~79%
  • Affordable housing market with low competition and longer days on market
Income and Economy
  • Median household income: ~$59K–$60K
  • Average household income: ~$78K
  • Average commute time: ~9 minutes
  • Local, relationship-driven economy
Airports and Accessibility
  • Local: Spencer Municipal Airport (regional, no commercial flights)
  • Sioux Falls Regional Airport: ~1.5 hours
  • Des Moines International Airport: ~3 hours
  • Requires driving for most commercial travel
Closest Major Cities
Driving Distance & Time
  • Des Moines
    • Distance: ~175 miles
    • Drive time: ~2 hours 45 minutes
  • Omaha
    • Distance: ~160 miles
    • Drive time: ~2 hours 30 minutes
  • Kansas City
    • Distance: ~300 miles
    • Drive time: ~4.5–5 hours
  • Chicago
    • Distance: ~470 miles
    • Drive time: ~7–7.5 hours

Apply before April 30th

  • How to Apply: Book a time to connect with Hunter Ambrose International. Qualified candidates will meet directly with a Search Consultant as part of the initial evaluation process.
  • Search Process & Timeline: Hunter Ambrose International completes over 90% of its searches within 100 days. Candidates selected to advance should be prepared to start within 21–45 days.
  • Candidate Expectations: Interested candidates should be ready to engage in a structured, leadership-level interview process with responsiveness and professionalism throughout.
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Hunter Ambrose has been retained by Northwest Iowa Bone and Joint to lead this search.

All inquiries and applications should be directed to admin@hunterambrose.com. Candidates interested in the opportunity are encouraged to schedule a time to connect with the firm. 

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