• Provide oversight for multiple practices to ensure consistent execution of operational standards, quality outcomes, and contractual performance. • Own regional performance metrics including productivity, quality, client satisfaction, and margin. • Partner with Practice and Site Leaders to identify performance gaps, implement action plans, and sustain improvements. • Ensure compliance with regulatory, contractual, and corporate responsibility standards. • Lead, coach, and develop Practice Directors and site-level leaders. • Model and reinforce The Ensemble Difference by consistently demonstrating integrity, accountability, and respect. • Act as a regional ambassador to clients, ensuring trust, transparency, and responsiveness. • Drive operational innovation and best-practice sharing across practices.