Nicholas Jacoby

About Nicholas Jacoby

Healthcare operations executive with nearly two decades of experience leading complex clinical enterprises and advancing operational transformation within large academic medical systems.Currently serving as Senior Director of Radiology at The Ohio State University Wexner Medical Center, I provide executive oversight for strategy and operations across the clinical, research, and education missions of a major academic imaging enterprise. I lead more than 200 professionals and manage a $65M+ budget supporting hospital-based and outpatient imaging programs within one of the nation’s leading academic health systems.My work sits at the intersection of clinical operations, advanced imaging technology, and academic research, partnering with physicians, scientists, and health system leaders to translate emerging capabilities—including artificial intelligence and advanced imaging platforms—into scalable programs that improve patient care, operational performance, and system growth.Key leadership accomplishments include:• Leading enterprise radiology operations across multiple clinical sites while supporting sustained imaging volume growth.• Integrating teleradiology services and optimizing staffing models to improve report turnaround times and expand after-hours coverage.• Improving physician recruitment and onboarding workflows, accelerating time-to-hire and expanding outreach to underserved communities.• Delivering operational transformation across clinical service lines, including $600K in cost savings through lean initiatives and $495K in revenue improvement through coding optimization.• Managing complex financial portfolios, including $20M in expenditures supporting cancer services and $18M in surgical division operations.• Coordinating operational response efforts during the COVID-19 pandemic, including workforce redeployment strategies that generated $8M in staffing efficiencies.Earlier in my career, I led patient access operations supporting oncology service lines and began my healthcare career as a firefighter-paramedic and EMS educator, experiences that shaped my leadership philosophy and commitment to service.Today, I focus on building resilient healthcare systems, advancing innovation, and aligning clinical operations with institutional strategy.I am particularly interested in collaborating with organizations working at the intersection of healthcare delivery, medical technology, artificial intelligence, and digital health, where operational expertise and deep understanding of clinical systems can accelerate innovation and impact.

Experience

1. Senior Director

   The Ohio State University Wexner Medical Center

   Feb 2023 — Present · Columbus, OH, US

   Executive oversight of Radiology strategy and operations across clinical, research, and education missions.* Manage a $70M budget and lead 200+ personnel spanning academic, hospital-based, and outpatient settings.* Improved physician recruitment and onboarding workflows, accelerating time-to-hire and increasing reach to underserved communities.* Streamlined staffing models and integrated teleradiology services to reduce report turnaround times, expand after-hours coverage, and ensure seamless support during rapid imaging volume growth.

Education

• Washington University in St. Louis

  Post-Baccalaureate Pre-Medicine, Pre-Medicine/Pre-Medical Studies

• Ashland University

  Master of Business Administration, Project Management

  2019

• Columbus State Community College

  Fire Science/Fire-fighting

  2007

• University of Kentucky

  Bachelor of Arts, Secondary Education, Minor in Economics

  2005

• Columbus State Community College

  Emergency Medical Services (EMT Paramedic)

  2009