1st Assistant Director Jobs
1st Assistant Director jobs are open across film, television, commercials, and streaming production, from set PA-turned-AD to veteran first with decades of credits, with specializations in action, drama, and unscripted formats. Scan the live roles below and apply to whichever ones fit.
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JOB SUMMARY:
The Director of Operations is responsible for driving operational and financial performance for the Medical Group at Ephraim McDowell Health. The incumbent provides collaborative leadership in the ongoing development and direction for assigned practices including integrity of operational processes, patient access, operations budgets, human resources, regulatory compliance and standardization of operational activities. They will ensure the clinics are staffing to benchmarks and driving quality, financial, and operational benchmarks to regional and national benchmarks. The Director of Operations will partner with the Practice Managers to ensure efficient day-to-day operations and strong financial performance. The Director will work with the VP to align Clinical Operations to Strategic Goals and Ephraim McDowell Health Strategic Plan. Works with Senior Leaders to ensure relations with physicians and advanced practice providers remain strong and needs are met. Drives Internal Volume Growth through Process Improvement work with Practice Management and Strategy, Liaison and Operations Teams
ESSENTIAL FUNCTIONS, DUTIES AND RESPONSIBILITIES:
- Responsible for directing the overall practice/clinic operations that support EMH goals and objectives.
- Align medical group operations with system-wide clinical, financial, and population health strategies
- Collaboratively works with the VP and other system leaders, site leaders, and direct reports to set meaningful performance objectives and identify measures for evaluating goal achievement
- Ensure ambulatory services remain integrated within the broader continuum of care and support coordinated patient transitions
- Serves as key advisor to the VP in ongoing operations, Administrative oversight (HR related items, policies and SOPs, budget, and contracts), and strategy of EMH, to include but not limited to the development of business opportunities, financial oversight, execution of system initiatives, setting strategy and goals
- Responsible for the integration of practice operations for those practices which may be acquired by Ephraim McDowell Health. From an operational perspective, directs the planning and onboarding of new acquisitions and newly employed providers to ensure seamless transition for patients, physicians, and employees.
- Mitigate operational risk while maintaining ethical and legal standards across all locations
- Works with Practice Managers to develop individual practice goals; uniform policies/procedures; and assurance of budget compliance for clinic operating units.
- Coordinates with leadership, practice management, payer credentialing, medical staff services and other associates to ensure smooth and efficient onboarding processes for new Providers
- Responsible for the processes and oversight to ensure timely charge entry, collections at point of service, accuracy in patient registration, eligibility verification, and expeditious resolution to requests for information related to third party claims processing.
- Leads monthly meetings for Practice Managers, clinical leadership and Physician partners.
- Balances multiple projects at the same time and able to delegate when appropriate
- Responsible for developing and implementing budget and control activities, determines departmental needs and staffing patterns to deliver cost-effective quality service
WORKING CONDITIONS, HAZARDS AND PHYSICAL EFFORT:
Works in a well lighted, ventilated and air conditioned area. Often exposed to unpleasant odors, sights, and sounds. Long periods of standing, walking, stooping, heavy lifting and bending are required. Risks exposure to disease, infection and physical strain, and assault. Risks exposure to blood, body fluids, tissue, radiation and anti-neoplastic agents. Must be able to lift 50 lbs. independently. May work all shifts, some weekends and overtime.
CONTACTS WITH OTHERS:
Patients, family members and significant others, physicians and Associates, other healthcare providers, community resource personnel, administrative staff, and hospital support services.
Requirements:Minimum 5 Years of Experience in Clinic Leadership Roles showing progressive growth
Shift: 1st Shift
Compensation: $77,792 - $103,917 annual salary based on years of experience.
JOB SUMMARY:
The Director of Operations is responsible for driving operational and financial performance for the Medical Group at Ephraim McDowell Health. The incumbent provides collaborative leadership in the ongoing development and direction for assigned practices including integrity of operational processes, patient access, operations budgets, human resources, regulatory compliance and standardization of operational activities. They will ensure the clinics are staffing to benchmarks and driving quality, financial, and operational benchmarks to regional and national benchmarks. The Director of Operations will partner with the Practice Managers to ensure efficient day-to-day operations and strong financial performance. The Director will work with the VP to align Clinical Operations to Strategic Goals and Ephraim McDowell Health Strategic Plan. Works with Senior Leaders to ensure relations with physicians and advanced practice providers remain strong and needs are met. Drives Internal Volume Growth through Process Improvement work with Practice Management and Strategy, Liaison and Operations Teams
ESSENTIAL FUNCTIONS, DUTIES AND RESPONSIBILITIES:
- Responsible for directing the overall practice/clinic operations that support EMH goals and objectives.
- Align medical group operations with system-wide clinical, financial, and population health strategies
- Collaboratively works with the VP and other system leaders, site leaders, and direct reports to set meaningful performance objectives and identify measures for evaluating goal achievement
- Ensure ambulatory services remain integrated within the broader continuum of care and support coordinated patient transitions
- Serves as key advisor to the VP in ongoing operations, Administrative oversight (HR related items, policies and SOPs, budget, and contracts), and strategy of EMH, to include but not limited to the development of business opportunities, financial oversight, execution of system initiatives, setting strategy and goals
- Responsible for the integration of practice operations for those practices which may be acquired by Ephraim McDowell Health. From an operational perspective, directs the planning and onboarding of new acquisitions and newly employed providers to ensure seamless transition for patients, physicians, and employees.
- Mitigate operational risk while maintaining ethical and legal standards across all locations
- Works with Practice Managers to develop individual practice goals; uniform policies/procedures; and assurance of budget compliance for clinic operating units.
- Coordinates with leadership, practice management, payer credentialing, medical staff services and other associates to ensure smooth and efficient onboarding processes for new Providers
- Responsible for the processes and oversight to ensure timely charge entry, collections at point of service, accuracy in patient registration, eligibility verification, and expeditious resolution to requests for information related to third party claims processing.
- Leads monthly meetings for Practice Managers, clinical leadership and Physician partners.
- Balances multiple projects at the same time and able to delegate when appropriate
- Responsible for developing and implementing budget and control activities, determines departmental needs and staffing patterns to deliver cost-effective quality service
WORKING CONDITIONS, HAZARDS AND PHYSICAL EFFORT:
Works in a well lighted, ventilated and air conditioned area. Often exposed to unpleasant odors, sights, and sounds. Long periods of standing, walking, stooping, heavy lifting and bending are required. Risks exposure to disease, infection and physical strain, and assault. Risks exposure to blood, body fluids, tissue, radiation and anti-neoplastic agents. Must be able to lift 50 lbs. independently. May work all shifts, some weekends and overtime.
CONTACTS WITH OTHERS:
Patients, family members and significant others, physicians and Associates, other healthcare providers, community resource personnel, administrative staff, and hospital support services.
Requirements:Minimum 5 Years of Experience in Clinic Leadership Roles showing progressive growth
Shift: 1st Shift
Compensation: $77,792 - $103,917 annual salary based on years of experience.
1st Assistant Director Jobs by Experience Level
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Who's Hiring
What Employers Look For
The qualifications that appear most often in 1st assistant director jobs.
- Minimum five years of experience as a 2nd assistant director or higher on professional productions
- Demonstrated ability to build and manage shooting schedules using scheduling software such as Movie Magic Scheduling
- Strong knowledge of SAG-AFTRA, DGA, and union crew rules and turnaround requirements
- Experience coordinating large departments including cast, extras, stunts, and location logistics simultaneously
- DGA membership or active enrollment in the DGA qualification list preferred for guild productions
- Excellent written and verbal communication skills for interfacing with producers, directors, and department heads
Tips for Your 1st Assistant Director Job Search
Lead your resume with production scale
Hiring producers want to see budget tier and shoot days up front. List your largest projects first and include the production company name, episode count or runtime, and your direct supervisor so readers can calibrate your experience instantly.
Tailor your credits to the genre
A drama-heavy resume reads differently to a commercial production house. Pull the credits most relevant to each opening and lead with them. Mismatched credits buried at the bottom won't be found, and a one-size resume costs you callbacks.
Apply early to roles that fit
Migrate Mate lists 1st assistant director openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Highlight your DGA status or eligibility
Many studio and network productions require a DGA-signatory first AD. If you're a DGA member, say so clearly near the top of your resume. If you're on the qualification list, note your hours remaining so producers know exactly where you stand.
Prepare a breakdown sample before interviews
Some producers ask first ADs to walk through how they'd break down a script or build a shooting schedule in the room. Have a recent breakdown ready to describe step by step, including how you handled company moves, night work, and turnaround.
Follow up with a schedule or strip board
After an interview or offer conversation, sending a sample one-liner or department schedule demonstrates craft in a way a resume can't. Keep a clean, anonymized version ready to share as a leave-behind without exposing proprietary production data.
1st Assistant Director Jobs: Frequently Asked Questions
Which companies are hiring the most 1st assistant directors?
The most active employers for 1st assistant directors right now are North Shore Health, Crothall Healthcare, and Turbocam International, and the most openings are in Wisconsin, Kentucky, and Ohio, based on current listings on Migrate Mate as of November 2026. Volume shifts quickly as productions greenlight and wrap, so checking listings regularly is the most reliable way to stay current.
How many 1st assistant director jobs are remote?
About 0% of 1st assistant director openings are fully remote or hybrid as of November 2026, reflecting the hands-on, on-set nature of most productions. The sub-areas most likely to offer remote or prep-only flexibility include pre-production scheduling, commercial and branded content planning, and reality TV coordination roles that handle logistics before the shoot begins.
How do you become a 1st assistant director?
Most first ADs start as production assistants, move up to 2nd second AD, then 2nd AD, accumulating set hours and credits at each level before stepping up to first. Building your DGA qualifying hours, developing a reputation for calm under pressure, and working across multiple genres accelerates the path. Strong relationships with producers and directors who can advocate for you matter as much as the credits themselves.
Can you get hired as a 1st assistant director with little experience?
Breaking in directly at the first AD level with no prior AD credits is rare on union productions, but non-union commercials, music videos, short films, and micro-budget features do hire first-time first ADs. Demonstrating that you can build a schedule, run a set, and manage a crew is what matters. Pairing a solid 2nd AD credit with a strong recommendation from a director or producer carries more weight than a credential alone.
What does the 1st assistant director interview process look like?
Most interviews for first AD roles involve a conversation with the producer, director, or line producer about your scheduling approach, how you handle conflict between departments, and how you manage safety on set. You may be asked to describe a difficult production day and how you resolved it. Some productions follow up with a practical test, asking you to outline a schedule or solve a hypothetical logistics problem before making an offer.
Where can I find and apply to 1st assistant director jobs?
You can find and apply to 1st assistant director jobs on Migrate Mate, which lists current openings from across the United States. Search the roles that match your experience and location, then apply directly to each listing that fits. New productions post regularly, so returning to the listings as you advance your search gives you the best chance of catching roles as they open.
See All 15 1st Assistant Director Jobs
Find roles that match your experience and apply in just a few clicks.
Find 1st Assistant Director Jobs