LocumInterimHealthcare IT

Field Manual · v1

Working interim leadership searches

MOLE watches every major interim executive firm — B.E. Smith, WittKieffer, AMN Leadership Solutions, HealthTrust, and 6 more — and surfaces the searches active right now. This page explains the data, every filter, and how to run a week on the dashboard.

01 / Mission

What MOLE Interim is for

You're placing interim CFOs, CNOs, CMOs, and director-level healthcare leaders. The hardest part of the job is knowing which hospital is short a leader right now — vacancies are quiet, search firms compete behind the scenes, and the public signal arrives weeks after the decision to hire interim has already been made.

MOLE solves that by sweeping the public search-firm rosters continuously, normalizing role titles, and surfacing where the same opening appears across firms. A search posted by two of B.E. Smith, WittKieffer, and HealthTrust at the same hospital is probably real, funded, and still open.

The bet

Interim searches almost never appear on a single firm's roster. When you see two or three firms competing on the same CFO opening, the hospital hasn't committed and your outreach matters.

02 / Opportunities

What an interim opportunity actually is

An opportunity in the Interim Briefing Room represents one open executive seat at one organization, built from however many search-firm postings happen to be pointing at it.

The grouping key is:

opportunity = (facility, role, level, city, state)

Role is the canonical seat (CFO, CNO, CMO, VP Operations, COO, Director of Nursing, etc.). Level is executive / director / manager — three rough tiers we use so that "Director of Quality" and "Chief Quality Officer" don't collapse together. Setting (Hospital / Critical Access / SNF / Health System HQ) is derived from the matched facility and shown on the card.

The card shows how many search firms are running the seat. Two or more is meaningful — interim searches are rarely on multiple rosters by coincidence.

What an opportunity IS

  • One open executive seat at one organization
  • Which firms are running the search right now
  • A signal you can act on with a referral or pitch

What it is NOT

  • An RFP — these are public-listed searches
  • A guaranteed unfilled seat (verify with a call)
  • A roster of candidates — that's your side

03 / Confidence

How we score signal quality

Every opportunity gets a 0–100 confidence score. Interim uses the same engine as locum with one addition — a source-tier bonus that rewards postings from named search firms (B.E. Smith, WittKieffer, etc.) over generic job boards:

Agencies competingup to +35
Facility match qualityup to +25
Employer-direct posting+25
Source posts facility name+10
Seen in previous cycle+10
Posted in the last 3 days+10
Posted in the last 7 days+5
Stale postings (could be filled)−3 each, −10 cap

Source-tier bonus: up to +10 when the highest-tier source on the group is a Tier-1 named search firm. The signal log on each card shows it explicitly.

HIGH

70 – 100

Verified target. Facility identified, multiple agencies competing, recent posting, persisted across cycles. Call this first.

  • ›2+ agencies typically
  • ›Confident facility match
  • ›Posted in the last 7 days
  • ›Often perm signal present

MEDIUM

40 – 69

Real lead with some uncertainty. Worth a call after you've worked the High pile. Sometimes a sole-agency posting with a verified facility — still a target, just less competitive.

  • ›1 agency with facility match
  • ›Decent posting age
  • ›Persistence helps move it up
  • ›Stale flag drops it down

LOW

0 – 39

Unverified signal. Often a single posting we couldn't tie to a real hospital. Useful for exhaustive sweeps; skip in normal triage.

  • ›No facility match
  • ›Single source
  • ›Older posting
  • ›May contain noise

04 / Filters

Every filter, what it does, and when to reach for it

Interim filters are organized into the same five tile groups as the locum dashboard but with different axes — Role replaces Specialty, Level + Setting replace Provider Type + Telehealth, and the agency list is search-firm specific.

Geography & Role

Role

multi-include / exclude

Intent ·Focus on seats you place — CFO / CNO / CMO / COO / VP / Director-level. Include the roles you cover; exclude the rest for this view.

Mechanics ·Canonical role taxonomy — variants ('Chief Financial Officer', 'Interim CFO') are collapsed automatically so you don't have to chase titles.

States

multi-include / exclude

Intent ·Scope to your geography. Many interim reps run multi-state desks; set the territory once and leave it.

Mechanics ·2-letter state codes. Combine includes + excludes for fine-grained territory shapes.

Health System

multi-include / exclude

Intent ·Pitch the systems you have relationships at; hide the ones you can't sell into.

Mechanics ·Canonical health-system roster (HCA, Ascension, Trinity, Kaiser…) shared with the locum dashboard.

Independent

boolean

Intent ·Hide every opportunity at a facility owned by a larger health system so the feed surfaces independent / standalone hospitals only. Strong for reps focused on community hospitals.

Mechanics ·Backed by facilities.health_system_name IS NULL.

Seat Criteria

Level

multi

Intent ·Executive / Director / Manager. The three rough tiers used so that 'Director of Quality' and 'Chief Quality Officer' stay separate.

Mechanics ·Derived from the role taxonomy at scrape time. Picked into the group at matching.

Setting

multi

Intent ·Hospital / Critical Access / SNF / Health System HQ. Use to align with your placement niche — SNF interim execs are a different rolodex than acute hospital.

Mechanics ·Derived from the matched facility's facility_type + cms_dataset (so SNF rows are recognized as such).

Search Firms

Firms

multi-include / exclude

Intent ·See where named firms are running searches (B.E. Smith, WittKieffer, AMN Leadership, HealthTrust, etc.). Each firm's count is the distinct facilities they're actively engaged with.

Mechanics ·'agency_names overlaps any of these'. Excludes hide opportunities sourced from a firm entirely.

Targets & Accounts

Favorites

boolean · saved

Intent ·Scope to organizations you've starred. The fastest path back to your target list every morning.

Mechanics ·Per-user via facility_favorites. Star a facility from its detail page; it shows here.

Clients

boolean · saved · default ON

Intent ·Hide organizations you've already placed at so the feed stays competitive-intel only. Flip OFF when auditing a current client.

Mechanics ·Per-user via user_clients. Mark from a facility page.

Signal Quality

Confidence Tier

multi

Intent ·Restrict to HIGH / MEDIUM / LOW. Interim reps usually live in HIGH because interim searches show up on multiple rosters when they're real.

Mechanics ·Reads opportunity_groups.confidence_tier with the interim scoring weights (includes source-tier bonus).

Posting Age

single-select

Intent ·Filter by freshness. Interim searches have longer half-lives than locum (weeks not days), so 30-day windows are often the sweet spot.

Mechanics ·Reads the freshest posting in the group.

05 / Reading a Card

How to read an interim opportunity card

Card anatomy is similar to locum, with role-specific details:

  • Organization name · clickable. Opens the facility / system detail page (every active seat + every starred firm + a phone number when we have one).
  • Role + Level · primary axis. Watch for level escalation at the same org — often signals a broader leadership reshuffle.
  • Setting · derived from the matched facility. SNF / CAH / Health System HQ placement strategies differ.
  • Firm count · the core signal. 2+ named search firms on the same seat is the strongest indicator of a real, funded, open executive search.
  • Click to expand · see every individual firm posting with title, date, link out to the source. That's your audit trail and your call list.

06 / Saved Preferences

Saved preferences worth setting on day one

Favorites

Star every organization you have a candidate pipeline for or a warm relationship at. Favorites Only becomes your morning read.

Clients

Mark organizations you've placed at as Clients — they drop out of the feed so it stays competitive-only. Flip on to audit how often other firms are pitching your accounts.

07 / Daily Playbook

A weekly rhythm for using MOLE Interim

1

Monday: High Confidence sweep

Start the week on the High Confidence tile. These are searches with 2+ firms competing — the highest-probability targets. Build the week's outreach list from this set.
2

Run the Firms audit (1×/week)

Pick the one firm you compete against most (B.E. Smith, WittKieffer). See every search they're currently engaged on. Three patterns: orgs you don't have, repeat listings (search not closing), and overlap on your starred accounts.
3

Wednesday: New This Week sweep

Run New Today across the week. Anything that first appeared in the last 3–5 days is the freshest signal — your candidates might still be in play.
4

Friday: Favorites check + nurture

Toggle Favorites Only. Anything new at a starred org is a Monday-morning call. Anything dormant for >30 days at a starred org is a nurture touchpoint.
5

Mark and move on

Star new targets, mark won placements as Clients. The system gets faster the more you teach it your desk.

08 / FAQ

Common questions

Which firms do you track?

B.E. Smith, WittKieffer, AMN Leadership Solutions, HealthTrust Workforce Solutions, and 6 more specialty firms. The full list is visible in the Firms filter dropdown on the dashboard.

How fresh is the data?

Scrapers run nightly at 2 AM Eastern. The Last Sweep card on the Briefing Room shows when the most recent run completed.

Why don't I see retained searches at major firms?

Truly confidential retained searches aren't public, by design. MOLE works the public roster — which still captures the bulk of interim hospital leadership demand. If a firm publishes the seat, we see it.

Why does the same org appear twice?

Two different seats open at the same org — common in big health systems mid-restructure. Use the Role filter to narrow.

Can I share this guide with my team?

Send them moleagent.ai/guide/interim. It's public — no login required.

Next move

Open the Briefing Room and try a High Confidence sweep.

Have a question that isn't answered above? Email info@gogpc.com and we'll add it.

Enter the Briefing Room →