Executive-level transitions are high-stakes by nature. But lately, we’ve seen a concerning trend: leaders resigning without a clear plan for what comes next. Some relocate for personal reasons, buy homes in new markets, or simply “take a break”—only to find the next role is harder to secure than anticipated. In today’s competitive healthcare leadership market, that’s not just risky—it’s reckless.
Making a move without understanding the realities of the market is like jumping out of a plane without a parachute—or knowing where you’re going to land. You might survive the fall, but the landing will hurt. And recovery could take longer than you think.
The New Reality: Executive Roles Are Scarce and Competitive
Gone are the days when an accomplished healthcare executive could leave a role on Friday and have three offers by Monday. Hospital systems are increasingly scrutinizing leadership hires, extending search timelines, and looking for exact matches in experience, cultural fit, and performance metrics.
Even if you have a stellar track record, here’s what you’re up against:
- Fewer Openings: C-suite and VP-level roles don’t open often—and when they do, they’re frequently filled internally or through targeted searches.
- Increased Competition: Layoffs, consolidations, and retirements have flooded the market with experienced leadership talent.
- Longer Search Timelines: A search for an executive role may take 6–12 months or longer, depending on specialty, geography, and fit.
- Geographic Limitations: Restricting your search to a specific city or region significantly narrows your opportunities—and may mean accepting a role that’s less challenging, less well-resourced, or poorly aligned with your long-term goals.
Relocation Realities: A Cautionary Tale
We’ve seen executives make significant life changes—like moving across the country or buying a home in a new market—before securing their next role. While understandable on a personal level, these decisions often backfire professionally.
Once anchored in a new geography, these candidates:
- Struggle to find a suitable opportunity nearby
- End up underemployed, taking a lateral or even downgraded role just to get back into leadership
- Compromise on culture or alignment, which can lead to short tenures and damaged reputations
These executives didn’t fail because they weren’t capable. They failed because they jumped without a plan—and the industry isn’t designed to catch you on the way down.
What To Do Instead: Plan Your Leap with Precision
Clarify Your Non-Negotiables
Understand what matters most before you leave:
- Geography?
- Title?
- Scope of responsibility?
- Type of health system?
You’ll rarely get everything—but you need to know what you’re willing to trade.
Research the Market First
Before you make a move, talk to industry insiders. Health Career Talent can provide insights on:
- What types of roles are opening in your field
- Typical compensation ranges
- Realistic search timelines based on your background and desired location
Build a Timeline (and a Runway)
Executive searches take time. Whenever possible, stay in your current role until you’ve secured your next opportunity. Leaving without a plan can be detrimental to your perceived value, weaken your negotiating power, and significantly lengthen your job search. If you must leave without something lined up, be sure to:
- Have at least 6–9 months of financial runway
- Be well into the networking and outreach process
- Be emotionally and professionally prepared for a slower, more competitive market
The best-case scenario? Start preparing while you’re still employed. That way, you’re not leaping blind—you’re making a calculated move with a clear landing zone in sight.
Engage with an Executive Search Partner
A reputable search firm can help you:
- Understand how your experience aligns with current market demand
- Position yourself for the right roles
- Avoid missteps that could cost you months—or career momentum
Conclusion: You Can’t Steer from Free Fall
Even the best leaders need a plan. Leaving a role without knowing your next step may feel liberating in the moment, but it rarely leads to growth. In fact, it often leads to regret.
At Health Career Talent, we’ve helped hundreds of healthcare executives make smart, well-timed transitions that support both personal and professional goals. The key isn’t just jumping—it’s knowing how, when, and where to land.
Ready to map out your next move before you leap? Let’s talk.