Carilion Clinic Executive and Leadership Team

August, 2026

Leadership Overview

Carilion Clinic has 10 executives leading key functions including strategy, clinical operations, financial management, administrative oversight, human resources, and information technology.

Committed to advancing regional health outcomes, Carilion Clinic delivers comprehensive medical services through an integrated care model that prioritizes patient wellness and community-focused innovation across Virginia.

Leadership Roles at Carilion Clinic

  • Chief Executive Officer - Edward Murphy
  • President & Chief Executive Officer - Steven Arner
  • Chief Financial Officer - Shelby Nunn
  • Chief of Staff - Christopher Turnbull
  • Senior Vice President and Chief Human Resources Officer - Paul Hudgins
  • Vice President, Associate Chief Information Officer - Barbara Schleider
  • Vice President and Associate Chief Information Officer - Karyn Keay-Otte
  • Chief of Staff & Senior Director, Administration - James Keith
  • Chief Information Officer & Vice President - Kay Hix
  • Chief Medical Officer - Shyam Md
  • Edward Murphy - Chief Executive Officer

    Edward Murphy, the Chief Executive Officer at Carilion Clinic, directs the overarching strategic vision for this non-profit integrated health care organization. Murphy architects long-term growth initiatives while ensuring alignment between clinical excellence and operational efficiency across the Roanoke region. By fostering partnerships with academic institutions and regional health stakeholders, the Chief Executive Officer expands the reach of specialized medical services. This leadership role involves constant evaluation of market trends to maintain high standards of patient care. Edward Murphy drives the organizational culture toward innovation and sustainable health delivery models. Through rigorous oversight of system-wide performance metrics, the Chief Executive Officer secures the financial and operational health of the entire network. Murphy maintains a focus on improving community health outcomes by integrating advanced medical technologies into daily practice, ensuring that the organization remains a leader in the competitive landscape of modern healthcare delivery.

    Steven Arner - President & Chief Executive Officer

    Steven Arner, the President & Chief Executive Officer at Carilion Clinic, manages the daily execution of complex health system operations. Arner coordinates cross-departmental efforts to streamline patient care pathways and optimize resource allocation throughout the Virginia network. As the President & Chief Executive Officer, Arner implements strategic policies that enhance service delivery and operational agility. This role requires constant collaboration with clinical leadership to ensure that medical protocols meet evolving industry standards. Steven Arner drives initiatives that improve patient satisfaction and operational throughput, directly impacting the efficiency of the integrated care model. By monitoring key performance indicators, Arner identifies opportunities for process improvement and infrastructure investment. The President & Chief Executive Officer maintains a focus on scaling administrative capabilities to support the growing demand for specialized medical services, ensuring that the organization provides high-quality care while maintaining fiscal responsibility across all regional facilities.

    Shelby Nunn - Chief Financial Officer

    Shelby Nunn, the Chief Financial Officer at Carilion Clinic, oversees the fiscal health and long-term economic strategy of this integrated health care organization. Nunn manages capital allocation, revenue cycle optimization, and budgetary planning to support the expansion of medical services across Virginia. As the Chief Financial Officer, Nunn evaluates investment opportunities in medical technology and facility infrastructure to ensure sustainable growth. This leadership role involves rigorous financial modeling and risk assessment to navigate the complexities of the healthcare market. Shelby Nunn drives transparency in financial reporting, providing the board with actionable insights for strategic decision-making. By implementing cost-saving measures and revenue-enhancing strategies, the Chief Financial Officer strengthens the organization's ability to invest in patient care initiatives. Nunn maintains a focus on fiscal discipline, ensuring that all operational departments align with the broader financial goals of the clinic while maintaining high standards of service delivery.

    Christopher Turnbull - Chief of Staff

    Christopher Turnbull, the Chief of Staff at Carilion Clinic, facilitates communication and strategic alignment between executive leadership and clinical departments. Turnbull manages the flow of information to ensure that organizational priorities receive appropriate attention and resources. As the Chief of Staff, Turnbull coordinates high-level projects that span multiple medical disciplines, ensuring that operational goals remain consistent with the mission of the clinic. This role involves managing complex schedules and stakeholder relationships to maintain organizational momentum. Christopher Turnbull drives the implementation of strategic initiatives by bridging gaps between administrative functions and frontline medical teams. By fostering a collaborative environment, the Chief of Staff ensures that leadership decisions translate into effective clinical outcomes. Turnbull maintains a focus on operational excellence, providing the necessary support to executive leaders to navigate the challenges of the healthcare industry while ensuring that all internal processes support the delivery of high-quality patient care.

    Paul Hudgins - Senior Vice President and Chief Human Resources Officer

    Paul Hudgins, the Senior Vice President and Chief Human Resources Officer at Carilion Clinic, directs the talent acquisition, workforce development, and organizational culture strategies for the entire health system. Hudgins architects programs that attract and retain top-tier medical professionals, ensuring that the organization maintains a high standard of clinical expertise. As the Senior Vice President and Chief Human Resources Officer, Hudgins oversees employee engagement initiatives and leadership development pipelines to support long-term growth. This role involves managing complex labor relations and ensuring compliance with healthcare employment regulations. Paul Hudgins drives the implementation of performance management systems that align individual contributions with the broader mission of the clinic. By fostering an inclusive and supportive work environment, the Senior Vice President and Chief Human Resources Officer enhances staff productivity and patient care quality. Hudgins maintains a focus on workforce planning, ensuring that the organization possesses the human capital necessary to meet the evolving healthcare needs of the Virginia community.

    Barbara Schleider - Vice President, Associate Chief Information Officer

    Barbara Schleider, the Vice President, Associate Chief Information Officer at Carilion Clinic, manages the implementation of digital health solutions and clinical data systems. Schleider focuses on the integration of electronic health records and patient management software to improve the efficiency of medical workflows. As the Vice President, Associate Chief Information Officer, Schleider oversees the deployment of advanced diagnostic tools and telehealth platforms that expand access to care across the region. This role involves collaborating with clinical teams to ensure that technology supports, rather than hinders, the delivery of patient services. Barbara Schleider drives the modernization of IT infrastructure, ensuring that data security and system reliability remain top priorities. By optimizing digital interfaces, the Vice President, Associate Chief Information Officer enhances the user experience for both medical staff and patients. Schleider maintains a focus on technological innovation, ensuring that the organization leverages data analytics to improve clinical outcomes and operational performance.

    Karyn Keay-Otte - Vice President and Associate Chief Information Officer

    Karyn Keay-Otte, the Vice President and Associate Chief Information Officer at Carilion Clinic, directs the strategic development of enterprise-wide information systems and cybersecurity frameworks. Keay-Otte architects robust digital architectures that protect sensitive patient information while enabling seamless data sharing between clinical departments. As the Vice President and Associate Chief Information Officer, Keay-Otte manages the lifecycle of critical software applications and hardware infrastructure. This role involves evaluating emerging technologies to determine their potential for enhancing diagnostic accuracy and patient engagement. Karyn Keay-Otte drives the adoption of cloud-based solutions that improve the scalability of the organization's digital footprint. By ensuring that IT systems remain resilient against cyber threats, the Vice President and Associate Chief Information Officer safeguards the integrity of the clinic's operations. Keay-Otte maintains a focus on digital transformation, ensuring that the organization remains at the forefront of health information technology to support superior patient care delivery.

    James Keith - Chief of Staff & Senior Director, Administration

    James Keith, the Chief of Staff & Senior Director, Administration at Carilion Clinic, oversees the operational logistics and administrative functions that support the clinic's daily activities. Keith manages facility operations, supply chain coordination, and administrative support services to ensure that clinical teams have the resources required for patient care. As the Chief of Staff & Senior Director, Administration, Keith implements policies that streamline internal processes and reduce administrative burdens on medical staff. This role involves coordinating with department heads to ensure that operational goals align with the broader strategic objectives of the organization. James Keith drives the optimization of administrative workflows, improving the overall efficiency of the health system. By managing complex logistical challenges, the Chief of Staff & Senior Director, Administration ensures that the organization maintains high standards of service delivery. Keith maintains a focus on operational stability, providing the necessary administrative foundation for the clinic to thrive in a competitive healthcare environment.

    Kay Hix - Chief Information Officer & Vice President

    Kay Hix, the Chief Information Officer & Vice President at Carilion Clinic, leads the overarching digital strategy and information technology roadmap for the entire health system. Hix architects the vision for how technology can transform patient care, research, and administrative efficiency. As the Chief Information Officer & Vice President, Hix oversees the integration of artificial intelligence and advanced analytics into clinical decision-making processes. This role involves managing large-scale IT budgets and leading cross-functional teams to deliver innovative digital solutions. Kay Hix drives the organization's commitment to digital health, ensuring that all technological investments support the mission of providing high-quality, accessible care. By fostering partnerships with technology vendors and academic researchers, the Chief Information Officer & Vice President keeps the organization at the cutting edge of medical innovation. Hix maintains a focus on long-term digital sustainability, ensuring that the clinic's IT infrastructure remains agile and capable of supporting future growth and technological advancements.

    Shyam Md - Chief Medical Officer

    Shyam Md, the Chief Medical Officer at Carilion Clinic, directs the clinical quality, patient safety, and medical staff governance for the organization. Md architects evidence-based clinical protocols that ensure consistent, high-quality care across all medical specialties. As the Chief Medical Officer, Md oversees the credentialing and performance evaluation of physicians, fostering a culture of continuous improvement and professional excellence. This role involves collaborating with executive leadership to align clinical practices with the organization's strategic goals. Shyam Md drives initiatives that reduce medical errors and improve patient outcomes through rigorous quality assurance programs. By monitoring clinical performance metrics, the Chief Medical Officer identifies areas for improvement and implements training programs to enhance medical staff capabilities. Md maintains a focus on patient-centered care, ensuring that all clinical decisions prioritize the health and well-being of the community while adhering to the highest standards of medical ethics and safety.
    Shyam Md

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    Frequently Asked Questions Regarding Carilion Clinic Top Executives and Leadership Team

    Who leads Carilion Clinic?
    Carilion Clinic is led by Edward Murphy (Chief Executive Officer), along with executives such as Steven Arner (President & Chief Executive Officer) and Shelby Nunn (Chief Financial Officer).
    Who is part of Carilion Clinic’s executive team?
    The executive team of Carilion Clinic includes leaders such as Edward Murphy (Chief Executive Officer), Steven Arner (President & Chief Executive Officer), Shelby Nunn (Chief Financial Officer) and other senior executives.
    How many executives does Carilion Clinic have?
    Carilion Clinic has 10 executives leading key business areas.
    What roles are included in Carilion Clinic’s leadership team?
    The leadership team of Carilion Clinic includes roles such as Chief Executive Officer, President & Chief Executive Officer, Chief Financial Officer, Chief of Staff, Senior Vice President and Chief Human Resources Officer.