35+ Recommendations
Fill the Role That's Been Open for Months
— In Under 30 Days
That’s not optimism, that’s our track record: 100+ healthcare executive placements,
95% retention, first candidates in 48 hours.
- 100% free strategy session
- Fast response times
- 90-day placement guarantee
- No waiting. No delays. Start immediately.
Trusted by
You don't have a hiring problem.
You have a
search partner problem.
I'm Alex Rayfiel,
Founder and CEO of Firefly Recruiting.
I run a boutique healthcare executive search firm with one focus: placing exceptional Managers, Directors, VPs, and C-Suite leaders into acute care hospitals and health systems nationwide. Every search is run personally by me — 14 years recruiting healthcare, both agency-side and internal, so I understand this process from every angle. No handoffs. No “I’ll check with my team.
100+ placements. 95% retention. On every search, you get my full attention, my network, and the urgency your timeline actually deserves.
I live in San Diego with my wife and our three kids. I play chess reasonably well and golf terribly — but I love both.
I mention this because I think it matters. You should know who you’re trusting your search to. I started Firefly because I believed healthcare deserved a better kind of recruiting firm: personal, focused, and actually fast.
Now, let’s get started.
Who I work with
- 100% Healthcare Dedicated
Healthcare only.
Not Tech, not Aerospace, not “a-little-bit-of-everything.
CHROs, CNOs, CEOs, and senior hospital leaders who need critical roles filled fast and right.
Roles I’ve filled
- CNO
- COO
- CFO
- CHRO
- CMO
- VP of Patient Care Services
- VP of Operations
- Director of Critical Care
- Director of Surgical Services
- Director of Facilities
- Director of Finance
- HR Director
- Clinical & Non-Clinical Managers
Our Process
Game Plan
We begin by understanding the role, reviewing the job description, and discussing the type of candidate who will be most successful.
Identify, Vet & Submit
We identify qualified candidates, screen each one to ensure they’re the right fit, and submit only the best matches. Every candidate includes a resume and a brief summary for your review.
Interviews & Follow-Through
Once you've identified candidates you want to move forward with, we coordinate interviews end-to-end — scheduling, prepping candidates, and keeping momentum so nothing stalls. After each round, we follow up with candidates to gauge interest, surface any concerns early, and keep the process moving toward a close.
Offer, Negotiation & Onboarding
When you're ready to make an offer, we handle the negotiation — salary, benefits, start date, and any other terms — so the conversation stays smooth and the candidate stays warm. Once the offer is accepted, we stay in close contact with your new hire through their start date to ensure they're prepared, excited, and ready to make an impact from day one.
Here’s what they say
"Alex is a true professional. He is always positive, and actually listens to what we need... and then delivers! He thoroughly screens each candidate... He saves me time and stress, he focuses on quality, happy to have found him!"
Talent Acquisition, Northside Hospital
"I've had the pleasure of working with Alex on a couple of my most difficult roles at Seattle Children's. It's always a great experience. He does an amazing job really understanding your recruitment needs... most importantly, he delivers results!"
Sr. Recruiter, Seattle Children's
"I cannot thank Alex enough for helping me build a truly amazing team! His ability and commitment to finding the right people is unparalleled. If you have difficult roles to fill - look no further."
Sr. Director, Seattle Children's
"I've collaborated with Alex for years. He has assisted searches for all our hospitals' needs for hard to fill positions from Management to IT roles. His professional outlook towards building a working relationship, understanding staffing needs and the quality of individuals and skills helps tremendously."
Talent Acquisition, Adventist Health"
"Alex was one of the best recruiters I've ever had the pleasure of working with. He is forthright, communicative, and an amazing candidate advocate... deeply invested in my success."
Candidate Placed at Washington Hospital
"It's said that changing jobs is one of the most stressful activities... Working with Alex made the experience a breeze. He was always available to answer questions, and he really went above to keep me updated."
Candidate Placed at White Memorial
"I recently worked with Alex and he really impressed me. He listened to what it was that I wanted to do to advance my career and definitely delivered. Thanks to him, my career is headed in the right direction."
Candidate placed at Children's Hospital Los Angeles
"I have had the pleasure and honor to work with Alex and he is indeed the best recruiter I have ever worked with. One of Alex's key strengths was his ability and willingness to listen to my needs, my wants, and most importantly my concerns. His goal throughout the process was to understand if I was truly “the right fit” for the new company and vice versa. He's honest, professional and detail oriented and always exhibits the highest level of regard."
Candidate placed at Good Samaritan Hospital
"Alex was great to work with during my transition to Adventist Health. He understood my background, listened carefully to what I was looking for, and matched me with the right opportunity. He handled the process smoothly, kept me updated, and made everything very easy on my side. Alex is supportive, professional, and really knows how to work with both candidates and organizations. I'm happy to recommend him. "
CPHQ, PMP, CSSBB, Healthcare Performance Improvement Consultant
"Alex was a pleasure to work with. I appreciated his communication skills and making sure that he circled back to make sure everything was clear. While I wasn't actively looking for a job when he reached out, the process was so smooth and I truly feel like a great fit for my new role that I may not have landed if it weren't for Alex."
MHA, BSN, RN, Nurse Executive
"Alex was amazing, professional, and right on time in my career search. The process was seamless and I couldn't be more appreciative for the experience! "
CPC, CRCR, Radiation Oncology Revenue Manager, UCSF
"Alex is amazing! He is a great communicator and has all the patience in the world. Thank you Alex for your guidance, you have been a pleasure to work with. I hope to work with you again in the future. "
Associate Director, Imaging Healthcare Specialists
Done waiting. Ready to hire.
Confidential. Free. No commitment required.
