In 2004 Randi was relocated by Surgery Partners to oversee the construction and development of North Carolina Specialty’s new replacement hospital located in Durham, North Carolina. Since that time she has held the position of Chief Executive Officer with North Carolina Specialty Hospital. Her responsibilities include but are not limited to the overall performance of care delivery, quality, satisfaction, and fiscal well being of the hospital. Under her leadership the Hospital has been rated one of the best hospital in the country for patient satisfaction and quality. Randi currently serves on the Execute Board for Project Access of Durham County, a charitable organization focused on the delivery of specialty care to the uninsured.