Graduating from the University of Arkansas at Fort Smith with an Associate Degree in Nursing, Brian began his career in critical care and trauma emergency centers. Moving with his family to Tahlequah in 1999, he began work in the Emergency Departments at Northeastern Health System (NHS) and W.W. Hastings Hospital. In September 2003, a joint effort by Cherokee Nation and NHS brought an air ambulance to Tahlequah and Brian was one of its first crewmembers, serving as flight crew through August 2017.

In September 2004, Hail began his career in healthcare administration when he became the Director of NHS’s newly renovated Emergency Department and led its advancement to a Level Three Trauma Facility. In response to the new role, Hail earned a Master of Business Administration from Northeastern State University.

In 2006, he assumed responsibility for Surgical Services which included ORs and cath lab. Accomplishments as Assistant VP of Emergency and Surgical Services included growth in surgical volume requiring the addition of two additional operating suites, and designation as a Primary Stroke Center.

In 2012, Brian served as the CEO for Cherokee Nation W.W. Hastings Hospital. During his tenure, WWH saw implementation of provider productivity measures with increased access to care, sustained improvements in patient satisfaction scores, designation as a Baby Friendly Hospital, ISO 9001 certification of its Quality Management System, and the award of a Joint Venture Construction Project from IHS to construct and operate a 469,000 square foot Outpatient Health Center on the Hastings Campus.

With the growth of Health Services, Brian transitioned into current role as Deputy Executive Director of External Operations for Cherokee Nation Health Services, a Tribal health system of integrated health centers, hospital, emergency medical services, and rehabilitation facilities.