The Senior Manager, Business Operations plays a critical role in building the operational infrastructure that enables Spiras Health to scale effectively. Reporting to the Head of Operations & Chief of Staff, this role is responsible for translating organizational priorities into scalable operational capabilities, strengthening healthcare entity governance, operational readiness, and cross-functional execution.
The Senior Manager independently manages assigned operational workstreams and business operations capabilities, including healthcare entity governance, operational readiness, compliance-related operational infrastructure, and designated operational programs. Working closely with the Head of Operations & Chief of Staff, the Vice President of Implementation & Process Improvement, and other functional leaders, this role drives execution of leadership priorities through disciplined project management, process documentation, operationalization, and cross-functional coordination.
While the role provides operational analysis, recommendations, and subject matter expertise to support leadership decision-making, responsibility for organizational strategy, prioritization, and major business decisions remains with executive leadership.
Unlike a traditional operations management role focused on a single department, this position operates across the organization to improve operational readiness, governance, and execution. The Senior Manager helps establish and maintain the systems, processes, controls, and operating practices needed to support scalable growth.
This is a hands-on role for a builder who enjoys solving complex operational challenges, creating order from ambiguity, and developing practical solutions that transform complex requirements into clear, repeatable processes. Success in this role requires a strong executor who can drive initiatives to completion, maintain organized documentation and operational artifacts, and help build the operational foundation that enables the organization to grow with confidence.
- Manage and standardize healthcare entity governance processes and operational readiness activities supporting multi-state provider operations, geographic expansion, and organizational growth, in coordination with Operations leadership, Legal, Compliance, HR, Finance, Clinical Operations, and external partners.
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Manage execution of the operational lifecycle of MSO and Professional Corporation (PC) entities, including research, planning, formation support, foreign qualifications, business licensing, state registrations, recurring maintenance, and terminations or withdrawals.
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Research, document, and manage execution of regulatory, operational, licensing, enrollment, and governance requirements associated with new-state expansion efforts. Develop readiness plans, coordinate stakeholders, track dependencies, maintain documentation, and drive activities through completion.
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Maintain centralized entity governance records, licensing documentation, operational inventories, renewal schedules, and governance calendars.
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Develop and maintain governance playbooks, SOPs, readiness tools, tracking systems, and supporting documentation that standardize operations and reduce reliance on institutional knowledge.
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Partner with Clinical Operations, HR, Finance, Compliance, Legal, and Implementation teams to coordinate entity, licensing, credentialing, enrollment, and operational readiness requirements.
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Identify operational gaps, dependencies, and risks and recommend practical, scalable solutions.
- Lead assigned operational initiatives and cross-functional workstreams, translating leadership priorities into actionable plans, ownership, timelines, and successful execution.
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Partner closely with the Vice President of Implementation & Process Improvement to support enterprise implementations, operational readiness activities, and transition of new capabilities into sustainable operations.
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Execute operational workstreams supporting new client launches, market expansions, organizational changes, and other strategic initiatives.
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Support transition of newly implemented programs and capabilities into ongoing operations by establishing documentation, operational procedures, tracking mechanisms, governance routines, and ownership structures.
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Monitor project and operational health, identify risks and dependencies, and recommend mitigation strategies.
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Support emerging operational priorities sponsored by Operations leadership as business needs evolve.
- Develop, document, standardize, maintain, and enhance operational workflows, SOPs, controls, reporting tools, and supporting documentation that strengthen consistency, visibility, efficiency, and scalability.
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Build and maintain operational dashboards, trackers, inventories, repositories, and governance calendars that support operational oversight and readiness.
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Manage entity credentialing and payer enrollment activities and coordinate provider credentialing, collaborative practice agreements, prescriptive authority requirements, and other provider readiness activities with HR, Clinical Operations, health plans, and third-party vendors.
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Coordinate operational activities supporting designated payer and revenue cycle workflows, including management of third-party billing partners, monitoring claim submission and reimbursement activity, tracking performance, supporting denial resolution, and helping develop scalable reimbursement processes as these capabilities evolve.
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Coordinate recurring operational compliance requirements by maintaining documentation, monitoring deadlines, tracking issues, and facilitating follow-through with Compliance and other responsible stakeholders.
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Identify opportunities to improve operational efficiency through automation, standardization, stronger controls, improved documentation, and operational discipline.
- Manage assigned operational vendors, third-party service providers, and strategic business relationships, including performance monitoring, issue resolution, and operational coordination.
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Coordinate operational interactions and submissions with registered agents, licensing bodies, health plans, credentialing organizations, and other third parties supporting governance, licensing, credentialing, enrollment, and related operational requirements.
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Support development and maintenance of vendor management processes, documentation, performance monitoring practices, and lifecycle tracking in partnership with Legal, Compliance, Finance, IT, and operational stakeholders.
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Develop and maintain documentation, controls, and operational processes supporting assigned programs.
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Recommend opportunities to improve service delivery, vendor performance, operational efficiency, and scalability.
- Support operational decision-making through analysis, research, reporting, and recommendations for Operations leadership and organizational stakeholders.
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Prepare analyses, reports, and supporting materials for executive leadership meetings, strategic planning sessions, Joint Operating Committees (JOCs), Board meetings, and other governance forums.
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Maintain action logs, governance calendars, decision trackers, and follow-up mechanisms for assigned initiatives.
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Facilitate follow-through on key decisions, risks, dependencies, and commitments by coordinating stakeholders and tracking progress through completion or escalation.
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Support annual operational planning activities, organizational readiness efforts, and executive priority initiatives.
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Collaborate across Clinical Operations, Finance, IT, HR, Compliance, Account Management, and other functions to ensure operational alignment and readiness.
The Senior Manager, Business Operations operates with significant autonomy within assigned programs and areas of responsibility while working under the strategic direction of the Head of Operations & Chief of Staff.
The Senior Manager is expected to independently manage day-to-day execution, coordinate stakeholders, manage assigned vendor relationships, maintain operational processes, and drive initiatives through completion. The role exercises judgment in managing operational activities, resolving routine issues, and maintaining progress against established priorities.
The position is responsible for identifying risks, gaps, dependencies, and opportunities for improvement; developing recommendations for leadership consideration; and executing approved approaches in coordination with relevant stakeholders.
The role is empowered to make routine operational decisions within established policies, procedures, and guidelines while escalating strategic, legal, regulatory, financial, clinical, and organizational matters requiring leadership review and decision-making.
Success in this role requires the ability to organize complex work, coordinate execution across multiple functions, and translate leadership direction into scalable, documented, and repeatable operational practices.
- Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Operations Management, or a related field; or an equivalent combination of education, training, and relevant healthcare operations experience.
- Minimum of seven (7) years of progressively responsible experience in healthcare operations, business operations, healthcare administration, program management, operational leadership, or closely related roles.
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Demonstrated success leading complex cross-functional initiatives within healthcare organizations.
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Experience developing scalable operational processes, governance structures, and organizational infrastructure.
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Strong project and program management capabilities with exceptional organizational skills.
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Excellent written and verbal communication skills, including experience working with executive leadership.
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Ability to influence without direct authority while managing multiple priorities in a fast-paced environment.
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Strong analytical, problem-solving, and continuous improvement mindset.
- Master's degree in Healthcare Administration (MHA), Business Administration (MBA), Public Health (MPH), Operations Management, or a related field.
- Ten (10) or more years of healthcare operations, healthcare administration, business operations, or operations leadership experience.
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Experience supporting multi-state healthcare operations or provider organizations.
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Deep understanding of MSO and Professional Corporation (PC) structure and governance.
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Experience with provider licensing, entity management, credentialing, operational compliance, payer enrollment, or healthcare governance.
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Familiarity with healthcare contracting, payer operations, provider enrollment, revenue cycle workflows, or implementation management.
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Experience developing executive reporting, operational dashboards, governance documentation, or operational tracking systems.
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Operations experience in home-based care or other value-based care delivery models.
- Highly structured and proactive operator who can drive clarity and follow-through in ambiguous environments.
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Comfortable working in a fast-moving, scaling organization where processes and operational infrastructure are still being developed.
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Strong bias toward action, accountability, organization, and continuous improvement.
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Collaborative approach with the ability to influence without formal authority and coordinate stakeholders across multiple functions.
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Builder mentality with a passion for creating repeatable processes, maintaining organized documentation, and transforming complex operational requirements into practical, scalable solutions.
EEOC STATEMENT:
All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
