Note: The job is a remote job and is open to candidates in USA. Spiras Health is a healthcare organization focused on building scalable operational infrastructure for its growth. The Manager, Business Operations will lead healthcare entity governance, operational readiness, compliance infrastructure, cross-functional initiatives, vendor coordination, and executive operations support. The role independently manages operational workstreams, develops repeatable processes and documentation, and translates leadership priorities into execution.
Responsibilities
- Manage and standardize healthcare entity governance processes and operational readiness and operating compliance 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
- 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
- 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
- Maintain centralized entity governance records, licensing documentation, operational inventories, renewal schedules, and governance calendars
- Develop and maintain governance playbooks, SOPs, readiness tools, tracking systems, and supporting documentation that standardize operations and reduce reliance on institutional knowledge
- Partner with Clinical Operations, HR, Finance, Compliance, Legal, and Implementation teams to coordinate entity, licensing, credentialing, enrollment, and operational readiness requirements
- 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
- 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
- Execute operational workstreams supporting new client launches, market expansions, organizational changes, and other strategic initiatives
- Support transition of newly implemented programs and capabilities into ongoing operations by establishing workflows, documentation, operational procedures, tracking mechanisms, governance routines, and ownership structures
- Monitor project and operational health, identify risks and dependencies, and recommend mitigation strategies
- 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
- Build and maintain operational dashboards, trackers, inventories, repositories, and governance calendars that support operational oversight and readiness
- 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
- 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
- Coordinate recurring operational compliance requirements by maintaining documentation, monitoring deadlines, tracking issues, and facilitating follow-through with Compliance and other responsible stakeholders
- Identify opportunities to improve operational efficiency through automation (including AI), 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
- Coordinate operational interactions and submissions with registered agents, licensing bodies, health plans, credentialing organizations, government agencies, and other third parties supporting governance, licensing, credentialing, enrollment, and related operational requirements
- 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
- Develop and maintain documentation, controls, and operational processes supporting assigned programs
- 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
- Prepare analyses, reports, and supporting materials for executive leadership meetings, strategic planning sessions, Joint Operating Committees (JOCs), Board meetings, and other governance forums
- Maintain action logs, governance calendars, decision trackers, and follow-up mechanisms for assigned initiatives
- Facilitate follow-through on key decisions, risks, dependencies, and commitments by coordinating stakeholders and tracking progress through completion or escalation
- Support annual operational planning activities, organizational readiness efforts, and executive priority initiatives
- Collaborate across Clinical Operations, Finance, IT, HR, Compliance, Account Management, and other functions to ensure operational alignment and readiness
Skills
- • 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
- • Demonstrated success leading complex cross-functional initiatives within healthcare organizations
- • Experience developing scalable operational processes, governance structures, and organizational infrastructure
- • Strong project and program management capabilities with exceptional organizational skills
- • Excellent written and verbal communication skills, including experience working with executive leadership
- • Ability to influence without direct authority while managing multiple priorities in a fast-paced environment
- • Strong analytical, problem-solving, and continuous improvement mindset
- • Highly structured and proactive operator who can drive clarity and follow-through in ambiguous environments
- • Comfortable working in a fast-moving, scaling organization where processes and operational infrastructure are still being developed
- • Strong bias toward action, accountability, organization, and continuous improvement
- • Collaborative approach with the ability to influence without formal authority and coordinate stakeholders across multiple functions
- • Builder mentality with a passion for creating repeatable processes, maintaining organized documentation, and transforming complex operational requirements into practical, scalable solutions
- • 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
- • Experience supporting multi-state healthcare operations or provider organizations
- • Deep understanding of MSO and Professional Corporation (PC) structure and governance
- • Experience with provider licensing, entity management, credentialing, operational compliance, payer enrollment, or healthcare governance
- • Familiarity with healthcare contracting, payer operations, provider enrollment, revenue cycle workflows, or implementation management
- • Experience developing executive reporting, operational dashboards, governance documentation, or operational tracking systems
- • Operations experience in home-based care or other value-based care delivery models
Benefits
- Remote work arrangement
Company Overview