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Sr. Practice Manager

United States of America, Rochester 28.50 - 37.06 USD / Hour · Job Posted February 21, 2026
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Job Description

Sr. Practice Manager is responsible for the day-to-day management and strategic oversight of a high-volume Neurosurgery & Neuromedicine Pain ambulatory practice comprising 30+ exam rooms and procedural space. Working in close partnership with departmental and senior leadership, this role is accountable for driving operational efficiency, monitoring and improving key ambulatory performance metrics, ensuring high-quality care delivery, enhancing the patient experience, and supporting strong financial performance. The Manager leads a diverse, professional team of non-clinical staff using the ICARE framework (Integrity, Compassion, Accountability, Respect, Excellence), fostering a culture of collaboration, inclusion, and continuous improvement. Responsibilities include performance management, staff development, and workforce planning to ensure optimal staffing and service levels. In addition, the Sr. Practice Manager oversees the clinical facility’s operations, ensuring compliance with all regulatory requirements, safety standards, and organizational policies. This includes coordination with clinical leadership to maintain a safe, efficient, and patient-centered environment.

Job Responsibility

  • Responsible for the day-to-day management and strategic oversight of a high-volume Neurosurgery & Neuromedicine Pain ambulatory practice comprising 30+ exam rooms and procedural space
  • Accountable for driving operational efficiency, monitoring and improving key ambulatory performance metrics, ensuring high-quality care delivery, enhancing the patient experience, and supporting strong financial performance
  • Leads a diverse, professional team of non-clinical staff using the ICARE framework (Integrity, Compassion, Accountability, Respect, Excellence), fostering a culture of collaboration, inclusion, and continuous improvement
  • Oversees the clinical facility’s operations, ensuring compliance with all regulatory requirements, safety standards, and organizational policies
  • Manage operations for a 30+ Neurosurgical/multispecialty clinic
  • Ensures adherence to proper patient registration and insurance pre-verification processes
  • Responsible for the management of Neuromedicine Pain Program, including direct supervision of the Pain Management staff
  • Prepares and maintains weekly staffing schedules
  • Collaborates with providers to develop and maintain scheduling templates
  • Manage and monitor volume of patients in clinic and assign providers exam and dictation space
  • Responsible for identifying and executing process improvements
  • Develops and implements all policies, procedures, and objectives related to quality improvement, patient safety, signage requirements, environmental and infection control, accreditation standards, and financial performance
  • Establishes and tracks performance improvement goals for Neurosurgery
  • Responsible for maintaining high levels of quality service, environment and compliance with local, state and federal regulation and standards
  • Oversee completion and submission of quality reports
  • In collaboration with practice providers(s), oversee clinical compliance for quality assurance, documentation, and reporting
  • Ensure compliance with standard, HIPAA, OSHA and JCAHO policies
  • Develop and train /practice for emergency and disaster planning protocols
  • Understands and enforces patient rights and organizational ethics philosophies
  • Responsible for staff management of a large clinic consisting of 30+ exam rooms, including recruitment, hiring, onboarding, orientation, training, development, and performance evaluation of non-clinical staff
  • Collaborates with the Nurse Manager to provide oversight and support for ambulatory clinical staff
  • Ensures completion and documentation of all new hire onboarding and annual mandatory training requirements
  • Conducts timely and comprehensive end-of-probation and annual performance appraisals
  • Manages and approves staff requests for time off, overtime, and other scheduling needs
  • Actively monitors employee engagement and serves as a change management leader
  • Leads performance management processes, including coaching, progressive discipline, and corrective action
  • Monitor charge reconciliation process, including the production of weekly reports
  • Assists in preparing annual and capital budgets
  • Responsible for control and accuracy of petty cash, cash reconciliation, and balancing of daily deposits
  • Develop cost reduction and expense management initiatives in collaboration with site medical director
  • Process pharmaceutical, supply and other types of orders timely and accurately from approved vendor lists
  • Maintain provider schedules to ensure adequate visit volumes for patient access and financial performance
  • Oversee the bi-annual inventory process
  • Access and interpret Press Ganey patient satisfaction survey data and regularly share results with providers and staff
  • Serve as a patient relations advocate by demonstrating skills in resolving difficult patient complaints and concerns
  • Attend monthly meetings per department requirements
  • Act as liaison with property managers to manage and address issues with property/facility
  • Prepare Ambulatory Metric reports to review with Department Leadership
  • May serve as eRecord superuser
  • May participate on ambulatory committees to review best practices

Requirements

  • Associate's degree preferably with coursework in business administration or health care administration and 3 years administrative experience required and 2 years management experience in healthcare required
  • Electronic Medical Record (EMR) skills with expert proficiency in all aspects, including Master Scheduling and Billing knowledge
  • Advanced knowledge of medical practices, terminology, and reimbursement policies
  • Intermediate Microsoft Outlook email skills (open new, to, cc, send)
  • Intermediate electronic filing skills (name a file, save file, save as)
  • Advanced typing skills
  • Advanced proficiency with Microsoft Word and Excel
  • Travel to office sites

Nice to have

  • Bachelor's degree preferred
  • Excellent interpersonal, communication (written and verbal) and organizational skills
  • Must be able to effectively deal with difficult situations in a poised and highly professional demeanor
  • Strong knowledge of professional fee billing rules and regulations
  • Strong analytical ability and attention to detail
  • Notary License within 1 year preferred

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