Practice Operations Manager

Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.

Experienced and client-focused Practice Operations Manager to support several of our key clients. This individual will serve as the primary liaison and operational lead for assigned practices, managing a broad scope of responsibilities including physician administrative scheduling, financial reporting, bookkeeping, accounts payable, general ledger management, payroll, employee benefits, new hire onboarding, coordinating with key practice vendors including CPAs and attorneys on a wide variety of issues, and directly supporting customer physician leadership with business management needs

The ideal candidate is highly analytical, organized, and thrives in a client-facing role where communication and trust-building are essential. This role requires someone who can confidently manage financial details while also presenting insights and recommendations to clients in a clear, consultative manner. This is a hybrid work from home and on-site role requiring occasional travel between Assembly’s operations center in Ashland Virginia and customer offices in central and Northern VA, with a minimum of 1 day per week presence required in a customer healthcare facility in Fairfax, VA. The role will require occasional attendance, ~1/month, at virtual or on-site after business hours meetings.

What You Will Do

• Client Relationship Management




• Serve as the main point of contact for assigned clients, ensuring timely and proactive communication.


• Build strong, trusted relationships through consistent support and thoughtful problem-solving.


• Present financial reports and operational updates in a professional and client-friendly manner.


• Financial Oversight & Reporting




• Prepare and deliver accurate monthly financial statements.


• Invoicing and AR management for customer non-insurance contractual billing.


• Reconcile general ledger accounts and manage bookkeeping processes.


• Monitor financial performance and provide insights or recommendations to clients.


• Operational & Administrative Support




• Manage accounts payable processing, vendor setup, and expense reconciliation.


• Coordinate with CPA on annual business licensing and property tax filings,


• Coordinate with practice legal counsel on practice legal needs including employment agreements, shareholder documents, and ad hoc needs.


• Coordinate with insurance agencies on employee benefit plans, and corporate and professional liability policies


• Maintain record keeping for all corporate documents, vendors, employees, and contractual relationships.


• Ensure adherence to all required business compliance filings.


• Handle payroll processing and support clients with employee onboarding.


• Process Improvement & Collaboration




• Identify opportunities for operational improvements or automation within client practices.


• Partner with internal teams including RCM, HR support, and IT to streamline client operations and ensure customer satisfaction.


• Maintain detailed documentation and SOPs for each client to ensure continuity and consistency.

Qualifications and Skills:

• 3–5+ years of experience in practice management, healthcare operations, or financial support roles


• Experience in healthcare or supporting medical practices is required


• Excellent communication and presentation skills; able to simplify complex information for clients


• Highly organized and detail-oriented with strong analytical and problem-solving skills


• Proven ability to manage multiple clients and competing priorities


• Tech-savvy; proficiency with Excel, accounting software, and payroll systems (e.g., QuickBooks, Paychex)


• Strong understanding of bookkeeping principles and financial statements


• Familiarity with payroll systems and onboarding processes


• Ability to function well in a fast-paced and at times stressful environment.


• Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.

Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.