Practice Manager

Medical Practice Manager

New Hampshire Seacoast | On-site

An Opportunity to Lead, Improve & Make an Impact

An established, independent medical practice in the New Hampshire Seacoast is seeking an experienced Medical Practice Manager to take ownership of the business and administrative operations of the practice.

This is an exciting opportunity for someone who wants more than a traditional office management role. The physician leadership team is looking for a proactive, solutions-oriented business partner who can evaluate how the practice operates today, identify opportunities for improvement, and help build stronger processes for the future.

You'll have the autonomy to bring forward ideas, improve workflows, strengthen financial and operational visibility, develop the team, and help leadership make better-informed business decisions.

If you've successfully managed a medical practice and enjoy being the person who can say, “Here's how we can make this work,” this could be an excellent next step.

What You'll Own:

Practice Operations & Continuous Improvement

• Take ownership of day-to-day business and administrative operations.
• Evaluate existing processes and identify opportunities to improve efficiency, communication, organization, and accountability.
• Recommend and implement new processes, systems, policies, and operational best practices.
• Establish meaningful KPIs and reporting to give leadership better visibility into practice performance.
• Serve as the go-to operational resource for physician leadership and staff.
• Manage facilities, equipment, vendors, technology needs, and office resources.

People Leadership & Culture

• Lead, support, and develop approximately 20+ non-physician employees, including administrative and clinical support teams.
• Partner closely with team leads across front-office and clinical support functions.
• Manage recruiting, hiring, onboarding, training, performance reviews, scheduling, coverage, and staff development.
• Create an environment where employees feel comfortable communicating concerns, asking questions, and bringing forward ideas.
• Conduct staff meetings and maintain consistent communication across the organization.
• Oversee payroll preparation and coordination with the practice's payroll provider.
• Maintain and improve job descriptions, personnel policies, and employee procedures.

Financial & Revenue Cycle Management

• Prepare and analyze P&L statements, budgets, and financial reports for physician leadership.
• Utilize QuickBooks for financial management and reporting.
• Oversee billing, collections, accounts receivable, accounts payable, and overall revenue cycle performance.
• Analyze the financial impact of staffing and other operational decisions.
• Review fees, reimbursement trends, and industry benchmarks.
• Negotiate with vendors to optimize pricing and service agreements.
• Maintain working knowledge of CPT and ICD-10 coding and their relationship to reimbursement.

Insurance & Payer Management

• Work directly with commercial insurance carriers and other healthcare payers.
• Review and negotiate payer contracts and reimbursement rates.
• Evaluate reimbursement performance and identify opportunities to improve revenue.
• Help ensure compliance with payer, credentialing, governmental, and applicable regulatory requirements.

Physician Partnership

• Act as a trusted business partner to physician leadership—not simply an administrator.
• Bring recommendations and solutions to leadership rather than waiting for direction.
• Provide regular reporting on financial performance, staffing, operational issues, and business priorities.
• Help translate practice needs into actionable business decisions.
• Lead projects and initiatives on behalf of the physician partners.
• Establish a consistent communication rhythm between leadership, staff, and the Practice Manager.

Technology & Systems

• Oversee the effective operation of the practice's EHR and practice management systems.
• Coordinate hardware, technology, and vendor support needs.
• Identify opportunities to use technology to streamline administrative and clinical workflows.
• Support reporting, data visibility, and operational decision-making through effective use of practice systems.

What We're Looking For

• Previous medical practice management, healthcare operations, or medical office leadership experience.
• Experience within an independent/private medical practice strongly preferred.
• Strong proficiency with QuickBooks.
• Demonstrated understanding of P&L statements, budgeting, accounts payable, and practice financials.
• Experience overseeing medical billing, collections, accounts receivable, and revenue cycle operations.
• Experience working with and ideally negotiating contracts and reimbursement rates with insurance carriers.
• Working knowledge of CPT and ICD-10 coding.
• Experience leading, hiring, developing, and retaining employees.
• Experience with EHR and medical practice management systems.
• Ability to establish KPIs, improve processes, and bring greater structure to an organization.
• Strong interpersonal and communication skills with the ability to build trust with both physicians and staff.
• A proactive, resourceful leadership style—you identify problems, bring forward solutions, and take ownership through implementation.

Why This Opportunity Stands Out

This practice has built a strong, close-knit culture where employees genuinely enjoy working together and maintain lasting relationships with the organization. Leadership values that environment and wants the next Practice Manager to make it even stronger.

The practice is also entering an important period of evolution. With a new generation of physician leadership emerging, there is a real appetite for fresh ideas, improved processes, stronger business practices, and positive change.

You won't be stepping into a highly corporate environment where every decision has already been made for you. You'll have the opportunity to influence how the practice operates, introduce new ideas, build structure, and work directly with the physicians making the decisions.

For an experienced Practice Manager who enjoys creating solutions and wants to see the direct impact of their work, this is an opportunity to make the role your own.

Location: New Hampshire Seacoast

Work Arrangement: On-site

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