Manager of Business Performance & Transformation

The Manager, Business Performance & Transformation reports to the Chief Operating Officer and is responsible for improving organizational performance through financial and operational analysis, data and technology, process improvement, and implementation of cross-functional initiatives. The position serves as a support arm for all functions of the organization.

This position works closely with Financial Planning & Analysis (FP&A), Revenue Cycle Management (RCM), Operations, Technology, People Operations, Clinical Operations, and other areas of Thomas Eye Group. The role is structured as a people-leader position. While it may not have direct reports initially, it is designed to lead, coach, and develop employees as analytical, reporting, and business performance resources are added to the team.

The Manager combines strong analytical and technical capabilities with a practical understanding of healthcare operations and revenue cycle workflows to investigate business challenges, identify root causes, recommend solutions, and lead implementation. The position requires an individual who can work independently, navigate ambiguity, and move effectively between data engineering, analysis, and hands-on operational problem solving.

Key Responsibilities

Business Performance & Financial Partnership

• Partner with FP&A, Finance, and operational leaders to deliver the data, models, and reporting that support budgeting, forecasting, business planning, and performance analysis.
• Serve as a support resource to all functional areas, including FP&A, RCM, Operations, Clinical, and People Operations, by prioritizing and delivering analytical and reporting needs.
• Analyze revenue, expenses, productivity, staffing, provider performance, service lines, locations, and other business drivers.
• Identify trends, variances, risks, and opportunities and provide actionable recommendations.
• Develop and maintain enterprise reporting, dashboards, and performance measures, including provider-facing and executive reporting.
• Support development of business cases and analysis of potential investments, initiatives, and growth opportunities.
• Connect financial results to operational and revenue cycle drivers, including collections, denials, AR, charge capture, and productivity.

Process Improvement

• Evaluate operational and administrative processes to identify inefficiencies, gaps, and opportunities for improvement.
• Investigate business issues to identify root causes and potential solutions.
• Develop improved workflows, tools, processes, and standards in partnership with functional leaders.
• Identify opportunities to automate, simplify, and standardize work.
• Lead assigned process-improvement initiatives through implementation.
• Measure outcomes and recommend adjustments when needed.

Data Engineering, Analytics & Reporting

• Develop, automate, and maintain data pipelines, extracts, and datasets that integrate practice management, clearinghouse, and other source system data into reliable reporting.
• Develop and enhance financial, revenue cycle, and operational reporting with a focus on automation and reduced manual data pulls.
• Work with leaders to identify meaningful performance measures and reporting needs, and establish consistent definitions and reporting standards.
• Analyze data from multiple sources to identify trends and performance opportunities.
• Translate complex data into understandable insights and recommendations.
• Support efforts to improve data consistency, accessibility, and reliability.

Technology & Business Solutions

• Partner with Technology and business leaders to identify technology-enabled solutions to operational challenges.
• Translate business needs into system, data, and reporting requirements, including data mapping, testing, and validation with vendors and internal teams.
• Participate in evaluation, testing, implementation, go-live support, and optimization of systems, vendor tools, and data migrations.
• Troubleshoot workflow and system issues that affect business operations.
• Identify opportunities to better utilize existing technology.

Operational Standards & Training

• Identify opportunities for clearer processes, standards, procedures, and operational training.
• Partner with operational leaders and subject matter experts to document best practices.
• Assist with development of tools, resources, and training to support consistent execution.
• Support rollout and adoption of new processes and standards.

Cross-Functional Projects

• Lead assigned cross-functional projects and improvement initiatives.
• Investigate complex business issues and develop recommendations for leadership.
• Coordinate stakeholders across functions to move initiatives forward.
• Develop project plans, establish milestones, identify barriers, and drive follow-through.
• Take ownership of implementation once direction and desired outcomes have been established.
• Manage reporting and analytics intake, prioritization, and roadmap discussions across functions.

Leadership Responsibilities

Lead, coach, and develop employees, including analysts and other business performance or reporting resources, as they are added to the team. The role may initially operate without direct reports, with scope intended to accommodate direct reports without redefining the position.

Establish work priorities and expectations, and ensure timely, high-quality completion of reporting, analysis, and project work, whether performed personally or through team members.

Build collaborative relationships across the COO's leadership team, FP&A, RCM, Operations, Technology, and other departments.

Lead project teams, train and mentor end users, and influence outcomes across functions without relying solely on formal authority.

Bachelor's degree in Finance, Accounting, Business, Healthcare Administration, Information Systems, Analytics, Industrial Engineering, or a related field; equivalent combination of education and relevant experience may be considered.

Progressive experience in healthcare operations, revenue cycle, finance/FP&A, analytics, technology, process improvement, or a combination of these areas.

Experience leading, training, or coaching employees, projects, or significant cross-functional initiatives; readiness to manage direct reports as the team grows.

Multi-site healthcare experience strongly preferred.

Strong analytical and financial skills, including advanced SQL and experience with data pipeline/ETL development and BI tools such as Power BI.

Demonstrated ability to investigate problems, identify root causes, and develop practical solutions.

Strong technology aptitude and ability to understand the relationship between systems, data, and business processes, including experience with vendor implementations and practice management/EHR systems.

Demonstrated ability to independently manage projects and implement solutions.

Strong communication, collaboration, judgment, and business acumen.

Key Competencies

Analytical Problem Solving: Uses data and critical thinking to understand problems and identify practical solutions.

Business Acumen: Understands the relationship between financial performance and operational activity.

Process Improvement: Identifies opportunities to simplify, standardize, and improve how work gets done.

Technology Fluency: Effectively uses and evaluates technology and data to support business needs.

Execution & Ownership: Takes responsibility for assigned initiatives and drives them through completion.

Collaboration & Influence: Works effectively across departments and builds support for change.

Adaptability: Is comfortable working through unfamiliar, ambiguous, or evolving business challenges.

Leadership & Coaching: Coaches and develops others, sets clear expectations, and builds team capability as the function grows.

Measures of Success

Success in this role will be demonstrated through high-quality analytics and reporting, improved visibility into business performance, effective support of FP&A, RCM, Operations, and other functions, successful completion of cross-functional initiatives, measurable process improvements and reductions in manual work, effective use of technology and data to support decision-making, and the development of team members as the team grows.