Regional practice manager - raleigh / cary, nc

We are Local Infusion.

Local Infusion is the fastest growing infusion provider in the United States, with a mission to transform the specialty infusion industry, because patients deserve better. By providing both exceptional, patient-centered care and the proprietary, AI-driven technology powering it, Local Infusion accelerates access, simplifies workflows, and improves outcomes for everyone in the infusion journey — from patients and clinicians to health plans, health systems, employers, and pharma.

Clinicians can spend less time on paperwork and more time with patients, bringing comfort, connection, and community back to healthcare. With Local Infusion, every patient and every care team is fully supported, every step of the way.

The Role - Regional Practice Manager, Raleigh / Cary, North Carolina.

At Local Infusion, our mission is to revolutionize the specialty infusion industry because patients deserve better. We are committed to delivering exceptional clinical care through operational excellence, innovative thinking, and an unwavering focus on the patient experience. As the Regional Practice Manager (RPM), you will report directly to the Vice President of Operations and serve as the operational leader for multiple infusion centers.

You will oversee all aspects of regional practice operations, including clinical operations, intake and patient access, reimbursement support, staffing, facility management, regulatory compliance, and referring provider relationships.

The RPM is responsible for driving operational performance while ensuring patients receive timely access to specialty therapies and an exceptional care experience. This position requires a confident, solutions-oriented leader who thrives in a fast-paced healthcare environment, exercises sound independent judgment, and effectively balances competing priorities with minimal supervision.

In addition to overseeing daily operations, the RPM serves as the regional subject matter expert for patient access and reimbursement. You will partner closely with Intake, Pharmacy, Nursing, Revenue Cycle, and Executive Leadership to navigate complex payer requirements, remove barriers to care, improve referral conversion, and ensure operational consistency across multiple practices.

Key Responsibilities

Operational Leadership

• Provide operational leadership for multiple infusion centers, ensuring consistent execution of organizational standards, regulatory compliance, and exceptional patient care.
• Lead, mentor, coach, and develop high-performing clinical, intake, and administrative teams while fostering a culture of accountability, collaboration, and continuous improvement.
• Independently assess operational challenges and make timely decisions that support patient care, compliance, employee engagement, and organizational objectives.
• Monitor regional performance metrics, identify operational trends, and implement strategies to improve efficiency, patient satisfaction, and financial performance.
• Ensure standard operating procedures are consistently followed while identifying opportunities for process improvement and operational scalability.
• Oversee facility readiness, vendor relationships, inventory coordination, staffing plans, and overall operational continuity across assigned practices.

Patient Access & Insurance Operations

• Serve as the regional operational expert for patient access, reimbursement, and healthcare insurance processes.
• Provide daily guidance and real-time support to Intake teams navigating complex payer requirements, prior authorizations, denials, appeals, medical necessity requirements, referral barriers, and specialty medication access.
• Analyze payer policies and independently develop operational strategies that improve patient access while maintaining compliance with payer and organizational requirements.
• Partner with Intake, Nursing, Pharmacy, and Revenue Cycle teams to proactively resolve reimbursement challenges and improve referral conversion.
• Monitor payer policy changes and communicate operational updates, workflow enhancements, and best practices to regional teams.
• Coach and educate team members on insurance processes, documentation requirements, reimbursement workflows, and payer-specific expectations to promote consistency and operational excellence.
• Escalate highly complex reimbursement issues appropriately while independently resolving routine and moderately complex insurance challenges.

Team & Business Management

• Manage staffing models and labor utilization to meet patient demand while maintaining productivity and financial performance.
• Address patient, provider, employee, and facility concerns promptly while maintaining a high standard of professionalism and service.
• Prioritize multiple operational initiatives simultaneously while maintaining accuracy, responsiveness, and attention to detail in a high-volume environment.
• Utilize multiple technology platforms, including EHR/EMR systems, payer portals, referral management software, scheduling platforms, CRM systems, Microsoft Office, and other healthcare applications to manage daily operations and resolve patient access challenges.
• Travel throughout the assigned region, including occasional short-notice travel, to provide onsite operational leadership, staffing support, training, and business continuity as organizational needs arise.

Qualifications & Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, Nursing, or a related field preferred.
• Three or more years of progressive leadership experience in healthcare operations, physician practice management, ambulatory care, specialty pharmacy, infusion services, or a related healthcare setting.
• Strong working knowledge of commercial insurance, Medicare, Medicaid, prior authorizations, reimbursement processes, referral management, specialty medication access, payer policies, and medical necessity documentation.
• Clinical background preferred.
• Demonstrated ability to independently analyze complex situations, make sound decisions, and drive operational outcomes with minimal supervision.
• Exceptional organizational, prioritization, and time management skills with the ability to successfully manage multiple competing priorities in a fast-paced healthcare environment.
• Proven ability to multitask across multiple practices, departments, technology platforms, and operational initiatives while maintaining attention to detail.
• Strong analytical, critical thinking, and problem-solving abilities.
• Excellent communication, leadership, coaching, and relationship-building skills.
• High level of initiative, accountability, professionalism, and adaptability.
• Advanced proficiency with electronic health records, payer portals, Microsoft Office Suite, scheduling software, CRM platforms, and other healthcare technology systems.
• Ability and willingness to travel throughout the assigned region, including overnight or short-notice travel, based on operational needs.

The Local Infusion Way

Local Infusion is a respectful, upbeat, and remote-first team united by our mission of shaping the way specialty infusion care is delivered. We are highly ambitious, but understand that in order to do a great job, we have to take care of ourselves; we expect that you will have time and energy devoted to your families, friends and hobbies.

As part of our team, full-time employees get:

• Potential for performance bonuses
• Medical, dental, and vision insurance through our employer plan
• Short and long-term disability coverage
• 401(k) — as an early stage startup, and we match!
• 15 Days PTO — and we want you to take it!
• Competitive paid parental leave and flexible return to work policy.
• We invest in your career. Our company is growing quickly, and we'll give you the opportunity to do the same. You'll have access to a number of professional development opportunities so that you can keep up with the company's evolving needs and grow your career along the way.

We don’t discriminate—Local Infusion is an Equal Employment Opportunity (EEO) Employer. We fundamentally believe that a more diverse and inclusive team leads to a stronger company more able to achieve our vision.

What It's Like to Work at Local Infusion