Senior Practice Manager

Job Title: Senior Practice Manager
Department: Operations
Reports To: State Director
FLSA Status: Exempt Manager, Full-Time Salaried (min 40hrs per week)

Position Summary

The Senior Practice Manager serves as the operational leader for either one large, multi-specialty practice or multiple standard-sized practices. In this elevated leadership role, you will oversee more complex operations, ensuring exceptional patient care, strong financial performance, and the development of high-performing, engaged teams across your locations.

This role requires working closely with providers, practice teams, and regional leadership to drive operational excellence, patient satisfaction, and sustainable growth. Success is rooted in patient-centered and people-centered leadership by building strong relationships, showing initiative, actively listening, and problem-solving to create a remarkable experience of care for both patients and team members.

Key Responsibilities

Multi-Site Leadership & Team Management

• Lead, coach, and develop teams across assigned practices to foster collaborative, high-performing environments.

• Mentor Practice Managers and Associate Practice Managers to strengthen leadership capabilities and operational independence.

• Foster strong team communication, ensuring staff remain up to date on company communications while championing change and new initiatives.

• Manage onboarding, training, development, and offboarding for all team members.

• Conduct 30/60/90-day and annual reviews, hygiene check-ins, coaching conversations, and address performance concerns through corrective action and conflict resolution.

• Lead recruitment efforts by interviewing candidates, making hiring decisions, and determining when new or replacement positions are needed.

• Ensure appropriate staffing coverage and collaborate on solutions when expected or unexpected gaps occur.

Operational & Financial Management

• Own and manage the P&L for assigned practices; achieve revenue, expense, and profitability targets.

• Review performance data and implement actionable strategies to improve production, collections, and patient flow.

• Complete payroll and HRIS functions directly, including timecard approvals, scheduling, and time off requests; serve as the first point of contact for employee questions and troubleshooting.

• Ensure compliance with regulatory, safety, and operational standards.

Operational Excellence & Performance Monitoring

• Oversee daily operations at multiple locations, ensuring appointment flow, patient access, and efficient workflows.

• Partner with billing and insurance teams to ensure accurate claims processing and collections.

• Monitor KPIs and financial reports; lead corrective action plans when necessary.

• Manage vendor relationships and integrate outsourced services to support seamless operations.

Clinical Collaboration

• Partner closely with providers to support clinical excellence while respecting clinical autonomy.

• Support doctor communication by assisting with clinical operations and troubleshooting operational questions and concerns.

• Support provider onboarding, engagement, and retention initiatives to maintain stable, high-quality clinical teams.

Patient Experience & Quality of Care

• Champion a patient-first culture across all assigned practices.

• Ensure clear communication with patients regarding treatment plans, payment options, and follow-up care.

• Foster trust with patients and team members through empathy, active listening, and solution-focused problem-solving.

• Review and act on patient feedback to drive service improvements and strengthen loyalty.

Growth & Strategic Development

• Collaborate with regional leadership to develop and execute growth strategies for assigned practices.

• Support integration of new practices or services into the portfolio.

• Identify opportunities to expand patient access, enhance services, and increase revenue.

Cross-Functional Collaboration

• Serve as the liaison between practices and our Shared Services teams (HR, Finance, Marketing, Revenue Cycle, etc.).

• Collaborate with Practice Manager peers to innovate, problem-solve, and share best practices. Drive change that prioritizes both patient and employee experience before escalating issues to regional leadership.

• Participate in meetings, CE courses, and other Plum events as assigned; promote CE opportunities to team members.

• Perform additional responsibilities as needed to support practice operations and team development.

Qualifications

• 5+ years of progressive leadership experience in healthcare, dental, or multi-site operations.

• Proven ability to manage multiple locations or large, high-volume practices.

• Prior experience managing a P&L and driving financial performance.

• Strong leadership, coaching, and people development skills.

• Excellent communication, organizational, and problem-solving abilities.

• Experience in patient service or customer-facing healthcare environments preferred.

• Bachelor’s degree required; advanced degree (MBA, MHA) a plus.

• Willingness to travel between locations and for events.

Physical Requirements

• Ability to sit, stand, and walk for extended periods.

• Manual dexterity for computer and phone use.

• Occasional lifting of up to 20 lbs. (supplies, files, etc.).

Compensation & Benefits

• Competitive salary with annual performance bonus.

• Comprehensive health, dental, vision, and retirement benefits.

• Career growth opportunities in a fast-growing DPO.

Career Path at Plum Dental

At Plum Dental, we are committed to developing our leaders and providing clear opportunities for advancement. The Practice Manager role is a step in a defined career path for high-performing, team-oriented operational leaders.

• Practice Manager
  Lead a single practice with 4–8 operatories, managing daily operations, financial performance, and team development in partnership with clinical providers.

• Senior Practice Manager
  Advance to oversee two standard practices or one large, multi-specialty location. Senior Practice Managers also mentor and support other Practice Managers, lead more complex operations, and play a key role in multi-site performance and culture.

• Regional Leadership
  Progress into regional leadership, with responsibility for a portfolio of practices. Regional leaders drive market-level strategy, provider engagement, operational excellence, and team development across multiple locations.

At every stage, you will have access to mentorship, leadership development programs, and opportunities to make a lasting impact on Plum’s growth and success.