Director, Infusion Business Operations

Adventist Health
  • Roseville, CA
    30+ days ago

    Job Description

    Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

    Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

    Job Summary:

    Leads the coordination of strategic, financial, and operational performance of the health system's infusion services across all sites of care. Provides end-to-end business leadership for infusion therapy, including hospital outpatient departments, freestanding infusion centers, physician-based clinics, and alternative sites of care. Serves as the primary coordinator for infusion financial performance, growth strategy, and regulatory compliance, partnering closely with pharmacy, nursing, finance, revenue cycle, contracting, compliance, and clinical leadership.

    Job Requirements:

    Education and Work Experience:

    • Bachelor's Degree in healthcare administration, business, pharmacy, finance or related field or equivalent combination of education/related experience: Required
    • Master's Degree: Preferred
    • Seven years' of progressive experience in healthcare operations, pharmacy, infusion services, or revenue cycle: Required
    • Demonstrated experience managing high-cost drug services (infusion, specialty pharmacy, oncology, biologics): Required
    • Five years' leadership experience: Required

    Licenses/Certifications:

    • Board certification or professional credentials (e.g., PharmD, CPA, PMP): Preferred

    Essential Functions:

    • Develops and executes a system-wide infusion strategy aligned with organizational growth, access, and financial goals. Leads site-of-care optimization initiatives, balancing clinical appropriateness, payer requirements, patient experience, and margin. Evaluates and implements new infusion service models, network expansion, and partnerships (e.g., home infusion, joint ventures). Oversees infusion profit/loss (P&L) performance, including revenue, margin, and expense management. Identifies and mitigate infusion margin leakage related to drug acquisition, waste, denials, charge capture, and reimbursement. Partners with pharmacy to optimize drug purchasing, contracting, and inventory strategies. Develops business cases for new drugs, indications, and service expansions.
    • Collaborates with managed care and contracting teams to protect buy-and-bill economics, address white bagging and brown bagging impacts, and optimize payer policies, rates, and authorization workflows. Monitors payer trends and proactively respond to policy changes affecting infusion services.
    • Serves as the business liaison across pharmacy, nursing, revenue cycle, finance, IT, and compliance. Standardizes infusion performance metrics, dashboards, and reporting across the system. Improves scheduling, capacity utilization, throughput, and staffing efficiency in partnership with operations and nursing leadership. Supports clinical leaders by removing non-clinical administrative and financial burdens.
    • Ensures infusion services operate in compliance with 340B program requirements, Centers for Medicare & Medicaid Services (CMS) and commercial payer billing rules, and drug handling, documentation, and audit readiness standards. Partners with compliance and audit teams to reduce regulatory and financial risk.
    • Establishes and monitors key performance indicators (KPIs) related to infusion volume, revenue, margin, denials, drug waste, and capacity. Uses data to inform site-of-care decisions, payer negotiations, and capital planning. Presents infusion performance and strategy updates to executive leadership and governance committees.
    • Performs other job-related duties as assigned.

    Organizational Requirements:

    Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

    Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

    Numbers & Facts

    LocationRoseville, CA

    Skills

    • Billingunmatched
    • Business Caseunmatched
    • Business Operationsunmatched
    • Business Strategyunmatched
    • Capacity Utilizationunmatched
    • Centers for Medicare and Medicaid Services (CMS)unmatched
    • Charge Captureunmatched
    • Clinical Supportunmatched
    • Cost Controlunmatched
    • Documentationunmatched
    • Economicsunmatched
    • Expense Managementunmatched
    • Financeunmatched
    • Financial Operationsunmatched
    • Financial Regulationsunmatched
    • Financial Riskunmatched
    • Financial Strategyunmatched
    • Healthcareunmatched
    • Healthcare Administrationunmatched
    • Hospitalunmatched
    • Intravenous Therapiesunmatched
    • Leadershipunmatched
    • Managed Careunmatched
    • Negotiation Skillsunmatched
    • Nursingunmatched
    • Oncologyunmatched
    • Organizational Skillsunmatched
    • Outpatient Careunmatched
    • Patient Assessmentunmatched
    • Performance Analysisunmatched
    • Performance Metricsunmatched
    • Pharmacyunmatched
    • Profit & Lossunmatched
    • Purchasing/Procurementunmatched
    • Regulatory Complianceunmatched
    • Reimbursementunmatched
    • Reporting Dashboardsunmatched

    Be found by employers

    5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

    Level up your application

    Professional resume templates

    Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

    Free resume templates

    Free resume builder

    Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

    Free resume builder