In partnership with clinical, operations, finance, compliance, IT, the Senior Manager analyzes performance trends, resolves escalated barriers, leads cross-functional improvement initiatives, and develops policies, staffing plans, training resources, and operational controls that support an effective and reliable patient access experience across service lines. Owns the department-wide performance dashboard, including approved definitions, targets, reporting cadence, and escalation thresholds for call responsiveness, appointment availability, registration accuracy, referral completion, insurance verification, point-of-service collections, no-show rates, patient experience, and other organizational KPIs.