Practice Manager

A newly launching, high-touch concierge / membership-based primary care clinic in Charlottesville, VA is seeking a Practice Manager to build and lead operations from the ground up. This is a highly visible, hands-on leadership role partnering directly with the physician founders to establish workflows, hire and develop staff, and deliver a white-glove patient experience. The ideal candidate thrives in a start-up environment, can create structure where no playbook exists, and has the influence and communication style to align providers and staff on next steps.

Key Responsibilities
Operational Leadership
• Lead day-to-day clinic operations to ensure efficiency, professionalism, and an exceptional patient experience
• Build foundational processes, workflows, policies, and “how we operate” standards for a start-up practice environment
• Coordinate physician scheduling and optimize patient flow from check-in to follow-up
• Oversee vendor management across EMR/practice management systems, billing partners, labs, IT, facilities, and supplies
• Support facility readiness, equipment procurement, and supply ordering to ensure launch and ongoing operations run smoothly
• Ensure strong compliance across HIPAA/OSHA and applicable healthcare regulations
Human Resources & Team Leadership
• Own staffing: recruit, hire, onboard, train, and supervise the clinical support team (4–5 staff members)
• Establish performance expectations, coaching cadence, and evaluations; address employee relations with discretion and professionalism
• Manage HR fundamentals including documentation, benefits coordination support, payroll coordination, and policies
• Set up key operational items tied to start-up needs (e.g., malpractice insurance coordination and practice readiness items)
Financial & Administrative Oversight
• Oversee budgets, operating expenses, and general financial performance
• Support revenue cycle processes and membership billing
• Track KPIs, help create reporting rhythm, and partner with physician founders on forecasting/planning
Patient Experience & Growth
• Serve as a primary non-clinical point of contact for patients; help onboard and orient new members
• Ensure concierge-level service standards are upheld consistently
Support community outreach and local growth initiatives tied to membership retention and acquisition

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

• 6–9+ years of healthcare practice management experience
• Demonstrated experience managing clinical teams (hiring, onboarding, coaching, performance management)
• Strong working knowledge of HR management and healthcare compliance (HIPAA/OSHA)
• Experience overseeing budgets and financial performance
• Prior leadership background (e.g., practice manager, clinical supervisor, charge nurse, or informal/team leadership roles)
• Proficiency with EMR systems and practice management software
• Bachelor’s degree required (healthcare administration or business background preferred)

• Concierge medicine or private practice experience strongly preferred
• Comfort building operations in a “blank slate” environment—creating playbooks and systems from scratch

Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.