Director, Infusion Business Operations

Adventist Health•Roseville, CA

1d•Onsite

About The Position

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. The Director, Infusion Business Operations leads the coordination of strategic, financial, and operational performance of the health system’s infusion services across all sites of care. This role provides end-to-end business leadership for infusion therapy, including hospital outpatient departments, freestanding infusion centers, physician-based clinics, and alternative sites of care. The Director 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.

Requirements

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

Nice To Haves

Master's Degree
Board certification or professional credentials (e.g., PharmD, CPA, PMP)

Responsibilities

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.