Practice Business Manager

Overview

In this role you will be the strategic and financial lead for Waterloo Medical Centre, guiding long-term sustainability and growth. You will partner with GP Partners to oversee business development, governance, and digital transformation while ensuring safe, high-quality primary care. You’ll lead cross-functional teams, drive efficiency, and steward major estates and innovation projects. This is a senior, influential position with a structured handover and a chance to shape primary care in a growing practice.

Responsibilities

• Strategic leadership and business development to implement the practice’s long-term plans
• Oversee financial management including budgeting, reporting, and forecasting
• Contract management and performance monitoring across PMS, Enhanced Services, PCN, and other services
• Workforce planning, succession, recruitment support, and staff wellbeing
• Governance, risk, and compliance management including CQC readiness
• Estates and facilities development and management of capital projects
• Digital transformation leadership and adoption of AI and other technologies
• Provide strategic direction to the Practice Manager, Operations Manager and Reception/Admin Manager
• Lead change programs and service redesign initiatives
• Stakeholder relationship management with ICB, NHS England, PCN, GP Federation, LMC and others
• Ensure service delivery remains patient-centred, safe, and financially sustainable
• Oversee procurement and cost efficiency initiatives
• Support management teams in leveraging digital tools and practice systems
• Champion innovation and continuous improvement across the organisation
• Act as a senior ambassador for the practice with external partners

Key requirements

• Degree level qualification or equivalent management experience
• Significant senior management experience within healthcare, primary care or related environment
• Strong financial and budget management skills
• Experience in strategic planning and organisational development
• Excellent leadership and people management skills
• Knowledge of NHS primary care contracts and funding streams
• Understanding of governance, risk management and compliance frameworks
• Excellent communication, negotiation and influencing skills
• Strong analytical and problem-solving abilities
• Commitment to innovation and digital transformation

• leadership and people management
• communication and influencing
• problem-solving and analytical thinking
• financial management and budgeting
• governance and compliance
• digital transformation

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