Principal Business Operations Manager

Location: Minneapolis, MN

FLSA Status: Exempt

Job Status: Full Time

Work Model: Hybrid

Work Schedule: Monday–Friday with occasional evenings and/or weekends

Vehicle Required: No

Amount of Travel Required: Occasional domestic travel

Positions Supervised: None

Reports To: VP of Operations

Department: Operations

Reema Health is both a social care and behavioral health provider. We believe that a personalized, community-based approach to care makes it easier for anyone to access the things they need to make their lives better. We know that life’s challenges often exist because the systems built to help are a burden to navigate. We believe building a relationship with a real person — someone who listens, meets our members where they are, and understands the community — can ease those burdens and effectively connect members to health care. Our mission-driven and member-focused company is seeking an experienced and highly self-motivated Principal Business Operations Manager.

The Principal Business Operations Manager will establish and lead operational excellence initiatives that enable our services to scale effectively. This role will focus on the business operations layer that bridges our strong clinical and services operations with broader organizational performance and growth objectives. This position will bring a strong business, market, and customer lens to build cross-functional systems and operational infrastructure to support our clinical and program teams. As Reema continues to grow across states and insurance products, the Principal Business Operations Manager is a strategic partner to ensure we are building scalable operations frameworks and achieving measurable outcomes.

Responsibilities:

• Business Operations & Design
• Design and implement a scalable business operations process that supports organizational growth, including monitoring capacity, demand and resource allocation.
• Lead cross-functional operational initiatives to improve efficiency and effectiveness by solving operational bottlenecks and identifying opportunities for scale
• Establish operational frameworks and standards that enable consistent execution and support cross-departmental collaboration
• Create and maintain business operations documentation, playbooks and standard operating procedures
  
  
• Operational Excellence & Performance Management
• Regularly analyze performance data, generate insights, and drive action plans to meet or exceed goals.
• Collaboratively create comprehensive KPI performance management frameworks that connect operational metrics to business outcomes. Partner cross-functionally to implement, monitor, and improve them.
• Lead continuous improvement initiatives focused on organizational effectiveness
• Establish benchmarking processes to measure operational performance against industry standards and internal goals
• Drive data-driven decision making through operational analytics and reporting systems
  
  
• Cross-Functional Project Leadership
• Participate in staffing strategy: forecasting hiring needs, supporting recruiting, hiring, onboarding, and professional development for care staff.
• Lead project-based initiatives that span multiple departments and require complex coordination
• Coordinate cross-department efforts for operational improvements
• Facilitate cross-functional working groups and ensure alignment on operational objectives
• Serve as a key contributor to operational projects that support business objectives including expansion, scaling and new product launches.
  
  
• Customer Priorities & Alignment
• Understand the needs of our members and customers, their journey, pain points, and ensure that operational decisions support a strong customer experience.
• Keep a pulse on external markets, competitive benchmarks and best practices (in care operations, cost/performance, customer outcomes) and surface opportunities for Reema to adopt them.
  
  
• Reporting & Communication
• Produce regular operational reports for senior leadership, summarizing performance, risks, and opportunities.
• Develop organizational capabilities to ensure clear translation, communication and alignment between business objectives and service objectives.
• Foster a culture of operational excellence and continuous improvement across departments.

Education & Experience:

• Bachelor’s degree (Business, Health Administration, Operations, or related field) required; MBA preferred.
• Minimum 7 years of experience in operations, program management, or strategic operations roles in a healthcare, behavioral health, or social care environment; experience with care teams or service delivery operations is a plus.
• Proven track record of building and scaling operational infrastructure to support business growth.
• Demonstrated track record of leading cross-functional projects and driving operational improvements
• Experience with process design, project management and organizational effectiveness initiatives.

Skills:

• Strong analytical skills with proficiency using spreadsheets / data tools (e.g. Excel, Google Sheets, or equivalent) for analysis, forecasting, and measuring performance.
• Proven ability to build and sustain relationships across departments, and lead through influence in a diverse environment.
• Demonstrated strength setting and tracking metrics, holding teams to those metrics, and driving operational improvements.
• Understanding of healthcare regulatory requirements and compliance considerations.
• Comfortable bridging clinical and business perspectives; can translate business goals into actions for clinical operations, and vice versa. Strong understanding of healthcare business models, including managed care and value-based care is a plus.
• Excellent communication skills: able to present data and recommendations clearly to both leadership and front-line teams and influence stakeholders across the organization.
• Strong organizational skills, attention to detail, iterative problem solving skills, and ability to manage multiple priorities simultaneously.
• Ability to thrive in a fast-paced, ambiguous, and scaling environment, with a strong preference for candidates who have experience working at a startup or high-growth company.
• Preferred: proficiency with project management tools and performance analytics software. Must be able to develop and manage complex project schedules, manage resource allocation, drive efficiencies, and measure the effectiveness of operational initiatives.

Benefits:

• Competitive Salary and Equity Package
• Medical, Dental, and Vision Insurance
• HSA and FSA Options
• 401(k) Retirement Savings with Company Match
• Employee Assistance Program
• Paid Parental Leave
• Accrued Paid Time Off
• Technology Stipend
• Flexible Schedules and Remote Work

As an equal opportunity employer, Reema Health is committed to a diverse workforce. Employment decisions regarding recruitment and selection will be made without discrimination based on race, color, religion, national origin, gender, age, sexual orientation, physical or mental disability, genetic information or characteristic, gender identity and expression, veteran status, or other non-job-related characteristics or other prohibited grounds specified in applicable federal, state and local laws.

Reema Health has reviewed this job description to ensure that essential functions and basic responsibilities have been included. It is intended to provide guidelines for job expectations and assess the prospective employee and/or current employees ability to perform the position described. It is not intended to be interpreted as an exhaustive list of all functions, responsibilities, skills, and abilities for this role. Additional functions and requirements may be assigned by supervisors as deemed appropriate.