About Us

Carolina NeuroSurgery & Spine Associates (CNSA), established in 1940, is one of the largest and most highly respected neurosurgical private practices in the nation. As a physician-led, multi-site organization, we are recognized for clinical excellence and innovation in brain and spine care. Through our growing MSO, PracticeCore, and strategic partnerships, we are building a scalable, forward-thinking platform to support providers and deliver exceptional patient care. 

Position Summary

The Program Manager leads and coordinates a portfolio of cross-functional initiatives across both internal CNSA operational projects and external MSO client engagements, spanning revenue cycle, credentialing, client engagement, and operational infrastructure. This role owns initiatives from intake through completion, manages competing priorities and timelines, and serves as a central point of coordination between executives, clients, and frontline staff.

Because internal CNSA practice operations and external client work are closely interconnected, the role requires someone who can move fluidly between the two and understand how initiatives in one area affect the other. Success requires a self-directed operator who takes ownership of outcomes, communicates clearly across all organizational levels, and adapts quickly to new tools and processes.

Essential Responsibilities

• Lead and coordinate a portfolio of concurrent operational initiatives across internal CNSA practice operations and external MSO client engagements, owning each from intake through completion.
• Develop and maintain project plans, timelines, milestones, and deliverables; track progress and proactively adjust to keep work on schedule.
• Serve as the central point of coordination across stakeholders — executives, clients, and frontline/operational staff — ensuring the right people are informed and aligned at the right time.
• Identify, document, and drive process improvement opportunities, redesigning workflows and building repeatable, scalable processes across revenue cycle, credentialing, and operational functions.
• Build and maintain operational templates, SOPs, trackers, and workflow tools that standardize how work gets done and support both internal teams and MSO clients.
• Anticipate risks, dependencies, and blockers; escalate appropriately and resolve issues before they derail timelines or outcomes.
• Manage competing priorities across multiple workstreams, balancing internal initiatives with client-facing commitments without losing momentum on either.
• Support client engagement and onboarding activities, including data collection, requirements gathering, and coordination of deliverables across client organizations.
• Quickly learn and leverage new systems, platforms, and tools to improve efficiency, and act as a power user and resource across the organization's technology stack.
• Prepare and deliver status updates, reporting, and documentation for leadership and stakeholders, maintaining accuracy and follow-through in a compliance-sensitive healthcare environment.
• Partner with the Director of Practice Excellence & Optimization to translate strategic priorities into executable plans and measurable results.
• Perform other related duties and special projects as assigned to support evolving business and client needs.

Experience & Qualifications

• Bachelor’s degree in business administration, healthcare administration, operations management, or a related field; equivalent combination of education and relevant experience considered.
• 3+ years of program or project management experience, preferably in healthcare operations, revenue cycle management, practice management, or a multi-client/MSO environment.
• Demonstrated experience managing a portfolio of multiple concurrent projects with overlapping deadlines and stakeholders, ideally spanning both internal operational initiatives and external client-facing work.
• Process improvement experience, with a track record of identifying inefficiencies and implementing measurable workflow or operational gains (Lean, Six Sigma, or comparable methodology a plus, not required).
• Proven ability to work directly with senior leadership/executives, external clients, and frontline/operational staff, adjusting communication style to the audience.
• Proficiency with modern productivity and collaboration tools (e.g., Microsoft 365, SharePoint, Excel, project management platforms); demonstrated ability to learn and adopt new technology quickly.
• Experience documenting processes and building operational templates, SOPs, or workflow tools strongly preferred.
• Understanding of how a medical practice and a supporting management services organization operate, and how internal practice operations interconnect with centralized/shared services, strongly preferred.
• PMP, CAPM, or equivalent certification a plus, not required.

Key Competencies

• Self-starter / ownership – Operates independently with minimal direction; proactively identifies what needs to happen and drives it to completion. Takes full accountability for project outcomes rather than waiting for assignment.
• Cross-level communication – Communicates clearly and credibly with audiences ranging from executive leadership to external clients to frontline staff. Tailors message, tone, and detail to the audience and keeps the right people informed at the right time.
• Dual-scope coordination – Manages both internal CNSA operational initiatives and external MSO client engagements, understanding how the two intersect and prioritizing across them without losing momentum on either.
• Program & project execution – Manages scope, timelines, dependencies, and deliverables across multiple simultaneous initiatives. Anticipates risks and removes blockers before they derail progress.
• Process improvement mindset – Continuously evaluates how work gets done and looks for opportunities to streamline, standardize, and scale. Comfortable redesigning workflows and building repeatable processes.
• Technical adaptability – Tech-savvy and quick to learn new systems, platforms, and tools. Leverages technology to improve efficiency and is comfortable being a power user across the organization’s tool stack.
• Stakeholder & client management – Builds trust and maintains strong working relationships across internal teams and external client organizations. Balances competing priorities and expectations diplomatically.
• Problem-solving & judgment – Navigates ambiguity, makes sound decisions with incomplete information, and knows when to escalate versus resolve independently.
• Attention to detail – Maintains accuracy and follow-through across documentation, reporting, and deliverables in a compliance-sensitive healthcare environment.