Manager of Build Out and Business Operations

The Manager of Build-out & Business Operations is responsible for leading new Ambulatory Infusion Center (AIC) and related facility build outs, supporting program implementation and operational launch, and managing various functions of ongoing business operations. The Manager will collaborate with internal and external stakeholders to ensure each site is delivered on time, within budget, and aligned with all Tulea Health and health system partner requirements. This position will serve as a primary liaison between internal leadership and external partners – including architects, general contractors, designers, and other vendors – translating strategic goals into actionable implementation plans and ensuring seamless coordination across all phases of development and center implementation. The Manager will support various areas of ongoing business operations and project management for the organization and individual centers. 

Essential Functions 

• Lead the full lifecycle of new Ambulatory Infusion Center (AIC) and related facility development projects, from pre-planning through design, construction, implementation, and operational launch.
• Research and interpret local, state, and federal regulations impacting zoning, permitting, build-out, licensure, and occupancy requirements to ensure full compliance.
• Assess potential real estate opportunities for feasibility, regulatory fit, and alignment with partner and operational needs.  
• Manage broker relationships, lease negotiations, and landlord partnerships.
• Develop and manage the procurement process for architects, general contractors, and other design and construction vendors, including drafting and issuing RFPs.
• Evaluate and recommend architectural and construction partners based on experience, regulatory knowledge, budget alignment, and track record in healthcare facilities.
• Collaborate with legal, compliance, and clinical teams to ensure project plans and facility designs align with Tulea Health standards and meet health system partner expectations.
• Oversee the development, review, and approval of architectural drawings, site plans, and construction documents, ensuring they reflect both operational needs and regulatory compliance.
• Facilitate regular design and construction meetings to drive alignment between internal stakeholders, architects, and contractors.
• Coordinate with IT, facilities, clinical operations, and other teams to ensure that each AIC is fully functional, properly equipped, and operationally integrated at launch.
• Build and manage project plans, tracking timelines, budgets, milestones, and risk factors while proactively addressing potential roadblocks.
• Develop and manage procedures and business workflows across AIC locations to ensure consistency, compliance, and operational efficiency in collaboration with clinical and administrative teams.
• Monitor, analyze, and report on key business performance metrics (e.g., volume trends, staffing, patient throughput, and financial targets) to inform leadership decisions, support continuous improvement, and drive operational excellence.
• Solve important and complex problems to optimize operations, improve the patient experience, and redefine how infusion care is delivered. 

Requirements 

• 5+ years of experience in operations and/or real estate, ideally with 3+ years in healthcare, retail, or a similarly multi-site physical footprint business.
• Proven track record of launching and operating multiple locations in a high-growth environment. 

Education 

• High school diploma or GED required.
• Bachelor’s degree or higher in Healthcare Administration, Business Administration, Project Management, Architecture, or related field preferred.  
• This role requires travel to client and partner sites across the U.S. (up to 50%) to support construction oversight, operational planning, and facility launch. 

Knowledge, Skills, and Abilities 

• Knowledge of healthcare facility design, construction, and regulatory requirements, including state and local licensure, life safety codes, and infection control standards.
• Strong project management and cross-functional leadership skills.
• Excellent negotiation skills and a deep understanding of lease terms, construction timelines, and vendor management.   
• Analytical and problem-solving skills to assess regulatory landscapes, evaluate vendor proposals, mitigate project risks, and drive continuous improvement.
• Comfortable rolling up your sleeves in a startup setting—no task too small, no vision too big. 

Working Conditions and Physical Requirements 

• Must be able to travel up to 50% of the time, including air and ground travel, to client sites across the U.S.; travel may include overnight stays.
• Ability to work in both office and active construction environments, including occasional exposure to noise, dust, and varying weather conditions.
• Must be able to remain in a stationary position (e.g., sitting or standing) for extended periods while working at a computer or attending meetings.
• Ability to move about construction sites and healthcare facilities, including navigating stairs, uneven surfaces, and tight spaces, as needed.
• Must be able to lift up to 25 pounds occasionally (e.g., carrying documents, laptops, or light equipment).
• Must have the visual and auditory acuity to safely and effectively monitor construction progress, read plans and documents, and participate in virtual and in-person meetings.
• Regular use of standard office equipment, including computers, phones, and video conferencing technology. 

All Tulea Health employees enjoy competitive compensation with the opportunity for an annual bonus. Full-time and part-time employees receive paid time off, are eligible to participate in a 401(k) savings plan with company match, and have access to a comprehensive benefits package, including medical, dental, and vision insurance.