Area Business Manager - Rochester, New York

Location: Rochester, NY Area
Position Type: Full-Time
Reports To: Regional Director of Operations

Compensation: $85,000-$105,000 depending on experience

*Must reside in Rochester area or willing to relocate*

About the Role

The Area Business Manager (ABM) is responsible for supporting the operational performance and success of a group of veterinary hospitals throughout the Rochester, New York area.

Reporting to the Regional Director of Operations (RDO), the Area Business Manager serves as a hands-on operational partner to hospital leadership teams, helping translate regional strategy and priorities into consistent execution at the hospital level.

This leader works closely with Practice Managers/Hospital Administrators, Medical Directors, and hospital leadership teams to improve performance, strengthen culture, develop leaders, and deliver an exceptional client and patient experience.

The ABM spends significant time in hospitals, building relationships with teams, identifying opportunities, removing barriers, and ensuring that agreed-upon initiatives and performance plans are successfully executed.

Key Responsibilities

People, Team & Culture

• Build strong, trusted relationships with hospital leadership teams and team members across the Rochester market.
• Coach and develop Practice Managers/Hospital Administrators and other hospital leaders to strengthen leadership capability, accountability, and business acumen.
• Partner with the RDO and People Operations to support recruiting, retention, engagement, performance management, and team member development strategies.
• Conduct regular hospital visits to assess team health, understand operational challenges, identify opportunities, and support execution.
• Help hospital leaders establish clear expectations and create a culture of accountability and follow-through.
• Identify high-potential team members and support leadership development and succession planning.
• Champion the organization's mission, values, and leadership principles across the hospitals.
• Serve as a visible and approachable resource for hospital leaders and teams.

Financial & Operational Performance

• Partner with the RDO and hospital leadership teams to execute strategies designed to achieve established financial and operational goals.
• Monitor hospital-level KPIs and identify trends, opportunities, and areas requiring additional focus.
• Use data to help hospital leaders understand performance and develop actionable plans for improvement.
• Support hospital leaders with budgeting, forecasting, labor management, expense management, and operational planning.
• Help identify opportunities to improve revenue, productivity, profitability, and overall hospital performance.
• Maintain consistent follow-up on hospital action plans and ensure commitments and initiatives are carried through to completion.
• Identify operational barriers and work collaboratively with hospital teams, the RDO, and support partners to resolve them.
• Leverage available systems, tools, and best practices to improve efficiency and consistency across hospitals.

The ABM supports execution and hospital-level performance; the RDO retains overall accountability for regional strategy, financial performance, and portfolio results.

Hospital Operations & Execution

• Serve as the RDO's operational extension within the Rochester market, providing frequent, hands-on support to hospital leadership teams.
• Partner with hospital leaders to improve workflows, staffing models, scheduling, productivity, and overall operational effectiveness.
• Ensure regional and organizational initiatives are implemented consistently at the hospital level.
• Help leaders prioritize competing operational needs and translate broader organizational priorities into actionable hospital plans.
• Identify best practices within the market and help replicate successful approaches across hospitals.
• Support hospitals through periods of change, leadership transition, growth, or performance improvement.
• Escalate significant operational, financial, people, or leadership risks to the RDO when appropriate.
• Maintain consistent communication with the RDO regarding hospital performance, progress, risks, and opportunities.

Client & Patient Experience

• Partner with hospital teams to understand local market dynamics and client needs.
• Support execution of strategies designed to drive client growth, retention, and community engagement.
• Monitor client experience trends and partner with hospital leaders to address opportunities for improvement.
• Reinforce a consistent, high-quality client and patient experience across locations.
• Ensure hospitals maintain a safe, professional, clean, and welcoming environment.
• Help teams identify opportunities to strengthen relationships with clients and their local communities.

Leadership Development

A critical component of the Area Business Manager role is building stronger hospital leaders.

The ABM will:

• Provide regular coaching and feedback to Practice Managers/Hospital Administrators.
• Help leaders strengthen financial and operational business acumen.
• Develop leaders' ability to interpret KPIs and translate data into action.
• Strengthen performance management and accountability skills.
• Help leaders effectively manage labor, staffing, and hospital resources.
• Support leaders in developing their own teams and creating strong succession pipelines.
• Partner with the RDO to identify leadership strengths, development needs, and potential talent risks across the market.

The goal is not for the ABM to manage the hospital on behalf of the Practice Manager, but to increase the capability and effectiveness of hospital leadership.

Partnership with the Regional Director of Operations

The ABM works in close partnership with the RDO to ensure regional priorities translate into results at the hospital level.

The RDO owns regional strategy, portfolio performance, and overall market accountability, while the ABM provides the increased operational presence and follow-through necessary to drive execution.

The ABM will:

• Provide visibility into hospital-level performance, challenges, and opportunities.
• Execute against priorities established with the RDO.
• Track progress against performance improvement plans and key initiatives.
• Identify trends occurring across multiple hospitals.
• Escalate significant business, leadership, or operational risks.
• Help ensure consistent execution and accountability throughout the Rochester market.

This partnership allows the RDO to maintain broader strategic and portfolio oversight while ensuring hospital leaders receive the frequent, hands-on operational support necessary to achieve their goals.

Compliance & Operational Standards

• Support hospital leaders in maintaining strong medical and operational standards.
• Reinforce compliance with organizational policies and applicable regulatory requirements.
• Partner with appropriate support functions to address safety, facilities, operational readiness, and compliance needs.
• Identify areas of operational risk and escalate concerns appropriately.
• Support implementation of standardized processes while recognizing the unique needs of individual hospitals and markets.

Desired Competencies

• Strong people leader with the ability to coach, influence, and develop others.
• Highly collaborative, approachable, and comfortable working directly with hospital teams.
• Strong sense of accountability and ownership.
• Excellent execution and follow-through.
• Strong business and financial acumen.
• Comfortable using data and KPIs to identify opportunities and drive decisions.
• Solution-oriented and resilient in a fast-paced environment.
• Strong communication and relationship-building skills.
• Ability to balance multiple hospitals and competing priorities.
• Comfortable navigating change and helping teams through periods of transition.
• Passion for veterinary medicine and supporting the teams who provide patient care.

Education & Experience

• Bachelor's degree in Business, Operations, Management, or a related field preferred.
• 3+ years of leadership experience, preferably within a multi-site environment.
• Demonstrated experience coaching and developing managers and other leaders.
• Experience using financial and operational metrics to drive performance.
• Veterinary industry experience strongly preferred.
• Experience as a Practice Manager, Hospital Administrator, Area Manager, or similar operational leadership role is preferred.
• General Practice and/or Emergency veterinary experience is a plus.
• CVPM certification is preferred but not required.

Travel Requirements

This is a field-based leadership role supporting hospitals throughout the Rochester, New York area.

Regular travel between assigned hospitals is expected, with significant time spent on-site supporting hospital teams. Occasional travel outside the Rochester market may be required for regional meetings, training, or organizational events.

What Success Looks Like

Success in the Area Business Manager role is demonstrated through:

• Strong and increasingly independent hospital leaders
• Consistent execution of regional and organizational priorities
• Improved hospital financial and operational performance
• Achievement of established KPIs and performance goals
• Effective labor and expense management
• Strong employee engagement and retention
• Improved leadership capability and accountability
• Consistent, high-quality client and patient experiences
• Timely identification and resolution of operational challenges
• Strong partnership between hospital leadership, the ABM, and the RDO

Ultimately, the Area Business Manager connects strategy to execution. By spending significant time with hospital teams, coaching leaders, using data to identify opportunities, and driving accountability and follow-through, the ABM helps ensure hospitals have the leadership and operational support necessary to thrive.