Business Manager Jobs in San Antonio, TX

Introduction

Are you ready to manage in a new era as a Market Business Office Manager where building a healthier tomorrow is more than a job? Our HCA Healthcare team is committed to partnership, innovation, legacy and improving more lives in more ways. Share your resume today.

Benefits

HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Our teams are dedicated to improving human life. Each year about five percent of all U.S. hospital services happen at an HCA Healthcare facility. Be an impact as a Market Business Office Manager where your passion for leading and creativity are valued? We want your knowledge and expertise!

Job Summary and Qualifications

The Market Business Office Manager (BOM) leads, optimizes, and standardizes business office operations across a defined market of ambulatory surgery centers. This role drives consistent execution of front-end revenue cycle processes, ensures audit readiness, strengthens operational controls, and builds workforce capability. As a strategic field operations partner, Market BOM collaborates with Facility Administrators, Central Business Office (CBO) leadership, and Operations to implement best demonstrated practices, lead change initiatives, and deliver measurable performance outcomes. Because the role influences multiple centers without direct authority, success requires strong leadership presence, data-driven decision-making, and effective cross-functional collaboration. The position directly impacts financial performance, compliance, operational readiness, and patient experience while supporting excellent customer service in accordance with established protocols.

What you will do in this role:

• Partners with CBO Directors, Supervisors, and Front Office teams to drive performance, professional development, and alignment with organizational objectives.
• Fosters a culture of accountability, collaboration, and continuous improvement across business office functions.
• Provides market-level oversight of business office operations, audits, training, and float staffing to support consistent, compliant, and efficient execution.
• Establishes high standards for operational quality and service delivery across locations.
• Leads comprehensive business office reviews to assess workflows, staffing models, training effectiveness, compliance, and revenue cycle controls.
• Presents executive-level audit findings, risk assessments, and corrective action plans.
• Owns the market-level training and competency strategy for business office operations.
• Proactively manages timelines, resources, and priorities to meet business needs.
• Uses audit results and performance trends to identify targeted development and remediation needs.
• Partners with leadership to sustain compliance and standardized processes.
• Coaches Business Office leaders and supports succession planning across the market to strengthen staff competency and leadership capability.
• Oversees business office float staff, including supervision, scheduling, and deployment.
• Deploys float resources based on operational coverage needs, training requirements, and performance gaps to maintain continuity across the market.
• Provides market-level oversight of insurance credentialing and recredentialing processes.
• Proactively identifies and escalates risks affecting business office operations.
• Maintains a patient-first philosophy and supports service recovery when necessary.

• Bachelor's degree in healthcare administration, finance, or a related field is preferred
• Minimum of three (3) years of leadership experience is required
• Minimum of five (5) years of revenue cycle management experience is required

Consider a fulfilling and secure career with Surgery Ventures powered by with HCA Healthcare. Our team of over 3,400 physicians manages more than 150 surgery centers across 16 states in the United States. As a dedicated unit within HCA Healthcare, we prioritize providing safe, efficient, and premium surgical services. With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities across our network. We do so with the backing of the clinical, operational, and financial expertise of a Fortune 100 healthcare leader. At Surgery Ventures, we are committed to supporting your career growth and advancement at every stage.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.

If this is the kind of dynamic growth opportunity that compels you, apply for the Market Business Office Manager role. We are interviewing apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.