Director, Business Operations - Pathology & Immunology

Washington University in St. Louis; St. Louis (MO); On-site; USD 110,000 - 194,000; Full time

Benefits offered by this job

Vacation days

Health insurance

Metro transit U-Pass

403(b) Retirement Plan

Job summary

Washington University in St. Louis seeks a collaborative Director, Business Operation – Genomic and Molecular Pathology to lead strategy, financial planning, and operations for GMP services. You will drive growth, assess payer strategies, and coordinate across laboratories, faculty, and hospital stakeholders.

The role requires strong financial modeling, budgeting, and governance skills, with extensive experience in healthcare administration and genomic diagnostics. Office location in St.

Qualifications

• Bachelor's degree required; Master's degree preferred.
• Minimum 7 years in Financial Accounting, Budgeting, and Auditing.
• 5+ years supervisory experience.

Responsibilities

• Strategic Growth: Develops and implements short- and long-term business strategies for genomic and molecular diagnostic services, identifying opportunities to expand testing within the health system and through external strategic partnerships.
• Financial Analysis & Performance: Develops business cases, financial models, and operational metrics for new tests, instrumentation, and programs; monitors financial performance to manage losses.
• Budgeting & Operations: Coordinates the division's operating budget, oversees annual budget prep and quarterly reporting with the finance team.
• Reimbursement Strategy: Develops payer reimbursement strategies, including coding, pricing, and coverage changes.
• Stakeholder Collaboration: Maintains relationships with clinical labs, physicians, and service-line leaders to support diagnostic needs.
• Expansion Planning: Develops a long-term growth plan, assessing testing volumes, capacity, space, staffing, and technology needs.
• Contracts & Agreements: Supports and negotiates lab relationships and service agreements with legal and contracting teams.
• Committee Representation: Represents GMP Division on departmental and hospital committees related to strategy and performance.

Skills

Cross-Functional Collaboration

Data Automation

Financial Modeling

Genomic Analysis

Health Administration

Higher Education Administration

Information Integration

Interpersonal Communication

Matrix Management

Molecular Diagnostics

Organization Administration

Organizational Integration

Organizational Vision

Professional Standards

Reimbursement Strategies

Revenue Cycle Management (RCM)

Sound Judgment

Strategic Planning

Written Communication

Education

Bachelor's degree

Master's degree

Job description

Location

ST. LOUIS, MO 63108

Scheduled Hours

40

Position Summary

The Department of Pathology & Immunology at WashU Medicine seeks a collaborative and strategic business leader to serve as Director, Business Operation – Genomic and Molecular Pathology (GMP). Responsible for managing, directing, and executing strategies that support the growth, financial sustainability, and operational expansion of genomic and molecular diagnostic testing. Partners with GMP Division faculty, laboratory leadership, departmental leadership, and hospital stakeholders to coordinate financial, billing, reimbursement, contracting, and business development initiatives across organizational boundaries.

Job Description

Primary Duties & Responsibilities

• Strategic Growth: Develops and implements short- and long-term business strategies for genomic and molecular diagnostic services, identifying opportunities to expand testing within the health system and through external strategic partnerships.
• Financial Analysis & Performance: In conjunction with departmental finance teams, develops business cases, financial models, and operational metrics for new tests, instrumentation, and programs. Monitors financial performance to manage controllable losses related to test utilization, workflow, and reagent costs.
• Budgeting & Operations: Prepares, coordinates, and prioritizes financial operations for the division's operating budget, overseeing annual budget preparation and quarterly reporting while working collaboratively with the departmental finance team.
• Reimbursement Strategy: Works with laboratory leadership, revenue-cycle teams, and managed-care teams to develop and assess payer reimbursement strategies, covering coding, pricing, coverage policies, and changes in the market environment.
• Stakeholder Collaboration: Establishes and maintains productive relationships with clinical laboratories, physicians, and service-line leaders to better understand diagnostic needs and support shared-responsibility institutional functions.
• Expansion Planning: Partners with departmental leadership to develop a long-term laboratory growth plan, assessing testing volumes, capacity requirements, space, staffing, technology, and capital asset needs.
• Contracts & Agreements: Evaluates, supports, and helps negotiate strategic laboratory relationships, collaborations, service agreements, and contracts in partnership with institutional/departmental legal, finance, and contracting teams.
• Committee Representation: Represents the GMP Division on appropriate departmental, School of Medicine, hospital, and health-system committees related to laboratory strategy, growth, and financial performance.

Working Conditions

• Job Location: Normal office environment.
• Physical Effort: Typically sitting at a desk or a table.
• Equipment: Office equipment.

Education - Required Qualifications

Bachelor's degree

Certifications / Professional Licenses

No specific certification/professional license is required for this position.

Work Experience

Financial Accounting, Budgeting, And Auditing (7 Years), Supervisory (5 Years)

Skills

Not Applicable

Driver's License

A driver's license is not required for this position.

More About This Job

WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles.

Education - Preferred Qualifications

Master's degree

Certifications / Professional Licenses

Certified Management Accountant - Institute of Management Accountants, Certified Public Accountant (CPA) - American Institute of Certified Public Accountants , Certified Public Accountant (CPA) - Illinois Department of Financial and Professional Regulation, Certified Public Accountant (CPA) - Missouri Division of Professional Registration

Work Experience

No additional work experience unless stated elsewhere in the job posting.

Skills

Cross-Functional Collaboration, Data Automation, Financial Modeling, Genomic Analysis, Health Administration, Higher Education Administration, Information Integration, Interpersonal Communication, Matrix Management, Molecular Diagnostics, Organization Administration, Organizational Integration, Organizational Vision, Professional Standards, Reimbursement Strategies, Revenue Cycle Management (RCM), Sound Judgment, Strategic Planning, Written Communication

Grade

G17

Salary Range

$110,300.00 - $194,200.00 / Annually

The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.

Questions

For frequently asked questions about the application process, please refer to our External Applicant FAQ.

Accommodation

If you are unable to use our online application system and would like an accommodation, please email [e-mail] or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.

All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.

Pre-Employment Screening

All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.

Benefits Statement

Personal

• Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Competitive health insurance packages with priority appointments and lower copays/coinsurance.
• Take advantage of our free Metro transit U-Pass for eligible employees.
• WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.

Wellness

• Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!

Family

• We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered.
• WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.

For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/

EEO Statement

Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.