Job Title: Senior Operations Manager /… at Scottsdale… · Lahore…

Company: Scottsdale Rheumatology Center
Location: Lahore, Pakistan — On-site
Employment Type: Full-Time
Working Hours: Must overlap with U.S. business hours (Arizona time)

About the Role

Scottsdale Rheumatology Center, a U.S.-based medical practice, is seeking a highly capable, hands-on Senior Operations Manager / Director of Operations to oversee business operations, U.S. HR and payroll, accounting, benefits administration, IT systems, and strategic projects.

We are looking for a financially astute, technology-oriented professional who can operate at a CFO level while managing day-to-day execution. The ideal candidate combines financial management, HR expertise, project leadership, and strong IT and networking knowledge.

This is a senior leadership position requiring independent decision-making, accountability, confidentiality, and the ability to manage multiple functions across a U.S.-based healthcare organization.

Key Responsibilities

1. Finance, Accounting & Financial Management

• Oversee accounting operations, accounts payable and receivable, reconciliations, budgeting, cash flow monitoring, and financial reporting.
• Monitor expenses, collections, payroll costs, and financial performance.
• Develop financial dashboards, management reports, and operational KPIs.
• Assist with budgeting, forecasting, cost optimization, and financial planning.
• Coordinate with U.S. accountants, tax professionals, banks, and external financial advisors.

2. U.S. Human Resources, Payroll & Benefits

• Manage U.S. employee payroll processes, payroll reconciliation, and payroll compliance coordination.
• Administer employee benefits, including medical, dental, vision, retirement plans, and employee deductions.
• Coordinate onboarding, employment agreements, personnel files, leave tracking, performance management, and offboarding.
• Maintain accurate HR records and ensure compliance with applicable U.S. employment requirements in coordination with professional advisors.
• Manage employee compensation, reimbursements, allowances, and benefits administration.

3. Operations & Project Management

• Lead cross-functional projects from planning through implementation.
• Establish SOPs, workflows, accountability systems, deadlines, and performance metrics.
• Identify operational inefficiencies and implement process improvements.
• Manage vendors, contracts, procurement, and service providers.
• Provide regular progress reports and actionable recommendations to executive leadership.

4. IT, Networking & Systems Administration

• Oversee IT infrastructure, computer networks, connectivity, user accounts, access controls, and troubleshooting.
• Manage software platforms, cloud applications, email systems, cybersecurity practices, backups, and user permissions.
• Coordinate with IT vendors and technical support teams.
• Support implementation and integration of business, HR, payroll, accounting, and healthcare practice management systems.
• Ensure appropriate data security and confidentiality practices.

5. Executive & Administrative Leadership

• Act as a trusted operational and financial partner to the practice owner.
• Translate business objectives into actionable plans, budgets, and measurable results.
• Manage multiple priorities independently and communicate issues before they become problems.
• Develop management reports and recommend improvements to profitability, productivity, and operational efficiency.

Required Qualifications

• Bachelor's or Master's degree in Finance, Accounting, Business Administration, Management, IT, or a related field.
• Minimum 5–8 years of progressive experience in operations management, finance, accounting, HR, or business administration.
• Demonstrated experience with U.S. payroll, employee benefits, and HR administration.
• Strong accounting, financial analysis, budgeting, and reconciliation skills.
• Proven project management and team leadership capabilities.
• Practical knowledge of IT systems, networking, cloud applications, and technical troubleshooting.
• Advanced proficiency in Microsoft Excel, Google Workspace, and business reporting tools.
• Excellent written and verbal English communication skills.
• Ability to work independently during U.S. business hours and manage confidential financial and employee information.

Preferred Qualifications

• Experience supporting a U.S.-based company while working remotely or from Pakistan.
• Experience in U.S. healthcare, medical practices, physician offices, or healthcare administration.
• Familiarity with U.S. payroll and HR platforms, employee benefit plans, retirement plans, and accounting software.
• Professional certifications such as CPA, ACCA, CMA, MBA, PMP, or relevant IT certifications.
• Experience with budgeting, financial controls, process automation, and executive reporting.

Ideal Candidate

We are looking for a CFO-minded, hands-on business leader who can connect financial management, human resources, technology, and operations.

The right person is analytical, organized, commercially minded, technically capable, and comfortable taking ownership of outcomes rather than simply completing assigned tasks.

Compensation

Competitive compensation based on qualifications, relevant U.S. experience, and demonstrated capabilities.

How to Apply

Please submit your CV along with a brief summary of your experience in:

• U.S. payroll and employee benefits administration.
• Accounting, financial reporting, and budgeting.
• IT infrastructure, networking, and systems administration.
• Project management and business operations.

Candidates may be asked to complete a practical assessment covering financial analysis, payroll and benefits workflows, Excel, and operational problem-solving.

Equal Opportunity: We evaluate candidates based on relevant qualifications, experience, and demonstrated skills.

Pay: Rs180,000.00 - Rs235,000.00 per month

Work Location: In person