Clinical Practice Manager.

WDM Ltd. T/A Align, is accepting applications from suitably qualified applicants for the above listed position: Clinical Practice Manager

Job Summary
The Clinical Practice Manager role is critical to Align's operations, spanning Patient Management, HR, Clinic Operations and Business Development across three outpatient clinics, the inpatient hospital service, and the sister islands. As these services run every day of the year, the postholder must be on call 24/7 and available for unsociable hours whenever required. Best suited to an organised, independent problem-solver with both healthcare and operations experience.

Role and Responsibilities

Business Strategy:
• The Clinical Practice Manager is responsible for working with the Managing Director to develop and drive the business strategy required to achieve Align's aims and objectives, translating the company's growth ambitions into concrete operational plans across all sites — the three outpatient clinics, the inpatient hospital service, and the sister islands. This includes setting strategic priorities for service expansion and resource allocation, tracking progress against agreed goals, and advising the Managing Director/Board on strategic options, risks and opportunities as the business grows.

Facilities Management:
• The Clinical Practice Manager holds overall responsibility for the upkeep, safety and functionality of all Align premises, including the three outpatient clinics. This covers oversight of maintenance and repairs, management of the cleaning and facilities contractors, procurement and servicing of equipment, and ensuring all sites meet health, safety and regulatory standards at all times — responding promptly to facilities issues as they arise, including outside normal hours, to avoid disruption to patient care.

Patient Management
• Work with the Billing and booking team to oversee patient intake, booking, benefit verification and records across all outpatient clinics and the inpatient service; liaise daily with clinicians on operational and HR matters, including outside standard hours where urgent matters require it.

Front Desk
• Roster patient coordinators across all reception desks (outpatient and inpatient) to ensure coverage every day, including weekends; oversee patient payments and manage phone/email queries and issues as they arise, including out of hours.

Clinic & Inpatient Operations
• Oversee day-to-day running of all outpatient clinics and the inpatient hospital service, including equipment/supplies procurement and facility management teams
• Roster therapists and clinical support staff across all sites and sister-island visits to ensure coverage at all times, including nights, weekends and public holidays.
• Be on call 24/7 to respond to operational issues at any site — outpatient, inpatient or sister-island — including staffing, facilities and urgent patient-care logistics outside normal hours.

Business Development
• Develop relationships with healthcare professionals, corporates, sports clubs and other third parties to build referral networks across Grand Cayman and the sister islands.

Marketing Supervision:
• The Clinical Practice Manager oversees Align's marketing activity across all clinics, managing relevant agencies and third-party partners to ensure campaigns are delivered on time, on brand and aligned with the wider business strategy. This includes reviewing marketing performance and spend, coordinating promotional activity around service launches or expansions, and working with the clinical and front-desk teams to ensure marketing initiatives translate into patient bookings and referrals

.Reporting
• Provide regular reporting of patient and business metrics to the clinical team, consolidated across outpatient, inpatient and sister-island activity.
3. Working Hours, On-Call Duty and Travel
Not suited to candidates seeking a fixed schedule or single location. The role requires:
• 24/7 on-call availability, with prompt response to clinical, staffing and operational issues at any hour including weekends and public holidays.
• Regular movement between three outpatient clinics and the inpatient service, plus periodic travel to Cayman's sister islands, at times requiring overnight stays.

Requirements
• 15+ years' senior operational, project or business management experience, ideally in fast-growing/start-up environments.
• Qualification in HR/Business/Operations Management or Healthcare Administration (or equivalent experience),
• Qualification in Public Relations 10+years experience.
• Strong leadership experience managing large, multicultural, multidisciplinary teams;
• Proven track record building/streamlining systems and executing growth strategies.
• Excellent organisational, decision-making, analytical and problem-solving skills; excellent communication skills and ability to handle sensitive information professionally.
• Experience in financial management, analysing data and monitoring expenses to optimise outcomes.
• Computer literacy, incl. ability to learn healthcare management/EMR software.
• Understanding of patient care/safety protocols and healthcare regulations/privacy laws (desirable); commitment to patient-centred, confidential, ethical practice.
• Bachelor's degree.

Deadline: November 1, 2026
Those interested, please send your resume and cover letter at info@align.ky

Location(s): Responsible for all Align sites: three outpatient clinics (Camana Bay, Harbor Walk and a East End, Inpatient hospital service, and cover of Cayman Brac. No fixed single base.
Employment Type Full-time, permanent
Salary KYD$6,000 – KYD$8,000 monthly
Working Pattern Monday to Friday 8 am to 7 pm and on-call 7 days a week. Clinics and the inpatient service operate every day of the year, including weekends and public holidays; unsociable hours are expected and required whenever operational need arises, across outpatient, inpatient and sister-island locations.