Who We Are

Gateway to Hope was founded by two physicians who were frustrated and angered by the circumstances in which many of their patients found themselves – delaying life-saving breast healthcare because of inability to pay. We are on a mission to champion change, removing barriers to timely, affordable, quality breast healthcare – empowering people to live full and healthy lives. For the last two decades, we’ve served thousands of women needing access to life-saving healthcare. And, we’re actively leading change efforts across the state, partnering with policy makers and sitting at the right tables where decisions about cancer care happen. We advocate for women and their families in some of the hardest times of their lives, and make sure they can thrive beyond it. Because of our work, thousands of women have better access to prevention and early detection care in Missouri. Thousands of women have reported better ability to cope with the challenges of treatment, better quality of life. And, the women we serve are four times less likely to skip medications and recommended healthcare – because of our services. This is just the beginning of our impact. We envision a world in which nobody has to endure the burden of a treatable disease like breast cancer. We have work to do.

The challenge we are solving

Today in Missouri, and in much of the United States, a woman’s income, where she lives, and the color of her skin determines whether she will survive breast cancer. This is unacceptable, given the medical advancements of the last 30 years. We have curative treatments for 90+% of breast cancers. And yet, in some communities, the death rate is over 70%. Those communities most affected are rural, low-income, and women of color. The real issue at hand is not whether the treatments exist, it’s who has access to them. The mothers, sisters, daughters of our state and nation deserve better. Gateway to Hope is here to solve this issue. With our patient-centered and evidence-based support programs, our research and policy work, we are addressing root causes and creating change for future generations, while helping women access care today. In order to truly reduce the death rate of women most  affected by these issues, we need to deliver our programs at scale. This takes resources and energy that Gateway to Hope needs to build. We have momentum: we’ve doubled the number of patients served in the last 3 years, and will quadruple the number served by the end of 2025. But the work doesn’t end there. Our expansion goals are rooted in one simple principle: no woman should have to choose between life-saving healthcare, and putting food on the table. We are on a mission to make this a reality for ALL women – not just some.

The Role

Gateway to Hope, a growing women’s health nonprofit organization based in the St. Louis region and serving women across Missouri and Southern Illinois, seeks a detail-oriented and highly organized Operations & Administrative Manager to support the organization’s internal operations and administrative infrastructure.

This mission-critical role ensures the smooth functioning of day-to-day office operations, financial administration processes, vendor coordination, and compliance systems that support Gateway to Hope’s programs and staff. The Operations & Administrative Manager works closely with the Senior Director of Contracts & Finance, the CEO, the leadership team, the Board of Directors, and external partners to ensure operational excellence, accuracy, and responsiveness across the organization.

The individual in this role is anticipatory, meets deadlines with ease, highly organized, and adept at managing multiple priorities in a dynamic healthcare nonprofit environment.

Reports to

Senior Director of Contracts & Finance

Responsibilities

Office & Administrative Operations

• Oversee day-to-day office operations, including facilities coordination, supplies, mail and shipping, shared workspaces, and shared calendars.
• Serve as the primary point of contact for office vendors, maintenance providers, and administrative service partners.
• Maintain organized administrative records, internal documentation, and operational systems.
• Support internal communications and coordination to ensure smooth cross-functional workflows.

CEO & Board of Directors Support

• Provide high-level administrative and logistical support to the CEO, including calendar management, correspondence, meeting preparation, and priority coordination.
• Support the Board of Directors with meeting logistics, materials preparation, recordkeeping, and scheduling.
• Assist with the preparation of reports, written correspondence, and documentation for leadership and Board use.
• Maintain confidentiality and exercise sound judgment when handling sensitive organizational information.

Accounts Payable, Finance & Contract Support

• Manage internal bill pay processes, ensuring timely submission, tracking, and documentation of expenses.
• Serve as a liaison with the external accounting team to support bookkeeping, reconciliations, and financial documentation.
• Support the Senior Director of Contracts & Finance with administrative aspects of contracts, renewals, and vendor agreements.
• Maintain organized financial and administrative records to support audits, reporting, and compliance.

Healthcare Billing & Insurance Administration

• Support administrative workflows related to Medicaid, Medicare, and insurance billing processes.
• Coordinate documentation, tracking, and data management related to healthcare billing and reimbursement.
• Interface with internal teams and external partners to support accurate and compliant billing operations.

Human Resources & Benefits Coordination

• Serve as the primary internal liaison to the organization’s HR PPO and benefits administration partners.
• Support onboarding and offboarding processes, benefits coordination, and HR-related documentation.
• Assist leadership in maintaining compliance with employment policies and administrative HR requirements.

Annual Training & Compliance Management

• Coordinate required annual trainings for staff, contractors, and volunteers.
• Track completion, maintain records, and ensure compliance with organizational, regulatory, and funder requirements.
• Support continuous improvement of training systems and internal processes.
• Oversee Gateway to Hope insurance policies, corporate documents, and registrations.

Technology & Third-Party Vendor Management

• Serve as the point person for third-party technology platforms and administrative vendors.
• Coordinate troubleshooting, renewals, access management, and vendor communications.
• Ensure staff have appropriate access, training, and support for organizational systems,

Additional Operational Support

• Support special projects, operational initiatives, and process improvement efforts.
• Contribute to a collaborative, inclusive, and mission-driven organizational culture.
• Perform other duties as assigned to support Gateway to Hope’s mission and operations.

Supervisory Responsibilities

Coordinates with volunteers, contractors, and external partners supporting office administration and operations.
Skills & Qualifications

• Exceptional organizational skills with strong attention to detail.
• Ability to manage multiple priorities while maintaining accuracy and professionalism.
• Strong written and verbal communication skills.
• Experience with office management, administrative operations, and vendor coordination.
• Experience with Medicaid, Medicare, and/or insurance billing processes preferred.
• Comfort interfacing with HR vendors, benefits administrators, and accounting partners.
• Proficiency with Microsoft 365 and administrative technology systems.
• Ability to handle sensitive information with discretion and empathy.
• Experience in healthcare, nonprofit, or social services environments preferred.

Annual Salary Range

$60,000 – $70,000

Work Environment

This position operates in a hybrid office/remote environment. This position is expected to be in the Maplewood office 2–3 days per week and may work remotely on other days. Regular interaction with staff, leadership, vendors, and community partners is required.

Physical Demand

Some light lifting and filing is required. This role routinely uses standard office equipment and technology.

Position Type and Expected Hours of Work

This is a non-exempt position averaging 40 hours per week. As noted, this position requires frequent travel with flexibility in schedule allowed. This position can be fully remote, or hybrid with desk space at our St. Louis headquarters as the need arises.

How to Apply

Please submit a cover letter and resume to: info@gthmo.org with Subject Line: Operations & Administrative Manager

Gateway to Hope is an equal opportunity employer, complies with applicable Federal civil rights laws, and is committed to providing a workplace free from discrimination or harassment.