Provider Lifecycle Director – Transformation

🕒 Setembro 15

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $130.332 - $195.498 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

👻 Score fantasma 0%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

Candidatar-se

Encontrar Vagas Remotas Similares

Configurar Alerta de Email para Novas Vagas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

Alignment Health

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2013

⚕️ Seguro de Saúde

🛡️ Seguros

🏥 Saúde

💰 $135.000.000 Series C em 2020-03

Healthcare Insurance • Insurance • Healthcare

Alignment Health está comprometida em fornecer cuidados abrangentes para membros do Medicare, enfatizando as necessidades dos idosos, dos cronicamente doentes e daqueles que são frágeis. Com a missão de transformar a saúde dos idosos, a Alignment Health utiliza um modelo de atenção personalizado e tecnologia avançada para oferecer serviços de saúde de alta qualidade e baixo custo. Sua equipe de atendimento de concierge 24 horas por dia, 7 dias por semana, colabora com provedores locais confiáveis para garantir que cada membro receba um atendimento personalizado, refletindo o compromisso da empresa em tratar todos os membros como membros valiosos da família.

Descrição

• Define and execute a multi-year strategy to improve provider operations • Establish and manage a portfolio of transformation initiatives across provider functions • Identify opportunities to improve efficiency, scalability, compliance, accuracy, and provider experience • Develop business cases, investment plans, and success measures • Design and implement operating models across provider operations functions • Develop workflows, governance structures, service models, and accountability frameworks • Simplify processes, eliminate redundancies, and improve cross-functional coordination • Lead process redesign initiatives across Claims, Credentialing, Provider Data Management, Prior Authorization, Contracting, Delegation Oversight, and Provider Services • Apply process improvement methodologies, automation, and industry best practices • Partner with Product, Technology, and Operations teams to define technology priorities and implement scalable solutions • Lead implementation of automation, AI-enabled capabilities, digital intake solutions, provider portals, and workflow platforms • Establish KPIs and performance measures, monitor results, and ensure measurable business value and return on investment • Develop executive reporting and dashboards • Serve as primary liaison across Provider Operations, Network Management, Clinical Operations, Technology, Analytics, Compliance, Finance, and market leadership • Facilitate executive governance forums and steering committees • Build stakeholder alignment and drive adoption of new processes, operating models, and technologies • Operate as an individual contributor

🎯 Requisitos

• Minimum 8 years of experience in healthcare operations, business transformation, operational excellence, consulting, or related functions • Minimum 5 years leading large-scale cross-functional transformation initiatives • Experience redesigning operational processes and implementing operating model improvements that delivered measurable results • Experience leading complex initiatives involving multiple functions and executive stakeholders • Experience developing business cases, transformation roadmaps, performance frameworks, and executive presentations • Experience managing initiatives involving technology, operations, and organizational change • Bachelor's degree in Healthcare Administration, Business Administration, or a related field; four years of additional directly related experience may substitute for a degree • Knowledge of healthcare delivery models, provider performance management, referral management, care routing, and value-based care principles • Advanced ability in provider operations strategy and transformation • Advanced ability in operating model design • Advanced ability in business process improvement • Advanced ability in digital transformation and technology enablement • Advanced ability in data analytics and performance management • Advanced ability in organizational change management • Advanced cross-functional leadership and influence • Advanced strategic planning and execution • Advanced executive communication and stakeholder management