Member Lifecycle Director – Transformation

Job not on LinkedIn

🔥 6 minutes ago

🇺🇸 United States – Remote

💵 $130.3k - $195.5k / year

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 0%

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Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

🛡️ Insurance

🏥 Healthcare

💰 $135M Series C on 2020-03

Healthcare Insurance • Insurance • Healthcare

Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.

📋 Description

• Define and execute the strategy to improve member operations across acquisition, enrollment, onboarding, engagement, service, retention, and renewal • Develop a multi-year roadmap aligning operational improvements, technology investments, and business priorities • Identify opportunities to improve member experience, operational efficiency, retention, and growth • Design and evolve member operations operating models, workflows, governance structures, service models, and accountability frameworks • Lead assessment and improvement of member journeys across the lifecycle • Lead cross-functional process redesign, automation, workflow optimization, and standardization initiatives • Partner with Product and Technology teams to prioritize technology investments and translate business requirements into scalable solutions • Lead implementation of automation, AI-enabled capabilities, digital engagement tools, workflow technologies, and self-service solutions • Establish KPIs and success measures, monitor performance, and ensure measurable business value and return on investment • Develop business cases supporting transformation priorities and investment decisions • Serve as primary liaison across Operations, Clinical Services, Product, Technology, Marketing, Analytics, Quality, Compliance, Network, Finance, and market leadership • Facilitate governance forums and executive steering committees • Evaluate technologies, vendors, and operational capabilities; develop recommendations and lead implementation efforts • Individual contributor role

🎯 Requirements

• Minimum 7 years of progressive leadership experience in healthcare operations, care delivery, provider strategy, network strategy, product management, or related healthcare functions • Experience leading technology-enabled operational improvement efforts and digital product or platform initiatives • Bachelor's degree in Healthcare Administration, Business Administration, or a related field; four years of additional directly relevant experience may be considered in lieu of a degree • Demonstrated working knowledge of healthcare delivery models, provider performance management, referral management, care routing frameworks, and value-based care principles • Proven ability to define strategic product visions, build roadmaps, and prioritize technology investments for provider-facing platforms • Demonstrated ability to align Clinical Operations, Network Management, Technology, Analytics, Quality, Utilization Management, and market leadership teams • Strong ability to define, track, and interpret KPIs across provider performance, care routing effectiveness, network utilization, referral patterns, and member outcomes • Demonstrated ability to develop and execute multi-year strategic plans and lead organizational change management efforts • Exceptional ability to prepare and deliver executive-level presentations, business cases, and operating reviews • Preferred: Experience leading AI-enabled healthcare products or digital transformation initiatives • Preferred: MBA, MHA, or equivalent graduate degree • Preferred: Formal training in product management, digital transformation, change management, or healthcare operations leadership • Preferred: Lean, Six Sigma, or other structured operational improvement methodology