[Hiring] Provider Lifecycle Director @Alignment Health

Role Description

The Provider Lifecycle Director - Transformation is responsible for defining and executing the strategy to improve provider operations across the health plan. This role leads initiatives that improve operational performance, strengthen compliance, reduce administrative costs, and support growth.

• Partner across Provider Operations, Network Management, Clinical Operations, Technology, Analytics, Compliance, Finance, and market leadership to redesign processes, implement technology solutions, and establish scalable operating models.
• Accountable for transformation initiatives across:
  • Claims Operations
  • Credentialing
  • Provider Data Management
  • Prior Authorization
  • Provider Services
  • Delegation Oversight
  • Contract Administration

• Responsibilities include:
  • Process redesign
  • Technology enablement
  • Operating model improvements
  • Delivery of measurable business outcomes

Qualifications

• 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.
• Preferred: Medicare Advantage experience.
• Preferred: Experience leading transformation, process improvement, or operational excellence functions.
• Preferred: Consulting experience supporting healthcare transformation.
• Preferred: Experience implementing AI, automation, digital transformation, or workflow technologies.
• Preferred: Experience supporting rapid growth and operational scaling.

Requirements

• Required: Bachelor's degree in Healthcare Administration, Business Administration, or a related field; four years of additional directly related experience may substitute for a degree.
• Preferred: MBA, MHA, or equivalent graduate degree.
• Required: Knowledge of healthcare delivery models, provider performance management, referral management, care routing, and value-based care principles.

Benefits

• Pay Range: $130,332.00 - $195,498.00
• Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Company Description

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first.

We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.