Director, Process Improvement
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Job Description
Director leading process improvement and operational excellence for Alignment Health’s Medicare Advantage operations. Redesigning workflows, managing transformation initiatives, and improving member and provider outcomes.
Responsibilities:
- Identify operational inefficiencies, performance gaps, and workflow bottlenecks across the organization
- Lead current-state and future-state process redesign efforts
- Implement process improvements that reduce complexity, improve operational outcomes, and enhance member and provider experiences
- Establish standards, best practices, and continuous improvement methodologies
- Lead cross-functional initiatives supporting strategic business objectives and operational transformation
- Partner with business leaders to evaluate operating models and identify opportunities for effectiveness and scalability
- Develop implementation plans and drive execution of transformation initiatives
- Support organizational adoption of new processes and operating models
- Establish performance measures and success metrics
- Analyze operational performance data and identify improvement opportunities
- Develop reporting and dashboards showing initiative progress and business outcomes
- Quantify operational, financial, and service impacts of transformation efforts
- Build and lead a team responsible for process improvement and transformation initiatives
- Influence stakeholders across business functions and build alignment around improvement priorities
- Advise leadership on operational performance, scalability, and continuous improvement
- Mentor and develop direct reports
- Foster a collaborative, accountable, and results-oriented culture
Requirements:
- Minimum 7 years of progressive leadership experience in provider operations, network management, healthcare operations, provider engagement, business transformation, operational excellence, or related functions
- Minimum 5 years leading large-scale cross-functional transformation initiatives in a healthcare, managed care, provider, MSO, IPA, or health plan environment
- Experience developing business cases, transformation roadmaps, performance measurement frameworks, and executive-level presentations
- Experience implementing Lean, Six Sigma, Agile, or other continuous improvement methodologies
- Strong experience developing KPIs, operational dashboards, and performance management systems
- Demonstrated working knowledge of healthcare delivery models, provider performance management, referral management, care routing frameworks, and value-based care principles
- 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
- Preferred: Medicare Advantage experience with a strong understanding of provider operations, network management, provider engagement, Stars performance, and value-based care
- Preferred: Experience implementing technology platforms, digital tools, AI-enabled solutions, or workflow automation capabilities
- Preferred: Experience supporting delegated, risk-bearing, IPA, ACO, MSO, or integrated delivery system models
- Preferred: MBA, MHA, or equivalent graduate degree with concentration in healthcare operations, strategy, or technology
- Preferred formal training in Lean, Six Sigma, Agile, Project Management, Human-Centered Design, or Organizational Change Management
- Preferred certification in process improvement, project management, or business transformation methodologies
- Preferred formal training in product management, digital transformation, change management, or healthcare operations leadership
- Ability to perform the essential physical functions of the role, with reasonable accommodations available
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