Director, Epic Payer Program

Superior Dental Care, Inc.; Cleveland (OH); Presencial; USD 125 000 - 160 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Laptop equipment provided

On-site fitness centers / gym stipend

On-site cafeteria

Employee discounts

Cash rewards program

Resumo da oferta

Medical Mutual seeks a dynamic Director, Epic Payer Program to lead strategy, governance, adoption, and optimization of the Epic Payer Program (EPP). This executive role collaborates with clinical, operational, and technology leaders to drive innovation, interoperability, and enterprise transformation that delivers measurable member and provider value.

The role requires strong experience in healthcare operations, governance, and digital transformation, with a focus on Epic solutions and

Qualificações

• Bachelor's degree required in a related field such as Healthcare Administration, Business Administration or Information Systems.
• Master's degree preferred for leadership roles in healthcare technology and transformation.
• 15+ years in healthcare operations, with senior leadership and program governance experience.

Responsabilidades

• Leads governance, portfolio oversight, and strategic execution for all EPP initiatives and use cases, aligning investments with enterprise goals.
• Oversees ROI methodologies, performance measures, and value realization to maximize financial and strategic returns.
• Drives enterprise adoption, change management, and stakeholder engagement to accelerate benefits realization.
• Delivers executive insights, dashboards, and trend analysis to support data-driven decisions.
• Builds and mentors a high-performing team across cross-functional partners and governance bodies.

Conhecimentos

Enterprise Strategy Development

Healthcare Operations

Provider Relationship Management

Executive Presentation Skills

Formação académica

Bachelor's degree in Healthcare Administration/ Business Administration/ Information Systems

Master's degree (preferred)

Ferramentas

Epic

Descrição da oferta de emprego

Internal employees, please apply via MySource.

As Director, Epic Payer Program, you will lead the strategy, governance, adoption, and optimization of our Epic Payer Program (EPP), ensuring technology investments deliver measurable value for members, providers, and the business. This highly visible leadership role partners across clinical, operational, and technology teams to drive innovation, strengthen provider collaboration, and advance enterprise digital transformation initiatives.

Responsibilities:

• Leads governance, portfolio oversight, and strategic execution for all EPP initiatives and use cases, establishing processes that promote transparency, accountability, and enterprise alignment. Partners with business and technology leaders to prioritize investments, optimize resource allocation, mitigate risks, and maximize platform value while communicating progress, outcomes, opportunities, and strategic recommendations to executive leadership.
• Leads the enterprise value realization strategy for EPP investments by establishing performance measures, ROI methodologies, and success metrics that align platform initiatives with business objectives. Oversees reporting on adoption, outcomes, financial impact, and realized value, while guiding investment decisions, business case development, budget planning, and resource allocation to maximize strategic and financial returns.
• Leads enterprise adoption and business transformation efforts for EPP capabilities, driving stakeholder engagement, workflow optimization, and change management strategies that accelerate adoption and deliver sustainable operational and business value.
• Leads EPP analytics, performance reporting, and value measurement activities, delivering executive insights, dashboards, and trend analysis that support optimization, innovation, and data-driven decision-making across the enterprise.
• Leads and develops a high-performing team while fostering cross-functional collaboration, stakeholder engagement, and strategic alignment to advance enterprise interoperability, platform governance, and value realization objectives.
• Performs other duties as assigned.

Qualifications:

Education and Experience:

• Bachelor's degree in Healthcare Administration, Business Administration, Information Systems, or a related field required.
• Master's degree preferred.
• 10+ years of progressive experience in healthcare operations, population health, provider engagement, program or product management, digital transformation, healthcare technology, or related fields, including five years in a leadership role.
• Experience leading enterprise transformation, developing business strategy and governance models, managing executive stakeholders, and overseeing budgets, financial planning, and value realization.
• Experience with healthcare interoperability, provider collaboration, healthcare technology platforms, or Epic solutions required.

Technical Skills and Knowledge:

• Enterprise Strategy Development
• Healthcare Operations
• Provider Relationship Management
• Executive Presentation Skills

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.

Excellent Benefits and Compensation:

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance - insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self‑funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.

We maintain a drug‑free workplace and perform pre‑employment substance abuse and nicotine testing.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.