Director, Epic Payer Program

Medical Mutual; Cleveland (OH); On-site; USD 150,000 - 210,000; Full time

Benefits offered by this job

On-site fitness centers

Gym membership reimbursement

On-site cafeteria

Job summary

Medical Mutual is seeking a Director, Epic Payer Program to lead strategy, governance, adoption, and optimization of the Epic Payer Program. You will collaborate with clinical, operational, and technology teams to drive transformation, value realization, and provider engagement.

The role focuses on governance, ROI measurement, and enterprise interoperability, reporting to executive leadership and guiding budget decisions to maximize program value.

Qualifications

• Requires a Bachelor’s degree in a related field and 10+ years in healthcare operations or related areas.
• Five years in a leadership role and experience with enterprise transformation.
• Experience with healthcare interoperability and Epic solutions is required.

Responsibilities

• Leads governance, portfolio oversight, and strategic execution for all EPP initiatives and use cases.
• Establishes processes for transparency, accountability, and enterprise alignment with leaders.
• Oversees ROI methodologies, adoption reporting, and value realization initiatives.
• Drives adoption, stakeholder engagement, and change management across the enterprise.
• Delivers executive insights, dashboards, and trend analyses for decision making.
• Builds a high-performing team and coordinates cross-functional collaboration.

Skills

Enterprise Strategy Development

Executive Leadership

Vendor & Contract Management

Financial Stewardship

Healthcare Operations

Provider Relationship Management

Executive Presentation Skills

Education

Bachelor's degree in Healthcare Administration, Business Administration, Information Systems, or related field

Master's degree preferred

Job description

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
• Executive Leadership & Influence
• Vendor & Contract Management
• Financial Stewardship & ROI Management
• Healthcare Operations
• Provider Relationship Management
• Executive Presentation Skills

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.
• Business casual attire, including jeans.

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.