Director Market Performance

SHPCA SCAN Health Plan; City of Long Beach (NY); On-site; USD 148,000 - 214,000; Full time

Benefits offered by this job

Base salary range

Onsite work

Annual bonus

Wellness program

Paid time off

Holidays

401(k) plan

Recognition program

Tuition reimbursement

Job summary

SCAN Health Plan, a nonprofit focused on advancing care for older adults, seeks a Director of Market Performance to build and lead enterprise provider performance programs across markets. You will define KPIs, translate analytics into action, and develop playbooks, dashboards, and governance to drive quality, cost, and member experience improvements.

The role requires deep Health Plan operations knowledge, strong leadership, and the ability to manage complex, cross-market initiatives with

Qualifications

• Bachelor's Degree or equivalent experience in Business Administration, Health Care Administration, Public Health, Finance, Operations, Analytics, or a related field.
• Graduate or Advanced Degree or equivalent experience.
• 7+ years of progressively responsible experience in provider performance, health plan operations, provider relations, value-based care, population health, risk adjustment, quality improvement, analytics, or operational transformation required.
• Prior leadership experience developing enterprise programs, performance frameworks, provider engagement strategies, or cross-functional initiatives required.
• Strong knowledge of health plan operations, provider performance management, value-based care, quality improvement, Stars performance, risk adjustment, and provider engagement strategies.
• Ability to translate complex data, analytics, and performance insights into actionable strategies, executive-ready reporting, and operational improvement plans.
• Excellent verbal and written communication skills, including the ability to develop provider-facing materials, executive presentations, dashboards, playbooks, and training content.
• Ability to define cross-functional KPIs, design scalable processes, governance structures, service models, and performance improvement frameworks across multiple markets.
• Strong program management, analytical, problem-solving, decision-making, and organizational skills.
• Advanced relationship management, stakeholder engagement, and partnership-building capabilities.
• Ability to manage competing priorities and lead complex initiatives in a fast-paced, matrixed environment.
• Ability to promote innovation, continuous improvement, and adoption of new technologies, including artificial intelligence-enabled solutions.
• Advanced technical skills are required with Microsoft Office Suite, Visio, and SQL.

Responsibilities

• Lead the development, maintenance, and continuous improvement of enterprise-wide provider performance playbooks, frameworks, and execution standards across all markets.
• Partner with subject matter experts and business leaders to define, operationalize, and monitor key performance indicators across quality, cost, growth, member experience, access, risk adjustment, coding accuracy, and provider performance.
• Translate data, analytics, and performance insights into actionable provider interventions that improve quality outcomes, Stars performance, affordability, coding accuracy, access, and member experience.
• Create standardized performance improvement tools, executive-ready reporting, provider-facing materials, scorecards, dashboards, training content, and engagement resources.
• Establish governance processes to monitor performance trends, identify risks, evaluate intervention effectiveness, and recommend corrective actions across provider partners and markets.
• Serve as the business lead for operational initiatives that impact provider performance, including encounter submission onboarding, gap closure processes, provider training, vendor management, and audit reporting frameworks.
• Drive implementation of innovative provider performance and operational transformation programs, including advanced coding accuracy initiatives, and technology-enabled process improvements.
• Lead change management and training efforts to support adoption of provider engagement standards, performance improvement programs, reporting practices, and market performance strategies.
• Design and implement the long-term provider service model strategy, including provider-facing support functions, shared service models, centralized intake, case routing, escalation processes, CRM strategy, provider portals, and service model enhancements.

Skills

Provider performance

Leadership experience

Data analytics

Communication skills

Stakeholder management

Cross-functional work

Project management

Education

Bachelor's degree

Graduate degree

Tools

SQL

Microsoft Office

Visio

Job description

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

Job Description

The Director of Market Performance is responsible for developing, operating, and continuously improving the provider performance management framework across the enterprise. This role partners with subject matter experts, market leaders, Provider Relations, technology, analytics, and operational teams to define key performance indicators, generate actionable insights, build performance improvement playbooks, and drive execution strategies that improve quality, member experience, affordability, coding accuracy, access, and provider performance outcomes. The Director serves as a key leader in the Market Performance Center of Excellence, enabling scalable provider engagement strategies, operational transformation initiatives, and performance improvement programs across all markets.

You Will Lead the development, maintenance, and continuous improvement of enterprise-wide provider performance playbooks, frameworks, and execution standards across all markets. Partner with subject matter experts and business leaders to define, operationalize, and monitor key performance indicators across quality, cost, growth, member experience, access, risk adjustment, coding accuracy, and provider performance. Design scalable methodologies to identify performance opportunities, document interventions, track outcomes, and measure provider group and market-level performance improvement. Translate data, analytics, and performance insights into actionable provider interventions that improve quality outcomes, Stars performance, affordability, coding accuracy, access, and member experience. Create standardized performance improvement tools, executive-ready reporting, provider-facing materials, scorecards, dashboards, training content, and engagement resources. Establish governance processes to monitor performance trends, identify risks, evaluate intervention effectiveness, and recommend corrective actions across provider partners and markets. Serve as the business lead for operational initiatives that impact provider performance, including encounter submission onboarding, gap closure processes, provider training, vendor management, and audit reporting frameworks. Drive implementation of innovative provider performance and operational transformation programs, including advanced coding accuracy initiatives, and technology-enabled process improvements. Lead change management and training efforts to support adoption of provider engagement standards, performance improvement programs, reporting practices, and market performance strategies. Design and implement the long-term provider service model strategy, including provider-facing support functions, shared service models, centralized intake, case routing, escalation processes, CRM strategy, provider portals, and service model enhancements.

We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Actively support the achievement of SCAN’s Vision and Goals. Other duties as assigned.

Your Qualifications

• Bachelor's Degree or equivalent experience in Business Administration, Health Care Administration, Public Health, Finance, Operations, Analytics, or a related field.
• Graduate or Advanced Degree or equivalent experience.
• 7+ years of progressively responsible experience in provider performance, health plan operations, provider relations, value-based care, population health, risk adjustment, quality improvement, analytics, or operational transformation required.
• Prior leadership experience developing enterprise programs, performance frameworks, provider engagement strategies, or cross-functional initiatives required.
• Strong knowledge of health plan operations, provider performance management, value-based care, quality improvement, Stars performance, risk adjustment, and provider engagement strategies.
• Ability to translate complex data, analytics, and performance insights into actionable strategies, executive-ready reporting, and operational improvement plans.
• Excellent verbal and written communication skills, including the ability to develop provider-facing materials, executive presentations, dashboards, playbooks, and training content.
• Ability to define cross-functional KPIs, design scalable processes, governance structures, service models, and performance improvement frameworks across multiple markets.
• Strong program management, analytical, problem-solving, decision-making, and organizational skills.
• Advanced relationship management, stakeholder engagement, and partnership-building capabilities.
• Ability to manage competing priorities and lead complex initiatives in a fast-paced, matrixed environment.
• Ability to promote innovation, continuous improvement, and adoption of new technologies, including artificial intelligence-enabled solutions.
• Advanced technical skills are required with Microsoft Office Suite, Visio, and SQL.

Experience Preferred

• Experience supporting Medicare Advantage, managed care, value-based care, provider network performance, or health plan operations preferred.
• Experience leading enterprise-wide performance improvement programs, provider engagement strategies, shared service models, or technology-enabled operational transformation initiatives preferred.
• Experience with dashboards, scorecards, provider reporting, CRM platforms, provider portals, data analytics tools, or performance management systems preferred.

What's in it for you?

• Base salary range: $147,900 to $214,030 per year
• Work Mode: Mostly Onsite
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
• Excellent 401(k) Retirement Saving Plan with employer match and contribution
• Robust employee recognition program
• Tuition reimbursement

Why consider a career at SCAN?

• A competitive compensation and benefits program
• An annual employee bonus program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year
• Excellent Retirement Savings program
• A work-life balance
• An opportunity to become part of a team that makes a difference to our members and our community everyday!

We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and affirmative action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law.

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Become part of a mission-driven team that makes a difference in the lives of seniors everyday. SCAN has a long history of finding and investing in ways to meet seniors' needs. This focus is what attracts employees to SCAN. For each and every one of us, the SCAN mission is personal. Keeping Seniors Healthy and Independent is both our mission and our passion. That same commitment carries over to our employees. We provide the training, tools and support necessary to do your work. We reward effort and celebrate success. SCAN both develops and attracts people who are leading experts in their respective fields. If the SCAN mission is one you believe in too, we invite you to explore the career opportunities at SCAN.