Director Market Performance

SCAN Health Plan; Long Beach (CA); On-site; USD 148,000 - 214,000; Full time

Benefits offered by this job

Bonus program

Wellness program

Paid time off (PTO)

Holidays & Birthday holiday

401(k) with employer match

Job summary

SCAN Health Plan is seeking a Director of Market Performance to lead enterprise provider performance initiatives across multiple markets. You will partner with experts, market leaders, and operations to define KPIs, generate insights, and drive performance improvements that enhance quality, member experience, and affordability.

You will design scalable methodologies, produce executive-ready reporting, and guide governance structures to ensure effective interventions and sustained impact on

Qualifications

• Bachelor's degree or equivalent in a related field.
• 7+ years in provider performance, health plan ops, or related areas.
• Graduate or advanced degree preferred.
• Leadership experience delivering enterprise programs and cross-functional initiatives.
• Strong knowledge of health plan operations, value-based care, Stars, risk adjustment.

Responsibilities

• Develop and maintain enterprise-wide provider performance playbooks and frameworks.
• Define KPIs across quality, cost, experience, access, and coding accuracy.
• Create scalable methods to identify opportunities and track outcomes.
• Translate analytics into actionable provider interventions and improvements.
• Lead governance, reporting, and stakeholder communications across markets.
• Drive adoption of AI-enabled solutions and tech-enabled process improvements.

Skills

Leadership

Analytics

Communication

Stakeholder management

AI adoption

KPI design

Project management

Problem solving

Cross-functional collaboration

SQL

Microsoft Office

Education

Bachelor's Degree in Business Administration/related field

Graduate/Advanced Degree

Tools

SQL

Visio

Microsoft Office Suite

CRM platforms

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.

The Job

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
• An opportunity to become part of a team that makes a difference to our members and our community every day!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. 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 Aff…

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

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)