Director, MSO Operations — Remote Health Plan Scale

Incuvio Health Inc.; United States; Hybrid; USD 120,000 - 150,000; Full time

Job summary

A healthcare operations firm is seeking a Director for MSO Operations to oversee and scale operational functions in a US-based MSO/IPA environment. Candidates should have at least 12 years of healthcare operations experience, particularly in claims management and compliance. The role includes leading day-to-day operations, ensuring audit readiness, and driving efficiency. Strong communication and management skills are essential for success. The position can be remote or hybrid.

Qualifications

• 12+ years of experience in US MSO, IPA, or delegated healthcare operations.
• Proven experience leading cross-functional operational teams.
• Strong understanding of US healthcare regulations and payer expectations.

Responsibilities

• Lead day-to-day MSO operations across various functions.
• Ensure operational readiness for audits and regulatory reviews.
• Drive operational efficiency and scalability as membership grows.

Skills

Claims operations and adjudication

Capitation and risk-based payment models

Delegated oversight and compliance

Provider network operations

Supporting Medicare Advantage

Leading cross-functional teams

Communication skills

Job description

A healthcare operations firm is seeking a Director for MSO Operations to oversee and scale operational functions in a US-based MSO/IPA environment. Candidates should have at least 12 years of healthcare operations experience, particularly in claims management and compliance. The role includes leading day-to-day operations, ensuring audit readiness, and driving efficiency. Strong communication and management skills are essential for success. The position can be remote or hybrid.