Director of Operational Excellence & Process Innovation

Alignment Health; United States; Remote; USD 150,000 - 225,000; Full time

Job summary

Alignment Health is seeking a Director of Process Improvement & Operational Excellence to lead cross-functional initiatives across the organization, delivering scalable and high-impact improvements in Medicare Advantage operations.

You will partner with executives to redesign processes, implement performance dashboards, and drive adoption of new operating models to improve efficiency, quality, and member/provider experiences.

Qualifications

• Minimum 7 years of progressive leadership experience in provider operations, network management, healthcare operations, provider engagement, business transformation, operational excellence, or related functions.
• Minimum 5 years leading large-scale cross-functional transformation initiatives in healthcare, managed care, provider, MSO, IPA, or health plan environment.
• Experience developing business cases, transformation roadmaps, performance measurement frameworks, and executive-level presentations.
• Experience implementing Lean, Six Sigma, Agile, or other continuous improvement methodologies.
• Strong experience developing KPIs, operational dashboards, and performance management systems.
• Demonstrated working knowledge of healthcare delivery models, provider performance management, referral management, care routing frameworks, and value-based care principles.
• Medicare Advantage experience with understanding provider operations, network management, provider engagement, Stars performance, and value-based care (preferred).
• Experience implementing technology platforms, digital tools, AI-enabled solutions, or workflow automation capabilities (preferred).
• Experience supporting delegated, risk-bearing, IPA, ACO, MSO, or integrated delivery system models (preferred).

Responsibilities

• Identify operational inefficiencies, performance gaps, and workflow bottlenecks across the organization.
• Lead current-state and future-state process redesign efforts that improve efficiency, quality, scalability, and service performance.
• Implement process improvements that reduce complexity, improve operational outcomes, and enhance member and provider experiences.
• Establish standards, best practices, and continuous improvement methodologies across supported business areas.
• Lead cross-functional initiatives that support strategic business objectives and operational transformation efforts.
• Partner with business leaders to evaluate operating models and identify opportunities for increased effectiveness and scalability.
• Develop implementation plans and drive execution of approved transformation initiatives.
• Support organizational adoption of new processes and operating models.
• Ensure initiatives are successfully implemented and achieve defined business outcomes.
• Establish performance measures and success metrics for operational improvement initiatives.
• Analyze operational performance data and identify opportunities for improvement.
• Develop reporting and dashboards that provide visibility into initiative progress and business outcomes.
• Quantify operational, financial, and service impacts resulting from transformation efforts.
• Build and lead a team responsible for process improvement and transformation initiatives.
• Influence stakeholders across business functions and build alignment around improvement priorities.
• Serve as an advisor to leadership regarding operational performance, scalability, and continuous improvement opportunities.
• Mentor and develop direct reports.
• Foster a collaborative, accountable, and results-oriented culture.

Skills

Leadership

Cross-functional leadership

Lean Six Sigma

Agile

KPIs & dashboards

Healthcare operations

Business cases & roadmaps

Executive presentations

Education

Bachelor's degree in Healthcare Administration or Business Administration

MBA / MHA or equivalent graduate degree

Lean, Six Sigma, Agile training

Certification in process improvement / project management

Product management / digital transformation training

Job description

Alignment Health is seeking a Director of Process Improvement & Operational Excellence to lead cross-functional initiatives across the organization, delivering scalable and high-impact improvements in Medicare Advantage operations.

You will partner with executives to redesign processes, implement performance dashboards, and drive adoption of new operating models to improve efficiency, quality, and member/provider experiences.