Director, Provider Market Performance & Growth

SCAN Group

Long Beach (CA)

Sur place

USD 148 000 - 214 000

Plein temps

Il y a 11 jours

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Avantages offerts par ce poste

Base salary
Annual bonus program
Wellness program
Generous PTO
11 holidays + floating + birthday
401(k) with match
Tuition reimbursement

Résumé du poste

SCAN is seeking a Director of Market Performance to lead enterprise-wide provider performance programs across markets. You will develop playbooks, define KPIs, and drive improvements in quality, cost, and member experience while leading change management and training initiatives.

Join a value-driven nonprofit focused on delivering high-quality, affordable care for older adults. This role emphasizes strategic governance, cross-functional collaboration, and innovative AI-enabled improvements in

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.
  • Prior leadership experience developing enterprise programs, performance frameworks, provider engagement strategies, or cross-functional initiatives.
  • 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.

Responsabilités

  • Lead the development, maintenance, and continuous improvement of provider performance playbooks, frameworks, and execution standards across all markets.
  • Define, operationalize, and monitor KPIs 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 performance.
  • Translate data and insights into actionable provider interventions to improve quality, Stars, access, and member experience.
  • Create standardized tools, reporting, scorecards, dashboards, training content, and engagement resources.
  • Establish governance to monitor trends, identify risks, and recommend corrective actions.
  • Lead initiatives affecting provider performance, including encounter submission onboarding and audits.
  • Drive innovative programs, including coding accuracy initiatives and tech-enabled improvements.
  • Lead change management and training for adoption of engagement standards and reporting practices.
  • Design long-term provider service models, including centralized intake, CRM strategy, and provider portals.
  • We seek Rebels curious about AI and its power to transform our work.
  • Support SCAN's Vision and Goals.

Connaissances

Leadership
KPIs & governance
Data translation
Communication
Program management
Cross-functional collaboration
SQL
Visio
Microsoft Office
AI awareness

Formation

Bachelor's degree or equivalent
Graduate or advanced degree

Outils

CRM platforms
Dashboards
Provider portals
SQL

Description du poste

SCAN is seeking a Director of Market Performance to lead enterprise-wide provider performance programs across markets. You will develop playbooks, define KPIs, and drive improvements in quality, cost, and member experience while leading change management and training initiatives.

Join a value-driven nonprofit focused on delivering high-quality, affordable care for older adults. This role emphasizes strategic governance, cross-functional collaboration, and innovative AI-enabled improvements in

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