Provider Lifecycle Transformation Director

Alignment Health

Northern (KY)

Hybrid

USD 130,000 - 195,000

Full time

7 days ago
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Job summary

Alignment Health is seeking a Provider Lifecycle Director - Transformation to lead multi-year strategies and operating model redesign across provider functions. You will drive process improvement, technology enablement, and executive-level change across Claims, Credentialing, Provider Data, and more, delivering measurable business outcomes with robust governance and cross-functional collaboration.

The role requires 8+ years in healthcare operations and 5+ years leading large transformation

Qualifications

  • Minimum 8 years in healthcare operations or transformation.
  • Minimum 5 years leading large-scale cross-functional initiatives.
  • Experience redesigning processes and operating models with measurable results.
  • Experience working with executive stakeholders.
  • Preferred Medicare Advantage experience.
  • Experience with AI, automation, digital transformation.
  • Lean Six Sigma or Agile training preferred.

Responsibilities

  • Define and execute a multi-year strategy to improve provider operations.
  • Design operating models and governance across provider functions.
  • Lead process redesign across Claims, Credentialing, Data Management, Prior Authorization, Contracting.
  • Partner with Product, Technology, and Operations to advance automation and AI-enabled solutions.
  • Establish KPIs and executive dashboards to track ROI.
  • Facilitate governance forums and secure cross-functional alignment.

Skills

Provider Ops Transformation
Operating Model Design
Process Improvement
Digital Transformation
Data Analytics
Change Management
Cross-Functional Leadership
Strategic Planning
Executive Communication

Education

Bachelor's degree
MBA / MHA

Job description

Alignment Health is seeking a Provider Lifecycle Director - Transformation to lead multi-year strategies and operating model redesign across provider functions. You will drive process improvement, technology enablement, and executive-level change across Claims, Credentialing, Provider Data, and more, delivering measurable business outcomes with robust governance and cross-functional collaboration.

The role requires 8+ years in healthcare operations and 5+ years leading large transformation

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