Senior Director, Provider Success
Alignment Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $130,332 - $195,498 per year
Job Level
About the role
- Design and stand up the enterprise MSO operating model supporting direct providers, hospital groups, and PPO-aligned networks.
- Define standardized end-to-end workflows spanning onboarding, credentialing, claims, UM, quality, and performance management.
- Establish scalable governance models for varying provider relationships (direct, hospital-employed, delegated entities, PPO partners).
- Ensure operating model flexibility to accommodate market-specific needs while maintaining enterprise consistency.
- Partner with Technology and Data teams to define system requirements, reporting infrastructure, and automation to support MSO operations.
- Standardize internal workflows across UM, Claims, Network, Finance, and Clinical Operations to support multiple provider models with minimal variation.
- Lead enterprise issue intake, tracking, and resolution processes for provider operational issues across all provider types.
- Identify systemic issues impacting provider partners and drive cross-functional remediation.
- Reduce administrative friction for providers by eliminating redundant processes and manual workarounds.
- Partner with Data teams to develop standardized performance scorecards tailored to direct providers, hospital groups, and PPO-aligned providers, with consistent core metrics and model-specific views.
- Establish enterprise performance review and engagement cadences that markets can execute locally.
- Enable targeted steerage strategies aligned to preferred, high-performing providers across all provider types.
- Build a consistent provider experience framework across direct providers, hospital groups, and PPO networks.
- Implement enterprise provider education programs tailored to different provider models while maintaining consistent standards.
- Own provider feedback loops, including surveys and NPS, and translate insights into operational and experience improvements.
- Align enterprise and market communications to ensure clear, coordinated messaging to providers across all arrangements.
Requirements
- 10+ years of progressive leadership experience in provider operations, network management, MSO operations, or healthcare operations.
- 7+ years leading enterprise-wide initiatives involving workflow standardization, operating model design, or provider performance enablement.
- Proven experience working with or supporting physicians, provider groups, or value-based care models.
- Demonstrated success operating in complex, matrixed healthcare organizations with both enterprise and market-level stakeholders.
- Strong track record of driving operational integration, reducing provider friction, and improving provider satisfaction and performance.
- Bachelor’s degree in Business Administration, Healthcare Management, Operations, or related field required.
- Master’s degree preferred (MBA, MHA, MPH, or related).
Benefits
- Health insurance
- Retirement plans
- Paid time off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
workflow standardizationoperating model designprovider performance enablementperformance scorecardsdata analysisissue trackingautomationgovernance modelscredentialingclaims management
Soft Skills
leadershipcommunicationcollaborationproblem-solvingstrategic thinkingoperational integrationstakeholder managementprovider satisfaction improvementcross-functional teamworkadaptability
Certifications
Bachelor’s degreeMaster’s degree (MBA, MHA, MPH)