Regional Director, Operations
New
A
agilon health, inc.Healthcare operations
Remote - USAFull-TimeDirector
Salary129,700 - 162,100 USD per year
Apply NowOpens the employer's application page
Job Details
- Experience
- 5+ years healthcare operations experience; 3+ years leading multi-market risk adjustment or quality programs
- Required Skills
- SQLMicrosoft OfficeProcess improvement
Requirements
- 5+ years of healthcare operations experience.
- 3+ years leading multi-market risk adjustment or quality programs.
- Bachelor’s degree required.
- Advanced degree preferred.
- Six Sigma/Lean certification preferred.
- Knowledge of HEDIS, risk adjustment coding, and healthcare data including claims and EMR.
- Experience managing operational teams and vendor partners.
- Analytics fluency with dashboards/KPIs and either direct SQL experience or close collaboration with analytics teams.
- Program and project management skills and process improvement experience.
- Ability to create and maintain documents using Microsoft Office: Word, Excel, Outlook, and PowerPoint.
- Willingness to travel 4–10 days per month to visit partner groups.
Responsibilities
- Lead and operationalize BOI, Quality, and Cost of Care programs across 3+ markets.
- Develop and enforce SOPs, SLAs, and RACI for program activities.
- Collaborate with Central Operations on record review, coding review, chart collection, query workflows, and provider engagement.
- Monitor market operations and implement corrective actions and performance improvement plans.
- Define operational KPIs, conduct root cause analysis, and lead process improvement across markets.
- Escalate market operational issues and lead cross-functional readiness for new initiatives.
- Oversee BOI and Quality operating budgets, forecast resource needs, and identify cost-to-serve improvements.
- Partner with Data & Analytics and IT/Engineering on technical requirements, data pipelines, EMR/claims integrations, and dashboards.
- Participate in testing automation and technology solutions to reduce manual effort and increase operational scale.
- Lead capacity planning, staffing models, recruitment, training, and performance management for market BOI/Quality operations.
View Full Description & ApplyYou'll be redirected to the employer's site
