Bachelor's degree and eight years of related experience, or equivalent combination of education and experience.
Five years of management experience.
Experience leading physician organizations, MSOs, IPAs, ACOs, or integrated delivery systems.
Strong knowledge of Medicare Advantage, value-based care, population health, provider operations, care management, quality improvement, and healthcare regulatory requirements.
Demonstrated success leading cross-functional operational teams.
Excellent communication, organizational, and leadership skills.
Responsibilities
Direct and oversee daily operations of the MSO for efficient service delivery.
Develop and implement operational strategies supporting growth and value-based care.
Establish standardized workflows, policies, and performance expectations.
Oversee provider operational support, including onboarding and relationship management.
Coordinate day-to-day engagement with providers in the market.
Monitor provider satisfaction and implement service improvements.
Lead Lean, Six Sigma, or other continuous improvement initiatives.
Benefits
Opportunities for professional development and mentorship.
Collaborative work environment with cross-functional teams.
Engagement in innovative healthcare initiatives.
Focus on value-based care and population health.
Supportive culture fostering accountability and service excellence.
Full Job Description
Operational Leadership
Direct and oversee the daily operations of the MSO to ensure efficient, high-quality service delivery.
Develop and implement operational strategies that support organizational growth and value-based care objectives.
Establish standardized operational workflows, policies, and performance expectations across the organization.
Ensure operational alignment across all departments.
Provider Operations
Oversee provider operational support, including onboarding, practice engagement, and ongoing relationship management.
Primary focus: oversee the field / operations team; coordinate day to day engagement with provider in market.
Ensure provider organizations receive timely operational support related to quality, risk adjustment, care management, and value-based initiatives.
Monitor provider satisfaction and implement continuous service improvements.
Population Health Operations
Coordinate operational execution of:
Care gap closure initiatives
Risk adjustment workflows
Population health programs
Care management activities
Quality improvement initiatives
Ensure effective collaboration between clinical, operational, and analytics teams.
Performance Management
Develop operational dashboards and key performance indicators.
Monitor departmental performance and implement corrective actions as necessary.
Drive accountability for operational goals and service standards.
Process Improvement
Lead Lean, Six Sigma, or other continuous improvement initiatives.
Identify operational inefficiencies and implement scalable solutions.
Standardize best practices across participating provider organizations where appropriate.
Cross-Functional Leadership
Collaborate closely with:
President
Chief Financial & Analytics Officer
Director, Burden of Illness
Medical leadership
Health plan partner (HMSA)
Primary POC with internal program office team
Ensure seamless execution of enterprise initiatives.
Regulatory Compliance
Ensure operational compliance with CMS regulations, health plan contractual requirements, accreditation standards, and organizational policies.
Oversee operational readiness for audits and reporting requirements.
Leadership & Talent Development
Recruit, develop, and mentor high-performing operational leaders.
Foster a culture of accountability, collaboration, innovation, and service excellence.
Lead change management initiatives across the organization.
Performs all other miscellaneous responsibilities and duties as assigned or directed.
Bachelor's degree and eight years of related experience; or equivalent combination of education and experience.
Five years of management experience.
Experience leading physician organizations, MSOs, IPAs, ACOs, or integrated delivery systems.
Strong knowledge of:
Medicare Advantage
Value-based care
Population health
Provider operations
Care management
Quality improvement
Healthcare regulatory requirements.
Demonstrated success leading cross-functional operational teams.
Excellent communication, organizational, and leadership skills.
