Provider Lifecycle Director - Transformation
Core
Define and execute multi-year strategies to improve provider operations, strengthen compliance, reduce costs, and support growth across health plan functions.
Role type
Senior individual contributor (Director) leading provider operations transformation and operating model design.
Builds
Scalable operating models, automated workflows, and digital solutions for provider lifecycle management.
Domain
Healthcare administration and business transformation.
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Provider operations strategy, operating model design, business process improvement, digital transformation, data analytics, organizational change management, cross-functional leadership, strategic planning, executive communication.
Preferred skills
Medicare Advantage experience, consulting experience, AI/automation implementation, rapid growth scaling.
Technologies
AI-enabled capabilities, digital intake solutions, provider portals, workflow platforms.
Responsibilities
Define and execute multi-year provider operations strategy; design and implement scalable operating models; lead process redesign across claims, credentialing, and contracting; partner with technology teams to enable automation and digital solutions; establish KPIs and drive accountability for operational outcomes.
Seniority
Senior, hands-on IC with executive stakeholder management.