Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
The Director, Process Improvement & Operational Excellence is responsible for identifying, prioritizing, and leading cross-functional initiatives that improve operational performance, scalability, quality, and efficiency across the organization.This role partners with business leaders to evaluate current operating models, identify opportunities for improvement, redesign processes, and implement sustainable solutions that improve business outcomes. The Director leads improvement initiatives that simplify workflows, reduce operational friction, enhance service delivery, and strengthen organizational performance.
Working across multiple functions within a Medicare Advantage environment, this leader serves as an internal transformation partner, helping business areas solve complex operational challenges through process redesign, performance management, and disciplined execution.
Job Responsibilities:
Operational Excellence & Process Improvement- Identify operational inefficiencies, performance gaps, and workflow bottlenecks across the organization.
- Lead current-state and future-state process redesign efforts that improve efficiency, quality, scalability, and service performance.
- Implement process improvements that reduce complexity, improve operational outcomes, and enhance member and provider experiences.
- Establish standards, best practices, and continuous improvement methodologies across supported business areas.
- Lead cross-functional initiatives that support strategic business objectives and operational transformation efforts.
- Partner with business leaders to evaluate operating models and identify opportunities for increased effectiveness and scalability.
- Develop implementation plans and drive execution of approved transformation initiatives.
- Support organizational adoption of new processes and operating models.
- Ensure initiatives are successfully implemented and achieve defined business outcomes.
- Establish performance measures and success metrics for operational improvement initiatives.
- Analyze operational performance data and identify opportunities for improvement.
- Develop reporting and dashboards that provide visibility into initiative progress and business outcomes.
- Quantify operational, financial, and service impacts resulting from transformation efforts.
- Build and lead a team responsible for process improvement and transformation initiatives.
- Influence stakeholders across business functions and build alignment around improvement priorities.
- Serve as an advisor to leadership regarding operational performance, scalability, and continuous improvement opportunities.
Supervisory Responsibilities:
- Build and lead a high-performing team responsible for program management, process improvement, business analysis, and transformation delivery.
- Mentor and develop direct reports.
- Foster a collaborative, accountable, and results-oriented culture.
Job Requirements:
Experience:
Required:
- Minimum 7 years of progressive leadership experience in provider operations, network management, healthcare operations, provider engagement, business transformation, operational excellence, or related functions.
- Minimum 5 years leading large-scale cross-functional transformation initiatives in a healthcare, managed care, provider, MSO, IPA, or health plan environment.
- Experience developing business cases, transformation roadmaps, performance measurement frameworks, and executive-level presentations.
- Experience implementing Lean, Six Sigma, Agile, or other continuous improvement methodologies.
- Strong experience developing KPIs, operational dashboards, and performance management systems.
- Demonstrated working knowledge of healthcare delivery models, provider performance management, referral management, care routing frameworks, and value-based care principles
Preferred:
- Medicare Advantage experience with a strong understanding of provider operations, network management, provider engagement, Stars performance, and value-based care.
- Experience implementing technology platforms, digital tools, AI-enabled solutions, or workflow automation capabilities.
- Experience supporting delegated, risk-bearing, IPA, ACO, MSO, or integrated delivery system models.
Education:
Required:
- Bachelor's degree in Healthcare Administration, Business Administration, or a related field; four years of additional directly relevant experience may be considered in lieu of a degree
Preferred:
- MBA, MHA, or equivalent graduate degree with concentration in healthcare operations, strategy, or technology
Training:
Preferred:
- Formal training in Lean, Six Sigma, Agile, Project Management, Human-Centered Design, or Organizational Change Management.
- Certification in process improvement, project management, or business transformation methodologies.
- Formal training in product management, digital transformation, change management, or healthcare operations leadership
Essential Physical Functions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Pay Range: $149,882.00 - $224,823.00Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].
Skills Required
- Minimum 7 years of progressive leadership experience in provider operations, network management, healthcare operations, provider engagement, business transformation, operational excellence, or related functions.
- Minimum 5 years leading large-scale cross-functional transformation initiatives in a healthcare, managed care, provider, MSO, IPA, or health plan environment.
- Experience developing business cases, transformation roadmaps, performance measurement frameworks, and executive-level presentations.
- Experience implementing Lean, Six Sigma, Agile, or other continuous improvement methodologies.
- Strong experience developing KPIs, operational dashboards, and performance management systems.
- Working knowledge of healthcare delivery models, provider performance management, referral management, care routing frameworks, and value-based care principles.
- Bachelor's degree in Healthcare Administration, Business Administration, or a related field; four years of additional directly relevant experience may substitute.
- Medicare Advantage experience with knowledge of provider operations, network management, provider engagement, Stars performance, and value-based care.
- Experience implementing technology platforms, digital tools, AI-enabled solutions, or workflow automation capabilities.
- Experience supporting delegated, risk-bearing, IPA, ACO, MSO, or integrated delivery system models.
- MBA, MHA, or equivalent graduate degree focused on healthcare operations, strategy, or technology.
- Formal training or certification in Lean, Six Sigma, Agile, project management, human-centered design, organizational change management, product management, digital transformation, or healthcare operations leadership.
Alignment Healthcare Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Alignment Healthcare and has not been reviewed or approved by Alignment Healthcare.
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Healthcare Strength — Core coverage includes multiple medical plan types with major carriers along with dental and vision. Options are described as comprehensive on paper and can include plan choice depending on role and location.
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Retirement Support — A 401(k) plan with company match is commonly offered, and some roles also receive equity via RSUs. This foundation strengthens total rewards even when base pay varies by job family.
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Leave & Time Off Breadth — PTO is offered with paid holidays, and some teams provide paid parental leave; clinical roles may include CME time and tuition reimbursement. These elements expand beyond basic medical benefits to support time away and professional development.
Alignment Healthcare Insights
What We Do
Alignment Healthcare is redefining the business of health care by shifting the focus from payments to people. We’ve created a new model for health care delivery that cuts costs and improves lives by unraveling the inefficiencies of the current system to drive patients, providers and payers toward a common goal of wellness. Harnessing best practices from Medicare Advantage, our innovative data-management technology allows us to commit to caring for seniors and those who need it most: the chronically ill and frail. Alignment Healthcare provides partners and patients with customized care and service where they need it and when they need it, including clinical coordination, risk management and technology facilitation. Alignment Healthcare offers health plan options through Alignment Health Plan, and also partners with select health plans to help deliver better benefits at lower costs. For more information, please visit www.alignmenthealthcare.com.
