Senior Director, Medicare Advantage Transformation, Remote
Related skills
data analysis cross-functional leadership healthcare strategy risk adjustment hcc codingπ Description
- Lead design and execution of the Medicare Advantage Transformation plan aligned with growth goals.
- Direct cross-functional workstreams for MA initiatives: Stars, risk adjustment, costs.
- Monitor KPIs for MA; identify gaps and pivot strategy to meet shared savings targets.
- Collaboration & Change Management:
- Collaborate with Payer Strategy, Product, and Field Ops to translate MA initiatives into practice workflows.
- Navigate ambiguity to secure buy-in; MA transformation remains a top priority.
- Other duties as assigned
π― Requirements
- Bachelorβs degree
- 12+ years in healthcare strategy or operations; at least 5 years in Medicare Advantage
- 6+ years leading cross-functional pods
- Deep MA knowledge: Stars, HCC coding, V28 transition, and supplemental benefits
- Proven track record managing large, complex projects end-to-end
- Comfort in ambiguity; build-as-you-go environment and turn goals into plans
- Strong collaboration skills; lead through influence across diverse teams
- Strong analytical skills; translate data into executive narratives
- Passion for primary care and disrupting fee-for-service
- MBA, MHA, or MPH
- Physical requirements: Prolonged sitting at a desk and computer use
π Benefits
- Flexible schedules and remote options
- Health, dental, vision insurance up to 80% for employees and dependents
- 21 days PTO in first year
- Two volunteer days and 11 paid holidays
- 12 weeks paid parental leave for new parents
- Six weeks sabbatical after six years
- Educational Assistance & Clinical Reimbursement programs
- 401(k) with up to 4% match
- Stock options
- And more benefits
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