Director, Epic Payer Program

Medical Mutual•Cleveland, OH

About The Position

The Director, Epic Payer Program leads the strategy, governance, adoption, and optimization of Medical Mutual’s Epic Payer Program (EPP), ensuring technology investments deliver measurable value for members, providers, and the business. This highly visible leadership role partners across clinical, operational, and technology teams to drive innovation, strengthen provider collaboration, and advance enterprise digital transformation initiatives. The Director oversees governance and strategic execution across EPP initiatives, leads value realization and adoption strategies, and provides executive reporting and insights. The role also develops a high-performing team and advances interoperability, platform governance, and enterprise value realization objectives. Other duties may be assigned.

Requirements

  • Bachelor's degree in Healthcare Administration, Business Administration, Information Systems, or a related field.
  • 10 or more years of progressive experience in healthcare operations, population health, provider engagement, program or product management, digital transformation, healthcare technology, or related fields.
  • Five years in a leadership role.
  • Experience leading enterprise transformation, developing business strategy and governance models, managing executive stakeholders, and overseeing budgets, financial planning, and value realization.
  • Experience with healthcare interoperability, provider collaboration, healthcare technology platforms, or Epic solutions.
  • Skills and knowledge in enterprise strategy development, executive leadership and influence, vendor and contract management, financial stewardship and ROI management, healthcare operations, provider relationship management, and executive presentations.

Nice To Haves

  • Master's degree.

Responsibilities

  • Lead governance, portfolio oversight, and strategic execution for EPP initiatives and use cases, establishing processes that promote transparency, accountability, and enterprise alignment.
  • Partner with business and technology leaders to prioritize investments, optimize resource allocation, mitigate risks, and maximize platform value.
  • Communicate progress, outcomes, opportunities, and strategic recommendations to executive leadership.
  • Lead the enterprise value realization strategy for EPP investments by establishing performance measures, ROI methodologies, and success metrics aligned with business objectives.
  • Oversee reporting on adoption, outcomes, financial impact, and realized value.
  • Guide investment decisions, business case development, budget planning, and resource allocation to maximize strategic and financial returns.
  • Lead enterprise adoption and business transformation efforts for EPP capabilities, including stakeholder engagement, workflow optimization, and change management strategies.
  • Lead EPP analytics, performance reporting, and value measurement activities, delivering executive insights, dashboards, and trend analysis to support optimization, innovation, and data-driven decisions.
  • Lead and develop a high-performing team while fostering cross-functional collaboration, stakeholder engagement, and strategic alignment.
  • Advance enterprise interoperability, platform governance, and value realization objectives.
  • Perform other duties as assigned.

Benefits

  • Equipment for the role, including a laptop, monitors, keyboard, mouse, and headset.
  • Access to on-site fitness centers at many locations or gym membership reimbursement when a Medical Mutual facility is unavailable.
  • On-site cafeteria serving hot breakfast and lunch at the Brooklyn, Ohio headquarters.
  • Employee discounts at local businesses.
  • Opportunity to earn cash rewards for shopping with Medical Mutual customers.
  • Business casual attire, including jeans.
  • Employee bonus program.
  • 401(k) with company match up to 4% and an additional company contribution.
  • Health Savings Account with a company matching contribution.
  • Medical, dental, vision, life, and disability insurance.
  • Employee Assistance Program with counseling, coaching, self-help resources, and work/life benefits assistance.
  • Company holidays and up to 16 PTO days during the first year, with options to carry over unused PTO.
  • Parental leave after 120 days of service for eligible employees who become parents through maternity, paternity, or adoption.
  • Career development programs and classes.
  • Mentoring and coaching.
  • Tuition reimbursement up to $5,250 per year.
  • Diverse, inclusive, and welcoming culture with Business Resource Groups.
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