Director, Payor Operational Readiness

CenterWell

1d • $168,000 - $231,000 • Remote

About The Position

The Director, Payor Operational Readiness plans for all aspects of payor contracted operations and oversees implementation, ensuring contractual obligations are met. Develops and oversees processes that are scalable and drive performance, efficiency, and alignment with organizational goals. Provides vision, direction, and leadership for large-scale implementation efforts that span functions and business segments. Serves as a key advisor to senior leadership on execution of operational initiatives related to payor contracts. The Director, Payor Operational Readiness oversees the design and execution of operational strategies that advance organizational priorities and operational excellence and meet contractual obligations. Leads cross-functional teams in identifying opportunities, defining objectives, and implementing initiatives that deliver measurable business impact and meet contractual obligations. Develops operational implementation frameworks, governance models, and performance metrics to guide execution and accountability. Partners with executives and senior leaders to ensure initiatives are scalable, contractually aligned, and aligned with organizational strategy and long-term goals. Provides expert consultation on operational implementation methodologies, organizational design, and change management practices. Oversees resource planning, budget development, and implementation of best practices to achieve sustainable results. Leads development of communications, reporting, and executive updates to share outcomes, insights, and recommendations. Builds a culture of innovation, collaboration, and continuous improvement across departments. Exercises strategic judgment and decision-making to address complex challenges and ensure successful delivery of transformation outcomes at scale.

Requirements

• Bachelor’s Degree
• Proficiency in business consulting and operational leadership experience
• Strong business and financial acumen
• Comprehensive knowledge of all Microsoft Office applications, including Word, Project and Visio or Lucid chart
• Exceptional communication and interpersonal skills with the ability to quickly build rapport at all levels within the organization
• Ability to interact with and defend position with senior management and front line associates
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Nice To Haves

• Master's degree or other graduate degree
• Experience in healthcare services
• Six Sigma Black Belt and Agile certification

Responsibilities

• Plans for all aspects of payor contracted operations and oversees implementation, ensuring contractual obligations are met.
• Develops and oversees processes that are scalable and drive performance, efficiency, and alignment with organizational goals.
• Provides vision, direction, and leadership for large-scale implementation efforts that span functions and business segments.
• Serves as a key advisor to senior leadership on execution of operational initiatives related to payor contracts.
• Oversees the design and execution of operational strategies that advance organizational priorities and operational excellence and meet contractual obligations.
• Leads cross-functional teams in identifying opportunities, defining objectives, and implementing initiatives that deliver measurable business impact and meet contractual obligations.
• Develops operational implementation frameworks, governance models, and performance metrics to guide execution and accountability.
• Partners with executives and senior leaders to ensure initiatives are scalable, contractually aligned, and aligned with organizational strategy and long-term goals.
• Provides expert consultation on operational implementation methodologies, organizational design, and change management practices.
• Oversees resource planning, budget development, and implementation of best practices to achieve sustainable results.
• Leads development of communications, reporting, and executive updates to share outcomes, insights, and recommendations.
• Builds a culture of innovation, collaboration, and continuous improvement across departments.
• Exercises strategic judgment and decision-making to address complex challenges and ensure successful delivery of transformation outcomes at scale.

Benefits

• medical
• dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Director