EHP Director of Financial Performance & Operational Excellence

Prime Healthcare Management Inc•Ontario, CA

8d•$108,701 - $163,030

About The Position

Prime Healthcare is seeking an EHP Director of Financial Performance & Operational Excellence to develop and execute financial and operational strategy for the employee health plan, aligned with organizational goals and value-based care objectives. The role owns portfolio performance reporting, budget coordination, and KPI dashboards for senior leadership, and establishes a consistent, accountable, and audit-ready performance framework across all segments. The Director leads financial and operational performance improvement, including Lean/Six Sigma, DMAIC, and value-stream mapping. The position monitors budgets, identifies cost-saving opportunities and operational efficiencies, conducts financial analyses, partners with Finance to validate results, and oversees processes to improve efficiency, quality, and service delivery. It also leads cross-functional teams, serves as a liaison among senior leaders, operational teams, and external partners, and provides consultative support on performance, compliance, and strategic initiatives. The role leads and develops managers and senior staff, optimizes staff capacity and employee development, and ensures adherence to regulatory requirements and internal policies while identifying and mitigating operational, financial, and compliance risks. This is a full-time, day-shift position. The estimated annualized compensation range is $108,700.80 to $163,030.40.

Requirements

Bachelor's degree in finance, business, healthcare administration, or a related field.
12+ years in health plan contracting, payer relations, healthcare strategy, or operational management.
6–8 years in leadership.
Proven expertise in financial performance, operational excellence, and continuous improvement.
Strong analytical, problem-solving, and communication skills.
Ability to influence without direct authority.

Responsibilities

Develop and execute the employee health plan's financial and operational strategy, aligning it with organizational goals and value-based care objectives.
Own portfolio performance reporting, budget coordination, and KPI dashboards for senior leadership.
Ensure all segments operate within a consistent, accountable, and audit-ready performance framework.
Lead performance improvement initiatives, including Lean/Six Sigma, DMAIC, and value-stream mapping for core processes.
Monitor and optimize budget performance, identify cost-saving opportunities, and recommend operational efficiencies.
Conduct financial analyses to identify areas for cost and quality interventions.
Partner with Finance to validate financial results and ensure compliance with fiscal policies.
Oversee operational processes to improve efficiency, quality, and service delivery.
Identify process inefficiencies, implement improvements, and sustain gains across health plan functions.
Lead cross-functional teams across EHP, Finance, Operations, Technology, Compliance, and HR to integrate quality and process improvement into strategic plans.
Serve as the primary liaison between senior leadership, operational teams, and external partners, including TPA, ASO, and vendors.
Provide consultative support to leadership and plan executives on performance, compliance, and strategic initiatives.
Lead, develop, and coach managers and senior staff, fostering accountability, growth, and continuous improvement.
Manage staff capacity, bandwidth optimization, and employee development aligned with organizational priorities.
Ensure adherence to regulatory requirements and internal policies.
Identify and mitigate operational, financial, and compliance risks.