EHP Director of Financial Performance & Operational Excellence

Prime Healthcare•Ontario, CA

About The Position

The EHP Director of Financial Performance & Operational Excellence develops and executes financial and operational strategy for the employee health plan, aligning it with organizational goals and value-based care objectives. The role owns portfolio performance reporting, budget coordination, and KPI dashboards for senior leadership, and ensures that all segments follow a consistent, accountable, audit-ready performance framework. The Director leads performance improvement initiatives using approaches such as Lean/Six Sigma, DMAIC, and value-stream mapping. The role monitors and optimizes budget performance, identifies cost-saving opportunities and operational efficiencies, and conducts financial analyses to identify cost and quality interventions. In partnership with Finance, the Director validates financial results and ensures compliance with fiscal policies. The position oversees health plan operational processes, identifies and addresses inefficiencies, and sustains improvements across plan functions. It leads cross-functional teams across EHP, Finance, Operations, Technology, Compliance, and HR to integrate quality and process improvement into strategic plans. The Director serves as the primary liaison among senior leadership, operational teams, and external partners, including TPA, ASO, and vendors, and provides consultative support to leadership and plan executives on performance, compliance, and strategic initiatives. The Director leads, develops, and coaches managers and senior staff; manages staff capacity, bandwidth optimization, and employee development; and fosters accountability, growth, and continuous improvement. The role also ensures adherence to regulatory requirements and internal policies and identifies and mitigates operational, financial, and compliance risks.

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 financial and operational strategy for the employee health plan, aligned 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 spanning 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.