Executive Director, Operations

HMSA•Honolulu, HI

About The Position

The Executive Director, Operations directs the MSO’s daily operations and develops operational strategies that support organizational growth and value-based care objectives. The role establishes standardized workflows, policies, and performance expectations, and ensures alignment across departments. The position oversees provider operational support, including onboarding, practice engagement, field operations, and ongoing provider relationships. It coordinates execution of population health activities such as care gap closure, risk adjustment, care management, and quality improvement, while supporting collaboration among clinical, operational, and analytics teams. The Executive Director develops dashboards and key performance indicators, monitors performance, drives accountability, and leads process improvement initiatives. The role works closely with organizational and medical leaders, the HMSA health plan partner, and the internal program office team. It also ensures compliance with CMS regulations, contractual requirements, accreditation standards, and organizational policies; supports audit readiness; and recruits, develops, and mentors operational leaders.

Requirements

Bachelor's degree and eight years of related experience, or an equivalent combination of education and experience.
Five years of management experience.
Experience leading physician organizations, MSOs, IPAs, ACOs, or integrated delivery systems.
Strong knowledge of Medicare Advantage, value-based care, population health, provider operations, care management, quality improvement, and healthcare regulatory requirements.
Demonstrated success leading cross-functional operational teams.
Excellent communication, organizational, and leadership skills.

Responsibilities

Direct and oversee daily MSO operations to ensure efficient, high-quality service delivery.
Develop and implement operational strategies that support organizational growth and value-based care objectives.
Establish standardized operational workflows, policies, and performance expectations across the organization.
Ensure operational alignment across all departments.
Oversee provider operational support, including onboarding, practice engagement, and ongoing relationship management.
Oversee the field and operations team and coordinate day-to-day engagement with providers in the market.
Ensure provider organizations receive timely operational support related to quality, risk adjustment, care management, and value-based initiatives.
Monitor provider satisfaction and implement continuous service improvements.
Coordinate operational execution of care gap closure initiatives, risk adjustment workflows, population health programs, care management activities, and quality improvement initiatives.
Ensure effective collaboration between clinical, operational, and analytics teams.
Develop operational dashboards and key performance indicators.
Monitor departmental performance and implement corrective actions as necessary.
Drive accountability for operational goals and service standards.
Lead Lean, Six Sigma, or other continuous improvement initiatives.
Identify operational inefficiencies and implement scalable solutions.
Standardize best practices across participating provider organizations where appropriate.
Collaborate with the President, Chief Financial & Analytics Officer, Director of Burden of Illness, medical leadership, HMSA, and the internal program office team.
Ensure seamless execution of enterprise initiatives.
Ensure operational compliance with CMS regulations, health plan contractual requirements, accreditation standards, and organizational policies.
Oversee operational readiness for audits and reporting requirements.
Recruit, develop, and mentor high-performing operational leaders.
Foster a culture of accountability, collaboration, innovation, and service excellence.
Lead change management initiatives across the organization.
Perform other miscellaneous responsibilities and duties as assigned or directed.