Senior Director, Provider Success

Alignment Health•Orange, CA

About The Position

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Senior Director of Provider Success is a strategic enterprise leader responsible for designing, scaling, and operationalizing a best-in-class end-to-end provider operating model across direct providers, affiliated hospital groups, and PPO-aligned provider partners. This role ensures providers are support-ed consistently throughout the enterprise through standardized workflows, data-driven performance enablement, and unified provider experience. Reporting to the Associate Vice President of Business Optimization, the Senior Director leads a lean, enterprise-wide MSO build team responsible for establishing the infrastructure, playbooks, workflows, governance, and technology enablement required to support multiple provider models. While provider engagement and relationship management are executed locally within markets, this role defines the enterprise MSO operating standards that enable consistency, scalability, and accountability across direct, delegated, and aligned provider arrangements. The role owns enterprise operational integration, ensuring standardized workflows across internal functions such as Utilization Management, Claims, Network Operations, Finance, and Clinical teams, while reducing provider abrasion and administrative burden. The Senior Director is responsible for ensuring all of our direct providers are equipped with the necessary performance data and actionable in-sights. The Senior Director also leads provider performance enablement and provider experience strategy, driving improved satisfaction, quality, access, and financial outcomes across all provider segments.

Requirements

10+ years of progressive leadership experience in provider operations, network management, MSO operations, or healthcare operations.
7+ years leading enterprise-wide initiatives involving workflow standardization, operating model design, or provider performance enablement.
Proven experience working with or supporting physicians, provider groups, or value-based care models.
Demonstrated success operating in complex, matrixed healthcare organizations with both enterprise and market-level stakeholders.
Strong track record of driving operational integration, reducing provider friction, and improving provider satisfaction and performance.
Bachelor’s degree in Business Administration, Healthcare Management, Operations, or related field required.
Deep understanding of provider workflows, healthcare operations, and value-based care models.
Experience designing and scaling operating models, playbooks, and performance frameworks.
Strong analytical capabilities with ability to translate data into actionable insights for providers and leaders.
Executive-level communication skills; ability to influence across clinical, operational, and technical teams.
Demonstrated ability to lead change, align stakeholders, and drive execution without direct authority.

Nice To Haves

Master’s degree preferred (MBA, MHA, MPH, or related).
Preferred: Lean Six Sigma Black; PMP or Agile certification.

Responsibilities

Enterprise MSO Build & Provider Operating Model Design and stand up the enterprise MSO operating model supporting direct providers, hospital groups, and PPO-aligned networks.
Define standardized end-to-end workflows spanning onboarding, credentialing, claims, UM, quality, and performance management.
Establish scalable governance models for varying provider relationships (direct, hospital-employed, delegated entities, PPO partners).
Ensure operating model flexibility to accommodate market-specific needs while maintaining enterprise consistency.
Partner with Technology and Data teams to define system requirements, reporting infrastructure, and automation to support MSO operations.
Operational Integration Standardize internal workflows across UM, Claims, Network, Finance, and Clinical Operations to support multiple provider models with minimal variation.
Lead enterprise issue intake, tracking, and resolution processes for provider operational issues across all provider types.
Identify systemic issues impacting provider partners and drive cross-functional remediation.
Reduce administrative friction for providers by eliminating redundant processes and manual workarounds.
Provider Performance Enablement Partner with Data teams to develop standardized performance scorecards tailored to direct providers, hospital groups, and PPO-aligned providers, with consistent core metrics and model-specific views.
Establish enterprise performance review and engagement cadences that markets can execute locally.
Enable targeted steerage strategies aligned to preferred, high-performing providers across all provider types.
Support value-based care performance, quality improvement, access, and utilization management across provider segments.
Provider Experience & Engagement Strategy Build a consistent provider experience framework across direct providers, hospital groups, and PPO networks.
Implement enterprise provider education programs tailored to different provider models while maintaining consistent standards.
Own provider feedback loops, including surveys and NPS, and translate insights into operational and experience improvements.
Align enterprise and market communications to ensure clear, coordinated messaging to providers across all arrangements.