Manager of Provider Transition and Growth - Remote within the Los Angeles Metro Area

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

The Manager of Provider Transition and Growth, is responsible for leading and overseeing all membership movement activities associated with Primary Care Provider departures, retirements, panel updates, site closures, and strategic provider realignment initiatives across the Optum CA market. This role ensures continuity of care, revenue protection, regulatory compliance, and member retention during high impact transition events.

This position operates with significant autonomy and serves as an operational leader responsible for complex transition strategy development, cross functional coordination, workflow standardization, and performance reporting to regional and market leadership

This role directly influences membership retention, revenue continuity, provider alignment strategy, and market growth initiatives. Effective performance reduces financial leakage, mitigates compliance exposure, and supports long term strategic provider relationships.

If you are located in the Los Angeles metro area, you will have the flexibility to work remotely
* as you take on some tough challenges.

• Lead all membership activities related to PCP departures, retirements, site closures, panel reductions, and provider updates
• Develop and execute transition strategies to ensure continuity of care and minimize member abrasion
• Drive complex transition initiatives to completion, including nonstandard or high risk membership movement scenarios
• Provide subject matter expertise on complex cases requiring strategic resolution

• Design collaborative solutions for nonstandard membership movement requests across multiple regions
• Anticipate operational risk and proactively implement mitigation strategies
• Ensure transition execution aligns with compliance standards, growth strategy, and retention objectives

• Partner extensively with Operations, Provider Network, Market Leadership, Compliance, and external stakeholders to ensure accurate and timely membership movement
• Build and maintain solid working relationships across internal and external stakeholders to protect membership stability
• Serve as a trusted advisor to regional leadership during site closures, provider exits, and strategic realignment initiatives

• Create and implement standardized workflows and best practices for PCP departures across the Optum CA market
• Continuously evaluate and improve transition processes to enhance efficiency, reduce rework, and mitigate member disruption
• Develop scalable frameworks to support growth initiatives and exclusivity strategies

• Develop training curriculum and onboarding documentation related to membership activities and transition processes
• Mentor and develop team members to strengthen operational knowledge and transition execution capabilities
• Support organizational understanding of growth strategies and membership outreach processes

• Prepare and present regional and market level performance reports to senior leadership
• Track and report project milestones, transition cycle time, retention impact, and operational outcomes
• Provide executive level summaries and risk assessments for high visibility transition initiatives

• Enterprise thinking and cross market collaboration
• Strategic execution and accountability
• Operational risk mitigation
• Stakeholder influence and relationship management
• Growth and retention alignment

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

• Proven experience managing complex healthcare membership transitions or provider network changes
• Demonstrate…