Provider Lifecycle Director - Transformation

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 Provider Lifecycle Director - Transformation is responsible for defining and executing the strategy to improve provider operations across the health plan. This role leads initiatives that improve operational performance, strengthen compliance, reduce administrative costs, and support growth.

The Director partners across Provider Operations, Network Management, Clinical Operations, Technology, Analytics, Compliance, Finance, and market leadership to redesign processes, implement technology solutions, and establish scalable operating models.

This role is accountable for transformation initiatives across Claims Operations, Credentialing, Provider Data Management, Prior Authorization, Provider Services, Delegation Oversight, and Contract Administration. Responsibilities include process redesign, technology enablement, operating model improvements, and delivery of measurable business outcomes.

• Define and execute a multi-year strategy to improve provider operations.
• Establish and manage a portfolio of transformation initiatives across provider functions.
• Identify opportunities to improve efficiency, scalability, compliance, accuracy, and provider experience.
• Develop business cases, investment plans, and success measures.

• Design and implement operating models across provider operations functions.
• Develop workflows, governance structures, service models, and accountability frameworks.
• Simplify processes, eliminate redundancies, and improve cross-functional coordination.
• Establish sustainable operating practices that support long‑term business objectives.

• Lead process redesign initiatives across Claims, Credentialing, Provider Data Management, Prior Authorization, Contracting, Delegation Oversight, and Provider Services.
• Identify root causes of operational inefficiencies, provider friction, quality issues, and compliance risks.
• Apply process improvement methodologies, automation, and industry best practices.
• Standardize workflows and operating procedures where appropriate.

• Partner with Product, Technology, and Operations teams to define provider operations technology priorities.
• Translate business requirements into scalable technology solutions.
• Lead implementation of automation, AI‑enabled capabilities, digital intake solutions, provider portals, and workflow platforms.
• Ensure technology investments improve productivity, accuracy, and turnaround times.

• Establish KPIs and performance measures for transformation initiatives.
• Monitor results and ensure initiatives deliver measurable business value and return on investment.
• Develop executive reporting and dashboards.
• Drive accountability for operational improvements.

• Serve as the primary liaison across Provider Operations, Network Management, Clinical Operations, Technology, Analytics, Compliance, Finance, and market leadership.
• Facilitate executive governance forums and steering committees.
• Build stakeholder alignment and drive adoption of new processes,…