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Regional Director, Operations

Roles & Responsibilities

  • 5+ years of healthcare operations experience
  • 3+ years leading multi-market risk adjustment or quality programs
  • Bachelor’s degree; advanced degree preferred
  • Six Sigma/Lean certification preferred and strong knowledge of HEDIS, risk adjustment coding, claims/EMR data, KPI/dashboard fluency, and proven program, project, and process improvement skills

Requirements:

  • Lead and operationalize BOI, Quality, and Cost of Care programs across multiple markets; build and enforce SOPs, SLAs, and RACIs
  • Oversee core workflows such as pre-visit record review, post-visit coding review, chart collection, query management, and provider engagement; monitor performance and implement corrective actions
  • Define KPIs and lead root-cause analysis and process improvement efforts; oversee budgets and vendor spend
  • Collaborate with Data Analytics and IT/Engineering to improve dashboards, integrations, automation, and technology-enabled scale; support capacity planning, staffing, training, and performance management for market BOI/Quality operations

Job description

Company:

AHI agilon health, inc.

Job Posting Location:

Remote - USA

Job Title:

Regional Director, Operations

Job Description:

Key responsibilities include:

  • Lead and operationalize BOI, Quality, and Cost of Care programs across multiple markets
  • Build and enforce SOPs, SLAs, and RACIs
  • Oversee core workflows such as pre-visit record review, post-visit coding review, chart collection, query management, and provider engagement
  • Partner closely with market leaders to monitor performance and implement corrective actions
  • Define KPIs and lead root-cause analysis and process improvement efforts
  • Oversee budgets and vendor spend
  • Work with Data & Analytics and IT/Engineering to improve dashboards, integrations, automation, and technology-enabled scale
  • Support capacity planning, staffing, recruiting, training, and performance management for market BOI/Quality operations

Requirements:

  • 5+ years of healthcare operations experience
  • 3+ years leading multi-market risk adjustment or quality programs
  • Bachelor’s degree, Advanced degree preferred
  • Six Sigma/Lean certification preferred
  • Strong knowledge of; HEDIS, risk adjustment coding, claims/EMR data, operational team and vendor leadership, KPI/dashboard fluency, and proven program, project, and process improvement skills

agilon health’s leadership team is focused on helping physician partners grow, improve outcomes for senior patients, and deliver transformation through data, operational excellence, and technology. If you want to lead across markets and build scalable healthcare operations that support physicians and patients alike, this is a meaningful opportunity to do it here.

Location:

Remote - TX

Pay Range:

$153,000.00 - $191,300.00

Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.

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