Automation, Budget Management, Capacity Management, Claims Processing, Code Reviews, Corrective Action, Data Analysis, Electronic Medical Records, Healthcare, Healthcare Effectiveness Data and Information Set (HEDIS), Information Technology & Information Systems, Leadership, Lean Six Sigma, Mail Processing, Market Tracking, Operational Support, Performance Analysis, Performance Management, Performance Metrics, Procedure Implementation, Process Improvement, Quality of Care, Reporting Dashboards, Risk, Root Cause Analysis, Scalable System Development, Service Level Agreement (SLA), Six Sigma Certification
LOCATION
TX
POSTED
30+ days ago
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.