Director Provider Transformation & Strategic Program Delivery * - Remote Duration - Initial 6-month engagement with extension potential
FTE/Full time/Contract Immediate Need (Start within 2 weeks)
Position Summary We are seeking a results-oriented Senior Director, Provider Transformation to lead a high-profile $37M Provider Transformation Program focused on provider data modernization, provider system cleanup, process automation, and business transformation. This leader will be responsible for driving execution, accelerating delivery, and ensuring successful completion of strategic provider initiatives within an aggressive timeline. Key Responsibilities
Lead execution of a $37M provider transformation program targeted for completion within the next 5 months.
Drive enterprise-wide provider data cleanup and modernization initiatives.
Establish delivery rigor, governance, and accountability where operational discipline is lacking.
Partner with business, operations, technology, and provider network leaders to deliver program outcomes.
Lead transformation initiatives spanning:
Strategic Provider Systems
Provider Data Management
Provider Credentialing
Provider Contracting (iCertis)
Workflow Automation
Process Simplification
Product Ownership Models
Manage and align 50 55 Product Owners supporting provider capabilities.
Support national provider growth objectives and provider network expansion.
Drive adoption of automation and digital capabilities across provider processes.
Remove roadblocks, manage risks, and ensure milestone achievement.
Required Qualifications
15+ years of healthcare payer experience.
Extensive experience leading large-scale provider transformation initiatives.
Strong expertise in:
Provider Data Management
Provider Operations
Claims Operations
Provider Network Management
Contract Lifecycle Management (iCertis preferred)
Business Process Transformation
Demonstrated success delivering complex, enterprise-wide programs under aggressive timelines.
Strong execution mindset; hands-on leader who drives outcomes rather than provides advisory support.
Exceptional communication and executive stakeholder management skills.
Preferred Qualifications
Experience managing provider organizations with 100,000+ providers.
Experience building automation and digital transformation roadmaps.
Agile Product Ownership and Product Management experience.
Experience operating in highly matrixed healthcare organizations.
Numbers & Facts
Location
Remote - USA, CA (Remote)
Skills
Agile Programming Methodologiesunmatched
Automationunmatched
Business Operationsunmatched
Business Processesunmatched
Business Transformationunmatched
Contract Managementunmatched
Data Cleaningunmatched
Data Managementunmatched
Healthcareunmatched
Healthcare Providersunmatched
Home Automationunmatched
Leadershipunmatched
Matrix Managementunmatched
Organizational Development/Managementunmatched
Product Managementunmatched
Product Supportunmatched
Provider Contractingunmatched
Provider Credentialingunmatched
Risk Managementunmatched
Technical Operationsunmatched
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