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.
Numbers & Facts
Location
TX (Remote)
Salary
$153,000–$191,300 Per Year
Skills
Automationunmatched
Budget Managementunmatched
Capacity Managementunmatched
Claims Processingunmatched
Code Reviewsunmatched
Corrective Actionunmatched
Data Analysisunmatched
Electronic Medical Recordsunmatched
Healthcareunmatched
Healthcare Effectiveness Data and Information Set (HEDIS)unmatched
Information Technology & Information Systemsunmatched
Leadershipunmatched
Lean Six Sigmaunmatched
Mail Processingunmatched
Market Trackingunmatched
Operational Supportunmatched
Performance Analysisunmatched
Performance Managementunmatched
Performance Metricsunmatched
Procedure Implementationunmatched
Process Improvementunmatched
Quality of Careunmatched
Reporting Dashboardsunmatched
Riskunmatched
Root Cause Analysisunmatched
Scalable System Developmentunmatched
Service Level Agreement (SLA)unmatched
Six Sigma Certificationunmatched
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