Full-Time - Payer Modernization & Innovation Director

About the role

The position involves leading the development, sale, and delivery of technology-enabled healthcare payer strategy and transformation services.

Responsibilities

• Lead high-performing teams across process, technology, and analytics disciplines to ensure successful project delivery.
• Demonstrate expertise in payer operations and serve as a subject matter expert during transformation initiatives.
• Support business development efforts through relationship building and proposal development.
• Manage project performance, budgets, and issue resolution to maintain quality standards.
• Contribute to thought leadership and the enhancement of service offerings.

Qualifications

• At least eight years of consulting experience in the health payer industry or executive experience within a health payer organization.
• Strong understanding of healthcare reform, value-based care, medical management, and operational efficiency.
• Master’s degree from an accredited institution.
• Proven experience leading large transformation projects, managing complex budgets, stakeholder engagement, and regulatory issues.
• Excellent communication, facilitation, and presentation skills.
• Willingness to travel extensively and authorized to work in the U.S. without sponsorship.