Lead Director Medical Policy Optimization and Customization

About the role

This role will lead continuous improvement work focused on process discipline, productivity, and measurable operating gains. You will partner with operational leaders and project stakeholders to standardize workflows, identify bottlenecks, and improve execution quality. The position offers the opportunity to create measurable efficiency gains and scalable operational improvements within a healthcare environment.

Responsibilities

• Lead enterprise oversight of policy adherence to regulatory and organizational requirements
• Establish governance frameworks to ensure consistency and accountability
• Monitor regulatory changes and direct policy updates accordingly
• Develop strategies to enhance policy management and reduce compliance risk
• Drive continuous improvement in policy processes and quality oversight activities
• Partner with cross-functional stakeholders to align and execute policy initiatives
• Develop executive-level reporting to communicate policy performance and risks

Qualifications

• 10+ years of progressive leadership in policy governance, compliance, or healthcare operations
• 7+ years managing professional staff and cross-functional teams
• Experience leading enterprise-wide policy programs and governance frameworks
• Skilled in presenting to executive leadership and governance committees
• Strategic mindset with a focus on aligning governance with organizational goals
• Proven ability to influence cross-matrix organizations without formal authority
• Strong communication skills with executive presence

Compensation

$100,000 – $231,540 annually

Location

Remote - US based candidates only, no visa sponsorship available

Benefits

• Comprehensive medical, dental, and vision coverage
• Paid time off and retirement savings options
• Wellness programs and resources for physical and emotional well-being
• Eligibility for the company bonus and equity award programs