Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
The position provides executive leadership and overall accountability for the Transformation and Execution Office, including Vendor Management, Enterprise Implementations, Business Intelligence and Insights, Operational Excellence, Enterprise PMO, and Capital Planning. They establish clear priorities, decision rights, performance expectations, resource allocation, and operating cadences across these functions, and ensure each workgroup operates as part of an integrated enterprise transformation portfolio.
The SVP owns the enterprise roadmap, capital planning process across the teams, and OKR governance model, ensuring that every transformation initiative is tied to a clear financial or operational outcome. The role also builds the organization's capability to scale AI, automation, and digital solutions centrally, improving vendor management, investment discipline, and cross-functional accountability across Direct and MSO markets and Operations.
Key Responsibilities
Strategy & Capital Planning
- Set enterprise direction and ensure capital is deployed to the highest-impact opportunities across markets and functions.
- Own enterprise and market-level strategic planning, capital allocation, and ROI prioritization.
- Define enterprise operating models, governance structures, and OKRs, and drive a unified roadmap across the organization.
- Lead enterprise opportunity development, translating strategic priorities into a fundable, sequenced portfolio of initiatives.
Vendor Management
- Lead the VP, Vendor Management and the enterprise vendor ecosystem, including condition management (e.g., Empassion, OncoHealth), specialty vendors (labs, OptumBH, Pareto, Cozeva), operations/AI vendors (TalkDesk, DRIPs, Hippocratic AI), and system interfaces (PointClickCare, Bamboo, Contexture).
- Accountable for measurable business value from vendor partnerships through strong performance management, contractual compliance, and cost-effective terms.
- Strengthen vendor governance and risk management, including performance scorecards and escalation pathways.
- Ensure a disciplined vendor lifecycle: opportunity identification, vendor selection, capital planning and contracting, implementation, and hand-off to ongoing vendor management ownership.
Implementation (New Markets, Technology & Solutions)
- Lead the VP, New Market & Tech Implementations, ensuring successful new market expansion, enterprise technology rollouts, and regulatory operations (e.g., 2027 CMS Interoperability, CMS Final Rule) are executed with organizational readiness and disciplined project management.
- Ensure adoption of implementation playbooks, tools, and benchmarking to ensure solutions are adopted, scaled, and sustained consistently across markets.
- Direct prioritization of change management and capability building so new solutions and platforms (e.g., Cozeva, Evolent, Empassion) achieve intended business value post-implementation.
- Oversee execution of post-implementation ownership handoff protocols between Implementation and Vendor Management.
Business Intelligence & Insights
- Lead the VP, Business Intelligence & Insights toprovide a single source of truth on enterprise, market, and IPA-level performance.
- Oversee execution of KPI standardization, OKR tracking, ROI validation, and MLR action plan support across the organization.
- Advance performance improvement through the building of enterprise dashboards, reporting, and ops automation/RPA capabilities that create performance transparency and enable rapid decision-making.
- Enforce accountability of performance risk and underperformance early through root-cause analysis and capital efficiency tracking.
Operational Excellence
- Lead the VP, Operational Excellence, accountable for enterprise capital planning (3-year planning, strategists, business analysts), the Enterprise PMO (OKR governance and initiative delivery), Ops Process Improvement (efficiency and SG&A), and Total Cost of Care (portfolio management and efficiency identification).
- Achieve reduction in total cost of care while maintaining quality and member outcomes.
- Deliver business outcomes for enterprise and operations performance improvement, ensuring on-time delivery and scalable solutions across domains (e.g., MRA, Stars, Claims) are executed on.
- Own strategic initiatives that optimize capital allocation and investment value across the transformation portfolio.
Enterprise Governance & Talent Leadership
- Chair a single enterprise forum to prioritize and govern transformation initiatives across functions.
- Build and scale a high-performing leadership team across Vendor Management, Implementation, Business Intelligence, and Operational Excellence, including hiring against clearly defined skillsets (implementation specialists, regulatory expertise, dashboard/reporting and automation talent, Lean/Six Sigma and domain experts, strategists, and business analysts).
- Partner closely with Operations, Clinical, Finance, and Market leadership to ensure transformation initiatives are co-owned and sustained beyond initial rollout.
Job Requirements:
EXPERIENCE
Required
- 10+ years of progressive leadership experience in healthcare operations, transformation, strategy, or consulting, including 5+ years in a senior leadership role leading multiple functional teams.
- Demonstrated experience building or leading enterprise PMO, strategic planning, or transformation functions within a health plan or managed care organization.
- Deep knowledge of Medicare Advantage operations, including Stars/HEDIS, provider network management, vendor management, and regulatory/compliance requirements (e.g., CMS Interoperability, Delegation Oversight).
- Track record of managing vendor ecosystems, capital planning processes, and enterprise KPI/OKR governance.
- Experience leading new market expansion and large-scale technology or platform implementations.
- Strong executive presence with experience presenting to and influencing C-suite and board-level stakeholders.
Preferred
- Experience scaling AI, automation, or RPA solutions within a healthcare or health plan operating environment.
- Background in Lean/Six Sigma or formal process improvement methodologies.
- Experience partnering with Clinical Operations on Total Cost of Care and affordability initiatives.
- Prior experience standing up or restructuring a vendor management or business intelligence function.
EDUCATION
Required: Bachelor's degree in Business, Healthcare Administration, Data/Analytics, or related field
Preferred: MBA or advanced degree
SPECIALIZED SKILLS
- Enterprise strategic thinking with the ability to translate vision into a prioritized, fundable roadmap.
- Strong financial acumen, including capital allocation, ROI analysis, and investment prioritization.
- Cross-functional influence and the ability to clarify ownership between transformation and operations.
- Data-driven decision-making and comfort operating in ambiguity while building new organizational capability.
- Vendor and partnership management, including contract negotiation and performance accountability.
- People leadership: building, structuring, and scaling multi-disciplinary teams.
Work Environment
- The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The noise level in the work environment is usually moderate.
Essential Physical Functions
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear.
- The employee is frequently required to walk, stand, and reach with hands and arms.
- The employee is occasionally required to climb or balance and to stoop, kneel, crouch, or crawl.
- The employee must occasionally lift and/or move up to 20 pounds.
Pay Range: $227,952.00 - $341,928.00
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.
