Regional Director, Clinical Operations

Role Description

At agilon health, we partner with community-based primary care physicians and equip them with the platform, data, and support to succeed in value-based care. We’re looking for a Regional Director of Operations to lead market-level execution across Risk Adjustment (BOI), Quality (HEDIS), and Cost of Care in multiple markets. This is a high-impact leadership role for someone who thrives at the intersection of healthcare operations, performance improvement, and physician enablement.

This leader owns end-to-end operational performance across multiple markets, including:

• Planning
• Execution
• Staffing
• Budgets
• Vendor relationships
• Data and technology enablement
• Measurable outcomes

Success in this role helps strengthen the infrastructure behind agilon’s physician partnership model, enabling more consistent quality performance, stronger risk capture, and better cost-of-care execution at scale. In a company built to help physicians stay focused on patients and outcomes, this role is central to making that model work in the field.

Key responsibilities include:

• 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

Qualifications

• 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

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

Benefits

• Competitive salary range: $153,000.00 - $191,300.00
• Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.