Executive Director

Executive Director

The Executive Director (ED) is the senior operational leader responsible for market-level execution, performance delivery, and day-to-day management of physician and payer partnerships.

This role owns the execution of the market operating plan, ensuring delivery against financial, clinical, and operational targets including medical margin, total cost of care, quality performance, and partner success. The ED translates regional strategy into actionable plans and drives disciplined execution in partnership with physicians, health plans, and cross-functional teams.

Operating within agilon's Total Care Model, the ED ensures consistent performance through strong operational management, performance accountability, and continuous improvement. This leader serves as the primary integrator across stakeholders, ensuring alignment, issue resolution, and delivery of results at the local market level.

Essential Job Functions:

• Operate effectively in a highly matrixed, fast-paced, and team-based environment.
• Execution accountability for market-level P&L and operating performance, including medical margin, total cost of care, and budget adherence
• Execute against defined performance targets, including cost, quality (STAR), utilization, and risk adjustment accuracy
• Translate regional strategy into actionable market-level operating plans
• Ensure delivery of financial and clinical results through disciplined execution and performance management
• Identify performance gaps and implement targeted operational interventions Operational Leadership & Delivery
• Lead day-to-day market operations, ensuring execution against budgets, plans, and performance standards
• Drive operational excellence initiatives focused on improving efficiency, quality, and cost outcomes
• Oversee implementation of care model programs, clinical pathways, and workflow optimization
• Ensure effective use of technology, data, and analytics to support operational performance
• Lead project management activities, including planning, execution, risk management, and reporting

Physician & Partner Execution Leadership

• Serve as the primary leader of the local physician partnership, ensuring alignment, engagement, and execution
• Partner with physicians and market clinical leaders to drive performance across cost, quality, and utilization
• Facilitate performance reviews, provider engagement, and adoption of care model initiatives
• Address and resolve operational challenges impacting partner performance

Payer Operations & Performance Management

• Manage day-to-day relationships with health plan partners, including payer representatives and operational contacts
• Own Joint Operating Committees (JOCs), performance reviews, and issue resolution
• Ensure payer performance aligns with contractual expectations and operational goals
• Support implementation and execution of payer initiatives at the market level

Team Leadership & Market Operations

• Lead, develop, and mentor market team members, fostering a culture of accountability and execution
• Ensure effective coordination across clinical, operational, and administrative functions
• Conduct regular team meetings, performance reviews, and coaching sessions
• Build a high-performing team focused on delivering measurable results

Growth & Market Development (Execution-Focused)

• Support membership growth and provider expansion initiatives through operational execution
• Ensure readiness and onboarding of new providers and contracts
• Execute growth initiatives aligned with regional strategy and market opportunities
• Perform other duties as assigned.

Other Job Functions:

• Understand, adhere to, and implement the Company's policies and procedures.
• Provide excellent customer service, demonstrating awareness and responsiveness to internal and external stakeholder needs.
• Take personal responsibility for professional growth, including acquiring new skills and knowledge.
• Communicate effectively, including active listening and professional verbal and written communication.
• Set and achieve challenging goals with attention to detail and accuracy.
• Demonstrate an entrepreneurial mindset and ability to operate in evolving environments.

Required Qualifications: Minimum Experience

• 8+ years of experience in healthcare operations, managed care, or provider organization
• Prior experience in a senior operational leadership role with accountability for performance outcomes
• Experience managing healthcare operations, delivery systems, and process improvement initiatives
• Familiarity with value-based care, including cost, quality, utilization, and risk adjustment drivers
• Experience working with physician groups and payer partners in a matrixed environment

Education/Licensure Bachelor's degree in healthcare management or related field (or equivalent experience) required. Master's degree preferred.

Skills and Abilities:

• Ability to be a team player and exercise initiative in responding to provider requests and concerns in a helpful and courteous manner
• Ability to lead cross-functional teams to complete projects and have a can-do attitude to complete work as an individual contributor as needed
• Demonstrated ability to lead in a culture that values diversity
• Demonstrated experience working in a partner relationship
• Provider contracting and customer service techniques
• General understanding of the health care industry, ideally the provider relations field-desired
• Excellent interpersonal and telephone communication skills are required
• Exercise attention to detail; ability to provide accurate data entry
• Ability to work under pressure with minimal supervision, multi-task, complete projects in a timely fashion and meet deadlines a must
• Excellent analytical, problem solving and organizational skills a must.
• Language Skills: Strong communication skills both written and verbal to work with multiple internal and external clients in a fast-paced environment
• Mathematical Skills: Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
• Reasoning Ability: Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.
• Computer Skills: Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint)

The posted salary range reflects the anticipated base salary hiring range only. Final compensation will be based on experience, expertise, location, internal equity, and business needs. Candidates with exceptional experience may be considered within the broader compensation range, where appropriate.

Location: Lexington - KY