Director - Provider Transformation & Strategic Program Delivery

You will lead a $37M provider transformation program covering provider data modernization, system cleanup, process automation and business process change, with completion targeted within the next five months. This is a remote, hands‑on leadership role where you will set delivery rigor and governance and align 50–55 Product Owners supporting provider capabilities. It suits an executor who prefers driving outcomes over advisory work.

Responsibilities

• Lead execution of a $37M provider transformation program targeted for completion within the next 5 months.
• Drive enterprise‑wide provider data cleanup and modernization initiatives.
• Establish delivery rigor, governance and accountability where operational discipline is lacking.
• Partner with business, operations, technology and provider network leaders to deliver program outcomes.
• Lead initiatives spanning strategic provider systems, provider data management, provider credentialing, provider contracting (iCertis), workflow automation, process simplification and product ownership models.
• Manage and align 50–55 Product Owners supporting provider capabilities.
• Support national provider growth objectives and provider network expansion, and drive adoption of automation and digital capabilities.
• Remove roadblocks, manage risks and ensure milestone achievement.

Requirements

• 15+ years of healthcare payer experience.
• Extensive experience leading large‑scale provider transformation initiatives.
• Strong expertise in provider data management and provider operations.
• Strong expertise in claims operations and provider network management.
• Experience with contract lifecycle management (iCertis preferred).
• Experience in business process transformation, provider credentialing and workflow automation.
• Demonstrated success delivering complex, enterprise‑wide programs under aggressive timelines.
• Strong execution mindset; hands‑on leader who drives outcomes rather than provides advisory support.
• Exceptional communication and executive stakeholder management skills.

Nice to have

• Experience managing provider organizations with 100,000+ providers.
• Experience building automation and digital transformation roadmaps.
• Agile product ownership and product management experience.
• Experience operating in highly matrixed healthcare organizations.