Regional Director, Operations

Company:

Job Posting Location:

Job Title: ​

Job Description: ​

Candidates must be legally authorized to work in the United States without employer sponsorship, now or in the future.

The Regional Director of Operations has end-to-end operational accountability for planning, execution, and continuous improvement of market-level Risk Adjustment (BOI), Quality (HEDIS) and Cost of Care operation programs across multiple markets. This role owns operational processes, staffing, budgets, vendor relationships, data and technology enablement, and performance outcomes. The Director partners with platform BOI/Quality, Market Medical Directors, IT/Engineering, Data & Analytics, Finance and RBEs/providers to deliver compliant, scalable, and measurable operational performance.

This role requires travel 4–10 days per month to visit partner groups

Essential Job Functions:

Operational Leadership & Execution – 45%

• Lead and operationalize BOI, Quality and Cost of Care programs across 3+ markets; develop and enforce SOPs, SLAs and RACI for all program activities.
• Collaborate with Central Operations to manager operation, performance and outcomes related to pre-visit record review, post-visit coding review, chart collection, query workflows and provider engagement processes.
• In close partnership with the Market Leader and market operations team, oversee market operations, monitor performance, and implement corrective action and performance improvement plans.
• Define operational KPIs, run root cause analysis, lead process improvement efforts and institutionalize best practices across markets.
• Serve as the escalation point for market operational issues and lead cross-functional readiness for new initiatives.
• Provide oversight of operating budgets for BOI/Quality (labor, contractors, vendor spend); forecast resource needs and identify cost-to-serve improvements.

Data & Technology Ownership – 35%

• Partner with Data & Analytics and IT/Engineering to define technical requirements, data pipelines, EMR/claims integrations, and dashboards to support risk capture and quality improvement.
• In partnership with Tech, innovate on and participate in testing of solutions that drive automation and technology enablement to reduce manual effort and increase operational scale.

People & Capacity – 20%

• In collaboration with and informed by input from the Regional President, lead capacity planning, staffing models, recruitment, training and performance management for market BOI/Quality operations.

Required Qualifications:

Minimum Experience:

• 5+ years healthcare operations experience; 3+ years leading multi-market risk adjustment or quality programs

Education/Licensure:

• Bachelor’s degree required; advanced degree preferred
• Six Sigma/Lean certification preferred

Skills and Abilities:

• Solid knowledge of HEDIS, risk adjustment coding and healthcare data (claims/EMR)
• Demonstrated management of operational teams and vendor partners
• Analytics fluency (dashboards/KPI’s and either direct SQL or close collaboration with analytics teams)
• Proven program and project management skills and process improvement experience
• 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)

Essential Physical Functions:

These are requirements normally expected to perform regular job duties. Incumbent must be able to successfully perform all the functions of the job with or without accommodation.

Protect yourself: agilon health will never send unsolicited job offers or request payments or financial information. Such communications are fraudulent. Learn how to spot them

Location: ​

Pay Range: ​

Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.

About Us

RECRUITMENT FRAUD & CANDIDATE SAFETY

We take this matter seriously and want to help you protect yourself. Protect yourself from recruitment fraud. Learn how to spot them

PASSION & PURPOSE

The passion to change the way healthcare is delivered permeates everyone and everything at agilon health. Working together we can use our expertise to make a difference in the lives of patients and physicians alike. We can bring the joy back to practicing medicine for physicians and improve the care experience for patients across the country.

PRIVACY & TRUST

We value your privacy and trust as much and are committed to protecting your personal information and respecting your choices. We use technology and best practices to ensure that your data is secure and compliant with applicable laws and regulations. We also provide you with clear and transparent information about how we collect, use, and share your data, and how you can access, update, or delete it. You can read our full privacy policy click here

Beware of recruitment scams - our company will never ask for payment or personal financial information during the hiring process; if you believe you've been contacted fraudulently, please reach out to our official recruiting team immediately at Talent.Acquisition@agilonhealth.com.

EQUAL OPPORTUNITY EMPLOYER

agilon health is committed to excellence through diversity. We are an equal opportunity employer and we will not discriminate against employees or qualified applicants for employment regardless of race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or related medical conditions; age; disability; citizenship status; uniform service member status; or any other protected class under federal, state, or local law.

We strive to develop leaders and build future talent pools to help us meet the needs of our customers. If you need assistance or an accommodation due to a disability, you may email us at Talent.Acquisition@agilonhealth.com.