Senior Director – Healthcare Transformation, Health Equity

This is a fully remote position, open to applicants in California.

📋 Description

• Responsible for the performance of a portfolio of Medical Management initiatives.

• Execute the Health Equity Cultural Competency Program.

• Plan, manage, implement, and support initiatives that generate value and savings across clinical operations.

• Lead the rollout of new medical management programs in collaboration with specialty vendors.

• Assess specialty companies/vendors and establish business terms during the contracting process.

• Supervise and directly manage a team focused on project management, performance improvement, and clinical analytics.

• Collaborate with both internal and external stakeholders to identify, develop, and implement innovative programs and initiatives.

• Advocate for cultural competence throughout the health plan.

• Design provider training programs aimed at enhancing cultural awareness and competence.

• Work alongside community, regional, and statewide organizations to elevate culturally competent programs and services.

• Evaluate the cultural diversity of the provider network, identify available resources and gaps, and formulate recommendations for credentialing and network development.

• Monitor and assess provider practices through KPIs within health equity dashboards.

• Implement training, media awareness, and community support activities tailored to specific populations.

• Identify trends in populations, health disparities, care gaps, and propose interventions.

• Develop outreach, community activities, and innovative programming to engage populations in available services.

• Create and execute a comprehensive, outcomes-focused Cultural Competency Plan that aligns with CLAS standards and national and regional priorities.

⛳️ Requirements

• Must be authorized to work in the U.S. without requiring employment-based visa sponsorship, now or in the future.

• Candidate must reside in California.

• Bachelor's Degree is required.

• Master's Degree is preferred.

• Over 10 years of relevant experience.

• At least 3 years of supervisory or management experience.

• Familiarity with medical management initiatives and clinical operations.

• Experience in care management, utilization management, outreach programs, and both physical and behavioral health services.

• Proficient in evaluating specialty companies/vendors and defining business terms during contracting.

• Proven track record in leading vendor implementation of medical management programs.

• Experience with project management, performance improvement, and clinical analytics.

• Knowledgeable in cultural competence, culturally inclusive best practices, and provider training.

• Experience in developing Cultural Competency Plans in alignment with CLAS standards.

• Familiarity with health equity dashboards and KPI monitoring.

• Experience in identifying population health disparities and creating interventions.

• Proven ability to collaborate with community, regional, statewide, internal, and external stakeholders.

🏝️ Benefits

• Competitive pay.

• Health insurance.

• 401K plan.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work options including remote, hybrid, field, or office schedules.

• Additional incentives may be included in total compensation.

• Equal opportunity employer committed to diversity.