Source Job

US

  • Develop and implement enterprise strategies to improve member satisfaction, engagement, and retention across Medicaid lines of business.
  • Drive process improvements using Six Sigma methodologies to enhance the end-to-end member and provider experience.
  • Partner with health plan leadership to monitor performance metrics and implement corrective actions when needed.

Process Improvement Six Sigma Strategic Planning Stakeholder Management

20 jobs similar to Director, Member Experience (Process Improvement)

Jobs ranked by similarity.

US

  • Serve as a subject matter expert for specialty value-based programs, establishing evidence-based approaches and priorities.
  • Lead strategic program delivery, coordinating implementation plans, timelines, and stakeholder commitments.
  • Evaluate program performance, translate findings into actionable recommendations, and advise executives.

The partner company is a healthcare organization focused on advancing strategic value-based programs within a complex healthcare environment. It operates with a remote-first culture and emphasizes collaboration, innovation, and executive-level impact.

$92,800–$150,000/yr
US

  • Lead quality monitoring initiatives across multi-channel crisis and support services.
  • Develop and implement performance measurement frameworks and operational audits.
  • Drive continuous improvement through data analysis and AI-enabled quality solutions.

The company provides behavioral health and crisis support services at scale through national service networks. It is a mission-driven organization with a collaborative culture focused on professional growth and innovation.

US

  • Lead process design, optimization, standardization, and continuous improvement initiatives across business functions to improve people, processes, and technology.
  • Drive day-to-day execution of transformation programs while establishing structured approaches for ongoing process assessment and improvement.
  • Partner with senior stakeholders to establish governance models, shared objectives, and scalable process solutions that support consistent business performance.

Cox Automotive is a leading provider of automotive solutions, serving the fleet and automotive industry. The company is a large, established organization with a focus on innovation and process excellence, fostering a collaborative and dynamic work environment.

Canada

  • Lead process improvement initiatives from discovery through implementation.
  • Analyze workflows, identify inefficiencies, and design optimized future-state processes.
  • Apply Lean, Six Sigma, and continuous improvement methodologies to drive operational performance.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. The company fosters a collaborative culture focused on innovation and inclusion.

US

  • Lead strategic initiatives to improve STARS, CAHPS, PWP, and HEDIS performance across the health plan.
  • Manage a team of 3-6 direct reports and collaborate with cross-functional teams.
  • Design and evaluate outreach programs to enhance member experience and close care gaps.

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. It is part of Sentara Health, a not-for-profit integrated healthcare provider with nearly 30,000 employees and a family-friendly culture.

$108,701–$173,922/yr
US

  • Lead and supervise program management activities to align with strategic objectives and customer needs.
  • Provide leadership, coaching, and mentorship to team members while managing workloads and performance.
  • Monitor program performance using data-driven insights and implement continuous improvement initiatives.

Our partner is a healthcare organization focused on improving outcomes for healthcare organizations and communities. They foster a collaborative, mission-driven culture with emphasis on innovation and continuous learning.

$126,422–$189,634/yr
US

  • Design and implement a standardized, scalable project management methodology (e.g., Agile, Waterfall, Hybrid) to ensure consistency and quality.
  • Lead process improvement initiatives, analyzing inefficiencies and optimizing core business processes across the organization.
  • Manage capacity and demand, develop KPIs, and mentor teams to foster a culture of continuous improvement.

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and the chronically ill. They have built a passionate team focused on transforming senior lives, offering ample room for growth and innovation in a fast-growing company.

US 4w PTO 12w maternity 12w paternity

  • Lead clinical performance and drive quality outcomes across assigned ACOs, aligning with national strategy on value-based care initiatives.
  • Serve as a national clinical champion, influencing best practices and workflows for hypertension and risk management among partner practices.
  • Act as a thought partner to market leadership, contributing to growth and policy initiatives while representing the clinical voice in strategic workgroups.

Aledade is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. Founded in 2014, we are the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.

US

  • Oversee the execution of complex technical assistance contracts, ensuring all deliverables and milestones are met on time and within scope.
  • Design and implement a centralized delivery model, including governance, intake, triage, and operational workflows.
  • Drive cross-functional collaboration and continuous improvement initiatives to enhance service quality and scalability.

This partner company delivers large-scale technical assistance programs that strengthen healthcare organizations and improve community outcomes. They foster a collaborative, mission-driven culture focused on innovation and continuous improvement.

US

  • Lead complex Medicaid initiatives, including policy development, program implementation, and project management for state agencies.
  • Build relationships with clients, stakeholders, federal partners, and vendors while overseeing junior colleagues.
  • Deliver client deliverables such as policy recommendations, compliance analysis, and status reports.

BerryDunn is a professional services firm that helps businesses, nonprofits, and government agencies solve challenges through tax, advisory, and consulting services. Since 1974, the firm has been recognized for its diverse and inclusive culture, focus on learning and development, and employee well-being.

US 12w maternity 12w paternity

  • Lead the care, case, and utilization management programs, setting clinical direction and owning performance targets.
  • Evolve clinical operating models and partner with Product and Engineering to integrate AI tools into workflows.
  • Manage, develop, and retain clinical leaders while collaborating cross-functionally to coordinate care for members.

Included Health is a healthcare company delivering integrated virtual care and navigation. They are on a mission to raise the standard of healthcare for everyone, with a remote-first culture and a focus on breaking down barriers to high-quality care.

$150,000–$258,750/yr
US 3w PTO

  • Shape the strategy and operational performance of a large Patient Service Center organization.
  • Oversee complex services spanning patient access, contact center operations, data management, reimbursement, education, and copay assistance.
  • Lead innovation, strengthen operational excellence, and develop high-performing teams in a fully remote U.S. role.

Jobgether is a recruitment platform using AI-powered matching to streamline job applications. The company focuses on efficient, objective candidate screening and partners with hiring companies to manage the hiring process.

US

  • Lead multiple teams through Managers and Supervisors to align with revenue targets and operational priorities.
  • Oversee performance management, workload distribution, and capacity planning for efficient execution.
  • Ensure compliance with HIPAA regulations and deliver high-quality client outcomes through collaboration.

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations using intelligent automation. The company is a multi-year Top Workplaces award recipient and has been on the Inc. 5000 list for 11 years.

US 12w maternity 12w paternity

  • Lead care management programs with strategic and operational oversight.
  • Drive clinical performance metrics and evidence-based care models.
  • Collaborate with cross-functional teams to integrate AI and improve population health.

The partner company is a healthcare organization focused on care management and population health. It operates with a remote-first culture and offers opportunities to influence innovative healthcare models.

US

  • Serve as strategic advisor to the VPFA/CFO, leading institution-wide business process improvement initiatives across Finance & Administration.
  • Develop process maps, SOPs, performance metrics, and automated workflows to enhance operational excellence and efficiency.
  • Collaborate with IT to implement workflow automation and digital transformation tools like Workday and Microsoft Power Platform.

Texas A&M International University (TAMIU) is an international university serving over 9,000 students, offering programs with a global focus. The university is an Equal Opportunity employer committed to diversity and cultural understanding.

$125,000–$150,000/yr
US

  • Lead and develop a team focused on provider-facing initiatives across Provider Experience and Incentives.
  • Champion the provider perspective and build a provider advocacy function to surface and act on feedback.
  • Develop reporting and insights using data from multiple systems to drive continuous improvement.

BetterHelp is on a mission to remove traditional barriers to therapy and make mental health care more accessible globally. Founded in 2013, the company is the world's largest online therapy service with a network of over 30,000 licensed therapists and a diverse team of clinicians, engineers, and business leaders.

US

  • Conducts functional assessments and process mapping to identify improvement opportunities across SCPO programs.
  • Develops process documentation, SOPs, and digital tools using SharePoint and Power Platform.
  • Partners with stakeholders to translate improvements into actionable solutions and prepares briefings for leadership.

Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Founded in 2012, the company has over 300 employees nationwide and values diversity and inclusion.

United States Unlimited PTO

  • Drive operational excellence across provider risk adjustment, HCC coding, and value-based care programs while overseeing coding services delivered by domestic and global teams.
  • Serve as the primary strategic lead and escalation point for health plan and provider clients, maintaining accountability for service quality and client satisfaction.
  • Manage, mentor, and develop diverse coding teams across locations, ensuring coding activities follow organizational standards and regulatory requirements.

Our partner is a company that drives operational excellence in healthcare through risk adjustment, HCC coding, and value-based care programs. They are a senior leadership focused organization that manages coding services with diverse teams, emphasizing quality and compliance.

$160,000–$180,000/yr
US

  • Leverage state and federal Medicaid policy expertise to help agencies implement new programs and manage compliance.
  • Analyze regulations and sub-regulatory guidance to inform program direction and manage project initiatives.
  • Partner with the team to share Medicaid expertise and support client needs while driving team development.

BerryDunn is a professional services firm providing tax, advisory, and consulting services to businesses, nonprofits, and government agencies. Founded in 1974, the firm has a client-centered, people-first culture and has been recognized for its diversity and inclusion efforts.

$68,000–$92,000/yr
US

  • You will lead provider relations initiatives and manage a team of specialists to ensure strong collaboration with healthcare providers.
  • You will serve as the primary escalation point for complex provider issues and educate providers on policies and compliance.
  • You will monitor provider performance metrics, analyze data, and drive continuous improvement in healthcare delivery.

The partner company operates a large-scale healthcare program, managing provider relationships and improving healthcare delivery. It is a mission-driven organization with a focus on collaboration and continuous improvement, though the exact size is not specified.