Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

The Director of Delegate Performance is a senior leader within Alignment Healthcare that is responsible for driving the transformation of the organization’s delegated oversight function into a proactive, enterprise enabler of performance excellence and provides the tools and resources to support successful outcomes. This role serves as the strategic lead for optimizing the performance of IPAs, MSOs, and other delegated entities across clinical, operational, and compliance domains, with a sharp focus on risk-bearing models and value-based outcomes.
Reporting into senior leadership, the Director oversees the enterprise-wide strategy for First Tier, Downstream, and Related (FDR) entities, translating oversight insights into actionable strategies that improve quality, utilization, risk adjustment, and care delivery. This individual leads risk governance, escalation pathways, and performance partnerships, ensuring that delegated functions consistently meet or exceed regulatory and enterprise performance standards.
Acting as a primary liaison with IPA and MSO executives, the Director is responsible for fostering high-impact performance collaborations, managing governance forums, and elevating system-wide reporting and analytics capabilities. The role demands a seasoned leader with strong strategic vision, operational rigor, and the ability to influence at the executive level. Through cross-functional collaboration with teams across Quality, Clinical, Compliance, and Network, the Director will drive sustained improvement in delegated performance—advancing Alignment Healthcare’s mission to deliver high-quality, coordinated care.

Job Duties/Responsibilities:

Enterprise Strategy & Accountability for Delegated Performance

Design and lead the enterprise-wide strategy for delegated partner performance management, aligning with corporate priorities and value-based care objectives. Ensure integration of clinical, operational, financial, and compliance metrics to drive a holistic view of IPA effectiveness.
Establish and maintain governance frameworks that proactively identify and mitigate performance risks across the delegated network. Direct risk stratification models and early warning systems to flag deviations in utilization, access, provider behavior, and quality outcomes.
Serve as the enterprise escalation authority for IPA performance risks, directing cross-functional interventions and engaging executive leadership to drive swift and sustainable resolution of systemic issues beyond regulatory thresholds.

Executive Partnership & Organizational Influence

Act as the senior performance advisor to IPA executives and clinical leaders, facilitating strategic performance reviews and aligning IPA goals with organizational priorities in quality, service, and affordability.
Lead enterprise-wide performance interventions, ensuring measurable progress, executive sponsorship, and long-term sustainability.
Represent Delegation Oversight at the highest levels of enterprise governance, regulatory readiness planning, and corporate strategic initiatives, influencing decisions through expert performance insight and risk analysis.

Systems Innovation, Enterprise Reporting & Talent Development

Direct the strategy and execution of scalable performance reporting infrastructure, analytics, and executive dashboards that drive actionable insight, alignment, and accountability across delegated entities.
Deliver performance briefings and strategic recommendations synthesizing complex data into clear narratives that inform policy, planning, and resource allocation.
Build and lead a high-performing team. Foster a culture of performance excellence, data-driven decision making, and continuous improvement.
Partner with Technology, Clinical, and Compliance leaders to evolve oversight capabilities and enable digital transformation in IPA performance management.

Supervisory Responsibilities:

This role may include indirect oversight or matrix leadership of analysts, auditors, clinical staff, or project teams engaged in performance evaluation activities.

Job Requirements:

Experience:

10+ years of progressive experience in healthcare performance management, delegated oversight, provider network operations, or value-based care—preferably within a health plan, MSO, or integrated delivery system.
5+ years of leadership experience managing cross-functional teams and/or performance programs, including direct accountability for driving outcomes across clinical, operational, and compliance domains.
Proven track record of developing and executing enterprise-wide performance strategies, including designing governance models, risk monitoring systems, and executive reporting frameworks.
Demonstrated ability to engage and influence senior executives, including C-suite and clinical leaders, through data-driven insights and strategic planning.
Strong command of healthcare analytics, including performance dashboards, early warning systems, and data storytelling to drive decision-making and action.
Experience leading large-scale change initiatives in complex, matrixed environments, with a focus on operational excellence, compliance, and provider accountability.
Excellent communication and executive presence, with a proven ability to translate complex performance trends into actionable strategies for diverse stakeholders.

Education:

Bachelor’s degree required in Healthcare Administration, Public Health, Business Administration, Nursing, or a related field.
Master’s degree strongly preferred (e.g., MHA, MPH, MBA, MSN) with a focus in healthcare management, policy, or operations.
Advanced training or certification in value-based care, population health, healthcare compliance (e.g., CHC, CPCO), or project management (e.g., PMP) is a plus.

Training:

Preferred: Lean/Six Sigma

Specialized Skills:

Required:

Strong analytical acumen with the ability to identify actionable trends in large datasets.
In-depth understanding of delegated operations and regulatory frameworks (e.g., CMS, DMHC, DHCS, NCQA).
Ability to build rapport and credibility with provider organizations and cross-functional leaders.
Advanced Excel and data visualization skills (Tableau, Power BI, etc. a plus).
High-level written and verbal communication skills, including experience creating executive summaries and dashboards.
Adept at managing ambiguity, prioritizing competing demands, and influencing without authority.
Collaborative, mission-driven mindset with the ability to coach others in performance thinking.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay Range: $130,332.00 - $195,498.00

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.