Member Lifecyle Director - Transformation

Location: Anywhere in the U.S.

Remote Type: Fully Remote

Time Type: Full time

Job Description

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 Member Lifecycle Director - Transformation is responsible for defining and executing the strategy to improve member operations across the member lifecycle, including acquisition, enrollment, onboarding, engagement, service, retention, and renewal. This role leads initiatives that enhance member experience, improve operational efficiency, increase retention, support growth, and improve business performance.

The Director partners across Operations, Clinical Services, Product, Marketing, Sales, Technology, Analytics, Quality, Compliance, Network, Finance, and market leadership to redesign processes, implement technology solutions, and establish scalable operating models. This role is accountable for transformation strategy, investment prioritization, performance measurement, and delivery of measurable business outcomes.

Member Strategy & Transformation

• Define and lead the strategy for improving member operations across the member lifecycle.
• Develop a multi-year roadmap that aligns operational improvements, technology investments, and business priorities.
• Identify opportunities to improve member experience, operational efficiency, retention, and growth.

Member Operating Model Design

• Design and evolve member operations operating models to support growth, scalability, and performance.
• Develop workflows, governance structures, service models, and accountability frameworks.
• Ensure processes support a consistent and effective member experience across markets.

Member Experience & Process Improvement

• Lead efforts to assess and improve member journeys across the lifecycle.
• Partner with Operations, Clinical Services, Product, and Marketing leaders to improve engagement, access, service delivery, and retention.
• Leverage member feedback, operational performance data, and market insights to prioritize improvement opportunities.
• Lead cross-functional process redesign initiatives that improve quality, efficiency, and member outcomes.
• Identify operational bottlenecks and barriers affecting member experience or business performance.
• Drive continuous improvement through process redesign, automation, workflow optimization, and standardization.

Technology Enablement & Digital Transformation

• Partner with Product and Technology teams to prioritize member-facing and operational technology investments.
• Translate business requirements into scalable technology solutions.
• Lead implementation of automation, AI-enabled capabilities, digital engagement tools, workflow technologies, and self-service solutions.

Operational Performance & Business Outcomes

• Establish KPIs and success measures for transformation initiatives.
• Monitor performance and ensure initiatives deliver measurable business value and return on investment.
• Develop business cases supporting transformation priorities and investment decisions.

Cross-Functional Leadership & Governance

• Serve as the primary liaison across Operations, Clinical Services, Product, Technology, Marketing, Analytics, Quality, Compliance, Network, Finance, and market leadership.
• Facilitate governance forums and executive steering committees to ensure alignment and execution.
• Build stakeholder alignment and drive adoption of new processes, operating models, and technologies.

Strategic Opportunity Assessment

• Evaluate technologies, vendors, and operational capabilities that support member operations performance.
• Conduct operational assessments and develop recommendations based on business impact, scalability, feasibility, and return on investment.
• Lead implementation efforts and ensure adoption and sustained results.

Supervisory Responsibilities:

This role is an individual contributor.

Job Requirements: 

Experience:

Required:

• Minimum 7 years of progressive leadership experience in healthcare operations, care delivery, provider strategy, network strategy, product management, or related healthcare functions 
• Experience leading technology-enabled operational improvement efforts and digital product or platform initiatives

Preferred:

• Experience leading AI-enabled healthcare products or digital transformation initiatives 

Education: 

Required:

• Bachelors degree in Healthcare Administration, Business Administration, or a related field; four years of additional directly relevant experience may be considered in lieu of a degree 

Preferred: 

• MBA, MHA, or equivalent graduate degree with concentration in healthcare operations, strategy, or technology 

Training: 

Required:

• Demonstrated working knowledge of healthcare delivery models, provider performance management, referral management, care routing frameworks, and value-based care principles 

Preferred:

• Formal training in product management, digital transformation, change management, or healthcare operations leadership 
• Lean, Six Sigma, or other structured operational improvement methodology

Specialized Skills: 

Preferred:

• Healthcare Technology Product Strategy and Roadmap Ownership (Advanced): Proven ability to define strategic product visions, build roadmaps, and prioritize technology investments for provider-facing platforms — translating clinical and operational needs into scalable digital solutions with measurable provider impact.

• Cross-Functional Leadership and Influence (Advanced): Demonstrated ability to align and integrate Clinical Operations, Network Management, Technology, Analytics, Quality, Utilization Management, and market leadership teams around shared care delivery and provider enablement strategies without relying solely on direct authority. 

• Data Analytics and Performance Management (Advanced): Strong ability to define, track, and interpret KPIs across provider performance, care routing effectiveness, network utilization, referral patterns, and member outcomes — and convert complex data into actionable strategic recommendations.

• Strategic Planning and Organizational Change Management (Advanced): Demonstrated ability to develop and execute multi-year strategic plans across care delivery, provider enablement, and technology — and lead organizational change management efforts that drive adoption of new workflows, operating models, and technology solutions. 

• Executive Communication and Stakeholder Management (Advanced): Exceptional ability to prepare and deliver executive-level presentations, business cases, and operating reviews — and to influence executive, clinical, operational, and technical leaders across a complex, matrixed organization. 

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.