Associate Director, Process Improvement Full Time NEW

This is an exciting opportunity for a strategic and operational leader passionate about improving healthcare delivery through process optimization and cross-functional collaboration. In this role, you will lead high-impact initiatives focused on enhancing care management and utilization management workflows while supporting quality, compliance, and member outcomes. You will work closely with clinical, operational, and technology teams to design scalable solutions that streamline processes, improve efficiency, and strengthen organizational performance. The position offers strong visibility across the organization and the opportunity to influence enterprise-wide operational improvements in a dynamic, matrixed healthcare environment. Ideal candidates are analytical, collaborative, and highly organized professionals who can translate complex clinical and operational needs into practical process solutions. This remote role also provides opportunities to engage directly with leadership teams and contribute to meaningful healthcare transformation initiatives.

Accountabilities

• Lead the strategic planning and execution of process improvement initiatives supporting clinical health services, care management, and utilization management operations.
• Serve as a key liaison between Clinical Health Services, IT, and Operations to align workflows, systems, and operational priorities.
• Guide teams in prioritizing initiatives, defining execution plans, and delivering complex cross-functional projects.
• Identify, analyze, and resolve operational, clinical, and technical challenges impacting workflow efficiency and organizational performance.
• Oversee and support a team of professionals by providing direction, coaching, accountability, and performance management.
• Drive end-to-end process mapping, redesign, and standardization initiatives to improve consistency, scalability, and compliance.
• Evaluate and implement technology enhancements and workflow solutions that support operational excellence and improved member outcomes.
• Ensure processes align with regulatory, accreditation, and contractual requirements including CMS and NCQA standards.
• Partner with internal stakeholders, clinical leaders, and market teams to maintain strong collaboration and alignment on strategic priorities.
• Support onboarding process optimization and compliance training initiatives to ensure operational readiness and adherence to organizational standards.
• Utilize data analysis and performance metrics to identify improvement opportunities and drive measurable operational outcomes.
• Manage multiple competing priorities while maintaining focus on high-impact strategic initiatives.

Requirements

• Bachelor’s degree required.
• Minimum of 3 years of experience in process improvement, operations, or technical program support, preferably within a healthcare environment.
• At least 3 years of leadership experience with direct team management responsibilities.
• Experience supporting care management, utilization management, or clinical operations teams.
• Demonstrated ability to establish strategic direction, prioritize initiatives, and lead execution of complex operational programs.
• Strong analytical and problem-solving skills with the ability to translate data insights into actionable process improvements.
• Excellent communication skills with the ability to collaborate effectively across clinical, technical, and business teams.
• Experience influencing cross-functional stakeholders and leading within matrixed organizations.
• Knowledge of Medicaid, managed care, or healthcare operations environments.
• Familiarity with regulatory and accreditation standards such as CMS and NCQA preferred.
• Experience in workflow redesign, process optimization, and operational transformation initiatives is highly desirable.
• Clinical background or healthcare licensure (RN, LCSW, or similar discipline) strongly preferred.
• Experience with process management or workflow tools such as QuickBase is a plus.
• Must reside in Ohio, Kentucky, or a bordering state within driving distance of Louisville, KY.
• Valid driver’s license and ability to travel occasionally for meetings and trainings required.

Benefits

• Competitive salary range between $126,300 and $173,700 annually based on experience, qualifications, and location.
• Eligibility for performance-based bonus incentive programs.
• Fully remote work opportunity with occasional travel requirements.
• Comprehensive medical, dental, and vision insurance coverage.
• 401(k) retirement savings plan with company contributions.
• Generous paid time off including holidays, vacation, volunteer time, parental leave, and caregiver leave.
• Short-term and long-term disability coverage.
• Life insurance and additional wellness support programs.
• Opportunities for leadership development, professional growth, and cross-functional collaboration.
• Inclusive, mission-driven work environment focused on improving healthcare outcomes and operational excellence.

How Jobgether Works

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role’s core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.