Director, Delegate Performance

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 team