Sr Director, Partner Operations

Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing:

Senior Director, Partner Operations

The Senior Director, Partner Operations serves as Evolent’s point person for developing and managing key client relationships, and for achieving desired operational and financial performance. As the liaison between assigned clients  and Evolent, this individual will monitor performance, identify opportunities for improvement/optimization, and work with key stakeholders to ensure client issues are resolved in a timely and appropriate manner. This role also includes serving as an advocate for client needs and an ambassador within Evolent as the go-to expert on client priorities.

Collaboration Opportunities

The Senior Director, Partner Operations role also collaborates with internal teams as necessary (including Provider Solutions, Strategic Accounts, Analytics, Client Finance, Implementation, Clinical Operations, Medical, Quality, and Call Center Teams) to identify new opportunities, deploy and optimize Evolent programs, and achieve client and organizational objectives.

What You Will Be Doing:

Account/ Relations Management – provide corporate, executive and overall account management for designated client partners, including the CEO, CFO, CMO, pharmacy leadership, clinical operations/UM, medical economics/actuarial services/analytics, and vendor management.

Performance Management – maintain overall accountability for medical expense and P&L performance of designated client partners, including the facilitation of quarterly/annual reconciliations.

Partner/Provider Satisfaction – maintain overall accountability for the satisfaction of designated partners and the providers in their networks.

Initiative Deployment – accountable for the overall deployment of clinical, financial, and operational improvement initiatives to improve performance, satisfaction, and clinical quality/outcomes.

Teamwork/Collaboration – serves as a liaison between the customer and key Evolent stakeholders; monitors issue resolution and ensures appropriate, timely follow up by Evolent team members.

Staff Management – manages assigned staff as requested to optimize the performance and satisfaction of designated client partners and their provider networks.

Qualifications - Required  

• Bachelor’s degree in business administration, healthcare administration, public health, analytics, or a related field, master’s degree Strongly Preferred.

• 7 or more years of experience working directly with health plans, health systems or providers to drive clinical, financial and/or operational performance improvement; senior/executive experience desired.

• 5 or more years in relationship management roles (account management, consulting, enterprise sales, etc.) and/or externally facing operational leadership positions.

• Demonstrated ability to communicate, present and influence credibly and effectively at all levels of the organization, including at the C-level; excellent verbal and written communications skills, particularly in the realm of telling a compelling story of value contributed to the partnership.

• Strong knowledge of health plan operations, care/utilization management, claims processing, value-based care, and the levers to optimize financial performance.

• Exceptionally high “Emotional Intelligence” – able to connect with diverse constituents, actively listen, and identify key areas of sensitivity.

• Highly organized, self-motivated, and the intellectual curiosity to get to the bottom of partner issues and opportunities; a willingness to roll up sleeves and work toward solutions in partnership with operations counterparts and centralized resources.

• A steady demeanor with the judgement to determine when to escalate and how to prioritize competing inputs.

• Approaches problem so