Job Description

Role Description

We are seeking a strategic and commercially driven Senior Director, Care Experience to lead the design, growth, and performance of high-impact specialty care solutions, including Surgery Care, Cancer Care, and Expert Medical Opinions (EMO). This role operates as a general manager (GM) for a portfolio of complex care offerings—owning strategy, provider networks, bundled pricing models, and market expansion. The ideal candidate brings deep expertise in value-based care, strong financial acumen, and the ability to scale solutions across employers and health plans.

You will lead and evolve a comprehensive suite of specialty care solutions, including:

• Surgery COE Model
  • Bundled offering inclusive of surgeon, facility, and full episode costs
  • High-touch member experience with concierge navigation and top-tier providers
• Expanded Specialty Solutions
  • Expert Medical Opinions (EMO): Access to leading specialists for second opinions
  • MSK / Orthopedics: Including virtual physical therapy and conservative care pathways
  • Cancer Care: Integrated support across chemotherapy, radiation, and surgical bundles

What You’ll Own:

• Solution Strategy & Design
  • Define and evolve COE offerings across Surgery, Cancer, and EMO
  • Develop scalable, high-quality care models aligned with market demand
  • Drive innovation in bundled payment structures and specialty care delivery
• Growth & Commercialization
  • Lead adoption and expansion across employer and health plan segments
  • Identify upsell opportunities and expand into new specialty categories
  • Support sales efforts including RFPs, finalist presentations, and growth strategy
• Provider Strategy & Network Development
  • Build and manage high-performing COE networks
  • Establish partnerships with leading health systems and specialty providers
  • Drive provider engagement, alignment, and performance improvement
• Health Plan Partnerships
  • Integrate solutions with major national and regional carriers
  • Navigate complex partnership dynamics and alignment opportunities
  • Support joint go-to-market strategies
• Financial Ownership
  • Own pricing strategy, bundled rate structures, and margin performance
  • Evaluate benchmarks, savings outcomes, and ROI
  • Manage product-level financials with accountability for significant revenue
• Team & Cross-Functional Leadership
  • Lead, coach, and manage a high-performing team to achieve organizational goals
  • Foster a culture of accountability, collaboration, and continuous improvement while supporting employee development and engagement
  • Partner across product, analytics, finance, sales, and account management
  • Align stakeholders to execute on strategy and deliver measurable outcomes
  • Drive operational excellence and continuous improvement

Qualifications

• 10+ years of experience in clinical program leadership, care delivery, or value-based care.
• Deep expertise in surgery, oncology, or EMO/external medical opinion programs.
• Proven track record of building and scaling programs in healthcare, digital health, or employer-based care.
• Strong understanding of healthcare economics, payer-provider dynamics, and population health.
• MBA, MPH, or advanced clinical degree preferred.
• Exceptional leadership, communication, and cross-functional collaboration skills.

Requirements

• Direct experience with COE models (e.g., surgery bundles, specialty networks)
• Background in cancer care and complex case management
• Experience with EMO / second opinion programs
• Ability to operate seamlessly across strategy, operations, and revenue growth

Benefits

• Competitive medical, dental, and vision coverage
• Competitive 401(k) Plan with a generous company match
• Flexible Time Off/Paid Time Off, 13 paid holidays
• Protection Plans including Life Insurance, Disability Insurance, and Supplemental Insurance
• Mental Health and Wellness benefits

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