Alignment Health

Compensation

Full 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 Senior Program Manager, Condition Management role owns the execution of complex, multi-vendor programs and leads cross-functional coordination across Clinical, Finance, Analytics, Legal, Procurement, and external partners. This position is accountable for programs with material financial impact, including MLR improvement, ROI guarantees, and sustained member outcome performance. This role is a senior individual contributor operating with a high degree of autonomy and accountability for program implementation, vendor performance, and measurable clinical and financial outcomes. Job Duties/Responsibilities: Lead End-to-End Implementation of Condition Management Programs • Own the planning, execution, and ongoing management of condition management programs across Oncology, MSK, and future prioritized conditions • Translate strategic objectives into detailed implementation plans, timelines, and success metrics • Lead multiple parallel workstreams across multiple vendors to ensure clear roles, carve-outs, and seamless member experiences • Serve as the primary point of accountability for program execution from onboarding through steady-state operations Manage Vendor Performance, Outcomes, and ROI • Lead vendor onboarding, implementation, and ongoing performance management for condition management partners • Establish governance structures, performance metrics, and reporting cadences tied to clinical outcomes, utilization, and financial impact • Monitor ROI guarantees, savings targets, and MLR impact; identify risks and drive corrective actions as needed • Partner with Analytics and Finance to validate savings, track outcomes, and ensure transparency and accountability Drive Cross-Functional Coordination and Continuous Improvement • Partner closely with Clinical, Network, Finance, Analytics, Legal, and Procurement teams to operationalize programs and contracts • Identify implementation risks, operational gaps, and opportunities for optimization across programs • Standardize processes, reporting, and operating models to support scalability across conditions and markets • Continuously assess program performance and recommend enhancements to improve member outcomes and cost efficiency Job Requirements: Experience: • 7+ years of experience in program management, healthcare operations, consulting, or related roles • Demonstrated experience implementing and managing complex, cross-functional healthcare programs, preferably in condition management, value-based care, or utilization management • Experience working with external vendors, including onboarding, performance oversight, and outcomes management • Proven ability to manage multiple concurrent initiatives and deliver measurable clinical and financial results • Strong stakeholder management skills with experience working across clinical, financial, and operational teams Education: • Required: High School Diploma or GED. Bachelors degree or four years of additional experience in lieu of education. • Preferred: MBA, PMP Training: • Required: N/A • Preferred: Project management, healthcare quality, or value-based care training (e.g., PMP, Lean, Six Sigma) Specialized Skills: Required: • Strong program and project management skills with attention to detail and execution discipline • Ability to communicate clearly and professionally with internal teams, senior leaders, and external vendors • Analytical skills to interpret performance data, financial results, and outcome metrics • Advanced problem-solving and prioritization skills in a fast-paced, complex environment • Ability to design, implement, and manage governance and reporting structures Preferred: • Experience with Oncology, MSK, or other high-cost condition management programs • Familiarity with healthcare financial metrics (e.g., MLR, ROI, utilization trends) • Proficiency with productivity, presentation, and analytics tools (Excel, PowerPoint, BI dashboards, project management platforms) Other: • Required: None Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. 2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range: $113,332.00 - $169,999.00 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.