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agilon health

Senior Director Cost of Care

agilon health, New York, New York, United States

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The Sr. Director, Cost of Care Performance is accountable for designing and scaling clinical initiatives that improve patient outcomes, optimize physician performance, and unlock value through sub-capitated and risk-based partnerships. Primarily responsible to drive the execution of strategic clinical programs — with a focus on Renal, Oncology, and Palliative Care — in collaboration with market teams, clinical leaders, and cross-functional partners. The ideal candidate brings deep operational expertise, an understanding of value-based care for complex senior populations, and the ability to lead across a highly matrixed organization.

Essential Job Functions • Lead the execution and scaling of enterprise clinical programs in Renal, Oncology, and Palliative Care, ensuring alignment with agilon’s value-based care model and sub capitated risk arrangements • Set up standard processes to monitor and reconcile sub-capitated program performance • Lead continuous improvement initiatives to streamline operations, ensure compliance and contract adherence, and improve sub-capitated program performance. • Co-lead the redesign of provider incentives to reward meaningful physician engagement and improved outcomes • Lead the operationalization of provider incentives to ensure accurate and timely measurement • Collaborate cross-functionally to integrate and optimize clinical initiatives across new and existing markets, leveraging resources from Finance, Technology, Quality, BOI, Medical Leadership, and Clinical Programs • Drive effective communication and engagement across stakeholders, clearly articulating program goals, performance results, and areas of opportunity • Serve as a clinical strategy lead for value-based partnerships, helping shape program design and execution to support sub-capitated payment models and long-term collaboration • Participate in strategic planning efforts and contribute to long-term visioning for enterprise-wide clinical innovation • Foster best-practice sharing across markets through agilon Clinical Committees, working groups, and knowledge hubs • Represent agilon’s clinical strategy in high-visibility conversations with internal and external leadership.

Qualifications: • 10+ years of experience in healthcare delivery, strategy, or operations, with a strong preference for backgrounds in value-based care or managed care • Deep knowledge of clinical program development and operations in areas such as Renal Care, Oncology, and Palliative Care • Experience with provider incentive model design and execution in risk-bearing organizations • Track record of successfully implementing cross-functional initiatives across complex, matrixed environments • Strong analytical mindset, with the ability to translate data into action and communicate performance to diverse stakeholders • Excellent interpersonal, written, and verbal communication skills, with executive presence and the ability to influence across disciplines • Bachelor's degree required; advanced degree in healthcare, business, or a clinical field (e.g., MPH, MBA, MHA, RN, MD) strongly preferred

Required Qualifications: • Passionate about value-based care, the importance of its role in our current healthcare system, and the necessity to achieve these goals through partnership • 10 years VBC experience in project management, strategy, and ops • Proven track record developing and launching clinical programs, particularly around value-based initiatives, including program design, quality measures, efficiency • Robust experience with, and understanding of, practice management/operations • Strong operational and process management skills • Previous clinical and/or operational leadership role in value-based programs. • Experience developing programs for high risk/high complexity patient population strongly preferred • Effective communicator to practices and individual physicians.

Location is flexible, and significant portion of work can be done remotely with video meetings. Occasional travel to market sites as needed (10-30%)

Required Qualifications: Bachelor’s degree and 10+ years of experience Masters and 8+ years of experience

Skills and Abilities: Language Skills:

Strong communication skills both written and verbal to work with multiple internal and external clients in a fast-paced environment

Mathematical Skills:

Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

Reasoning Ability:

Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.

Computer Skills:

Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint)