This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

Key Responsibilities

• Enterprise Clinical & Cost of Care Strategy
  • Define and lead the multi-year specialty clinical strategy to optimize total cost of care performance within sub-capitated and risk-based partnerships.
  • Establish enterprise frameworks for specialty program design, performance governance, and financial accountability.
  • Partner with Finance and Actuarial teams to align clinical initiatives with medical cost trend targets, margin objectives, and long-range financial plans.
  • Serve as executive sponsor for Renal, Oncology, and Palliative Care strategies, ensuring measurable impact on utilization, quality, and risk-adjusted performance.
• Risk & Sub-Capitated Performance Oversight
  • Oversee enterprise performance of sub-capitated specialty programs, including reconciliation, contract adherence, and margin optimization.
  • Implement standardized operating models, dashboards, and governance structures to ensure disciplined execution and transparency.
  • Drive continuous improvement initiatives focused on utilization management, site-of-care optimization, and high-cost case management.
  • Identify emerging risk trends and proactively design mitigation strategies.
• Provider Incentive & Alignment Strategy
  • Architect enterprise physician incentive models that align clinical outcomes, quality performance, specialty cost management, and engagement in value-based care.
  • Oversee operational execution of incentive measurement, attribution, and reconciliation in partnership with Finance and Market Operations.
  • Advance physician engagement strategies that strengthen adoption of specialty clinical pathways and evidence-based protocols.
• Cross-Functional & Market Leadership
  • Lead cross-functional collaboration across Finance, Technology, Quality, Medical Affairs, Business Optimization & Integration (BOI), and Market Operations to ensure integrated program deployment.
  • Provide executive guidance to markets on specialty program implementation, scalability, and performance remediation.
  • Foster best-practice dissemination across markets through governance forums, clinical councils, and knowledge-sharing platforms.
  • Serve as a senior representative of agilon’s clinical and cost of care strategy in executive, board-level, and external partnership discussions.
• Growth & Innovation
  • Support new market development and partnership strategy by shaping specialty cost models and clinical integration frameworks.
  • Identify opportunities for innovation in specialty risk management, alternative payment models, and care delivery redesign.
  • Contribute to enterprise strategic planning and long-term value-based care roadmap development.

Qualifications

• 15+ years of progressive leadership experience in healthcare delivery, managed care, value-based care, or risk-bearing organizations.
• Deep expertise in specialty cost management, sub-capitated arrangements, and global risk economics.
• Demonstrated experience leading enterprise-scale clinical transformation initiatives.
• Strong financial acumen with the ability to connect clinical strategy to margin performance and total cost of care outcomes.
• Proven success influencing executive stakeholders and physician leaders in highly matrixed organizations.
• Experience working with high-risk, high-complexity senior populations strongly preferred.
• Bachelor’s degree required; advanced degree strongly preferred (MBA, MPH, MHA, MD, DO, RN, or equivalent).

Requirements

• Enterprise thinker with the ability to balance strategy and execution.
• Executive presence with board-level communication capability.
• Data-driven decision maker with strong performance management orientation.
• Skilled in change leadership and physician alignment within value-based models.
• Collaborative, outcomes-focused, and mission-driven.

Benefits

• Flexible location with remote capability.
• Travel 20–40% depending on market needs and enterprise initiatives.
• Pay Range: $220,400.00 - $275,400.00
• Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.