Sr. Director, Care Experience

At Transcarent, we’re transforming the healthcare experience by making it simpler, higher quality, and more affordable. We connect members to top-tier care through a personalized, technology-enabled experience—removing friction, aligning incentives, and delivering better outcomes at lower cost.

Our specialty care solutions—spanning surgery, cancer, and expert medical opinions—are at the center of this transformation.

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

Deep Healthcare & Bundled Payment Expertise

• Experience with value-based care and bundled payment models
• Background in provider systems, health plans, or specialty solution vendors
• Strong understanding of surgical and oncology care ecosystems

Financial & Analytical Strength

• Proven ability to negotiate complex contracts and pricing models
• Expertise in evaluating rates, savings, margins, and performance metrics
• Experience owning P&L or product revenue at scale

Provider & Market Credibility

• Track record working with health systems and COE networks
• Ability to influence provider behavior and drive alignment
• Strong industry relationships and credibility

Commercial & Strategic Mindset

• Operates like a GM or solution owner
• Experience designing, selling, and scaling healthcare solutions
• Skilled in supporting enterprise sales and growth initiatives

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.

Key Differentiators

• 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

Market Context

This role operates in a highly competitive and evolving landscape, intersecting with specialty care innovators, health plan COE programs, and provider-led solutions. Success requires navigating complex partnership dynamics while capitalizing on growing demand for high-quality, cost-effective specialty care.