Director, Delivery System Innovation

The Director of Delivery System Innovation (DSI) is responsible for designing, executing, and scaling innovative delivery system partnerships that improve outcomes for complex and chronically ill populations while advancing Healthfirst’s value-based care strategy. This role serves as a strategic and operational leader across provider, vendor, and hospital partnerships, balancing external relationship management with internal execution, performance oversight, and cross-functional coordination.

The Director works closely with senior DSI and DSE leadership to translate enterprise strategy into actionable partnerships, oversee contract and financial performance, and drive innovation across risk arrangements, alternative delivery models, and state-led initiatives.

Strategic Partnership & Innovation Leadership

• Identify, assess, and support the development of innovative delivery system partnerships with hospitals, provider organizations, and specialized vendors, including value-based and risk-bearing arrangements

• Serve as a strategic thought partner to DSI and DSE leadership in advancing Healthfirst’s delivery system and risk model evolution

• Support the design and implementation of pilots and scalable programs focused on high-need, high-cost member populations, including telehealth, alternative care models, and VBP enablers

Contract & Performance Oversight

• Oversee financial, operational, and quality performance of assigned provider and vendor partnerships, ensuring alignment with contractual expectations and Healthfirst objectives

• Partner with internal teams to track performance metrics, manage reconciliations, and identify opportunities for performance improvement

• Support contract negotiations and ongoing contract management, including risk arrangements, deliverables, and governance structures

Cross-Functional & External Engagement

• Act as a primary point of coordination between external partners and internal stakeholders

• Establish and participate in Joint Operating Committees and other governance forums

• Represent DSI perspectives in enterprise discussions related to growth, quality, attribution, and financial performance

Program & Initiative Management

• Support state-led and regulatory initiatives (e.g., 1115 Waiver programs, VBP and SDH reporting)

• Contribute to annual planning, business reviews, and performance reporting

• Identify system capabilities, tools, and process improvements needed to support scalable partnership management

Leadership & Team Development

• Lead, mentor, and develop managers and individual contributors

• Influence across matrixed teams to drive change in complex and ambiguous environments

Minimum Qualifications

• Bachelor’s degree

• 5–8 years of progressive healthcare experience.

• Experience managing complex contracts and value-based arrangements

• Strong understanding of healthcare delivery systems and managed care

• Proven ability to lead cross-functional initiatives

Preferred Qualifications

• Master's degree

• Experience with hospital systems, IPAs, MSOs, or specialized provider organizations

• Familiarity with NY State initiatives such as 1115 Waivers and VBP

• Strong analytical, communication, and presentation skills

WE ARE AN EQUAL OPPORTUNITY EMPLOYER.  HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLCshallnotdiscriminateagainstanydisabledemployeeorapplicantinregard to any position for which the employee or applicant is otherwise qualified.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services,  LLC.

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All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst.  Healthfirst will never ask you for money during the recruitment or onboarding process.

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $154,600 - $236,555

• All Other Locations (within approved locations): $127,500 - $195,075

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.