Director Insurance Operations Jobs in Detroit, MI

Director of Operations (DOO) – Primary Care Services

Location: Southfield, MI (On-Site with Local Travel Across All Locations)
Employment Type: Full-Time

Position Summary

Epic Health is seeking a dynamic and experienced Director of Operations (DOO) to oversee our Primary Care Service Lines, including Internal Medicine, Family Medicine, and Pediatrics. This senior leadership role is responsible for driving clinical efficiency, regulatory compliance, financial performance, quality outcomes, and strategic collaboration across our primary care practices. The DOO will also oversee elements of Patient-Centered Medical Home (PCMH) implementation, population health, and integrated value-based care initiatives while coordinating cross-departmental alignment with Diagnostics, Specialty Services, and Care Management.

Key Responsibilities

• Provide leadership and oversight of operations across all Primary Care service lines.
• Develop and implement workflow optimization, standard operating procedures (SOPs), and scheduling models to enhance patient access and throughput.
• Lead quality improvement initiatives focused on PCMH transformation, preventive care, chronic disease management, and value-based metrics.
• Ensure alignment and collaboration with Diagnostic Services (Lab/Radiology), Specialty Services, and Care Management programs.
• Monitor operational performance, including visit volume, provider productivity, and access metrics.
• Oversee recruitment, onboarding, training, and performance management of clinical and administrative staff.
• Direct departmental budgeting, forecasting, and expense control.
• Ensure compliance with CMS guidelines, NCQA PCMH recognition, and HIPAA regulations.
• Integrate population health strategies, including HEDIS/STAR metric tracking, RAF/MIPS optimization, and panel management.
• Partner with IT and EHR teams to maintain effective digital workflows, data integrity, and reporting.
• Collaborate with clinical and executive leadership on strategic growth, service line expansion, and community outreach.
• Other job duties as assigned.

Travel Requirement

Travel is mandatory and could be up to 75% covering all Michigan locations.

Minimum Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Public Health, Nursing, or related field.
• Minimum 5 years of experience in a senior leadership role overseeing ambulatory primary care operations.
• Knowledge of PCMH, NCQA standards, and primary care value-based care models.
• Familiarity with pediatric, family medicine, and adult medicine care models.
• Working knowledge of Athena or similar EHR systems.
• Demonstrated experience managing multisite primary care networks.
• Proficiency in healthcare operations analytics and quality reporting.

Preferred Qualifications

• Master’s degree (MHA, MPH, MBA, MSN or equivalent).
• Certification in Lean, Six Sigma, or Project Management.
• Experience with ACO REACH, MSSP, or Medicaid/Medicare VBC contracts.
• Previous involvement in PCMH certification or recertification efforts.
• Pediatric and adult medicine operational integration experience.

Core Competencies

• Team leadership and culture development
• Operational standardization and scaling
• Primary care quality and value performance 
• Cross-functional collaboration
• Financial and regulatory management

Performance Metrics

• Patient access (same-day appointment availability, panel management)
• Visit volume, provider productivity, and encounter capture
• HEDIS, STAR, and quality metric performance
• Staff satisfaction and retention rates
• Cost management and operational efficiency
• PCMH certification and audit readiness

Application Requirements

Applicants will be screened based on the following:

• 5+ years of experience in a leadership role within primary care operations
• Track record of improving patient access, quality performance, and team efficiency
• Educational and credentialing background aligned with primary care leadership
• Familiarity with value-based care models and PCMH certification
• Demonstrated ability to work collaboratively across departments

What We Offer

• Competitive Salary
• Health, Dental, Vision, Life, and Disability Insurance
• 401(k) Retirement Plan
• Generous PTO and Paid Holidays
• Professional Development and Growth Opportunities
• A mission-driven, supportive team environment focused on delivering innovative, high-quality care

Why Join EPIC Health?

At EPIC Health, we are a patient-first, outcomes-driven multispecialty healthcare organization committed to delivering coordinated, accessible, and quality care. This role offers the opportunity to shape the future of our primary care model and work alongside an experienced leadership team focused on growth, excellence, and population health. EPIC Health is more than a healthcare provider—we are building the future of care for our communities.

Ready to Lead Change?

If you’re ready to bring your leadership, vision, and operational expertise to a team that’s redefining healthcare, we want to meet you.

Apply today at www.epichs.org and become part of something truly EPIC.

Background checks are required for this role.