Director, Value Based Care Operations and Execution

Job Description

We’re seeking a Director of Value Based Care Operations & Execution to join the Value Program Strategy and Operations Team. You will lead the operational execution and delivery of value-based care programs across the enterprise. This role is accountable for ensuring programs are implemented effectively, operational barriers are resolved, and cross-functional teams are aligned to deliver results tied to enterprise goals and objectives.

This role operates across a federated environment to coordinate clinical, network, finance, actuarial, analytics, and operational stakeholders, ensuring value-based care programs are executed consistently and at scale. The position is responsible for driving accountability, establishing operational discipline, and ensuring programs translate into measurable outcomes. You will be partnering with performance, finance, and strategy teams but retain accountability for execution and operational delivery.

What   You’ll   Do  

• Lead end-to-end execution of   value-based   care programs, ensuring alignment between program requirements and operational delivery.  

• Drive execution across cross-functional teams, holding stakeholders accountable for delivery against defined timelines and   objectives .  

• Identify and resolve operational barriers impacting program implementation and ongoing execution.  

• Establish and enforce operational workflows, governance, and accountability structures across programs.  

• Ensure operational readiness for new program implementations, contract changes, and model updates.  

• Oversee execution of initiatives designed to improve program delivery and provider engagement.  

• Partner with performance and analytics teams to translate insights into actionable operational changes.  

• Align operational processes with contractual requirements, measurement methodologies, and financial expectations.  

• Drive prioritization and   sequencing of   operational initiatives across enterprise stakeholders.  

• Serve as   escalation   point for complex operational issues   impacting   value-based   care program execution.  

• Lead implementation of standardized processes supporting attribution, reporting inputs, and operational execution.  

• Provide clear updates to leadership on   execution   progress, risks, and mitigation actions.  

• Build and lead a team responsible for   value-based   care program operations and delivery.  

What You   Bring  

• Bachelor's degree and 10 years of experience  

•  In lieu of degree, 12+ years of experience in related field  

Bonus Points   (Preferred qualifications)  

• Demonstrated experience leading execution of complex, cross-functional healthcare programs   in both Commercial and Medicare Advantage .  

• Strong understanding of   value-based   care program structures and operational requirements.  

• Experience working across clinical, financial, and operational domains.  

• Experience working with provider organizations,   health systems, and clinically integrated networks.

• Proven ability to   operate   effectively in matrixed or federated environments.  

What   You’ll   Get  

• The opportunity to work at the   cutting edge   of health care delivery with a team   that’s   deeply invested in the community  

• Work-life balance, flexibility, and the autonomy to do   great work  

• Medical, dental, and vision coverage along with   numerous   health and wellness programs  

• Parental leave and support plus adoption and surrogacy   assistance  

• Career development programs and tuition reimbursement for continued education  

• 401k match  

#LI-Hybrid  

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets,  licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. 

*Based on annual corporate goal achievement and individual performance.
 

$143,616.00 - $229,786.00

Skills

Business Development, Business Operations, Enterprise Strategies, Leadership, Market Strategy, Operations Management, Process Improvements, Strategic Initiative, Strategic Planning, Strategy Execution

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