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.
WhatYou’llDo
Lead end-to-end execution ofvalue-basedcare programs, ensuring alignment between program requirements and operational delivery.
Drive execution across cross-functional teams, holding stakeholders accountable for delivery against defined timelines andobjectives
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 andsequencing ofoperational initiatives across enterprise stakeholders.
Serve asescalationpoint for complex operational issuesimpactingvalue-basedcare program execution.
Lead implementation of standardized processes supporting attribution, reporting inputs, and operational execution.
Provide clear updates to leadership onexecutionprogress, risks, and mitigation actions.
Build and lead a team responsible forvalue-basedcare program operations and delivery.
What YouBring
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 programsin both Commercial and Medicare Advantage
Strong understanding ofvalue-basedcare 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 tooperateeffectively in matrixed or federated environments.
WhatYou’llGet
The opportunity to work at thecutting edgeof health care delivery with a teamthat’sdeeply invested in the community
Work-life balance, flexibility, and the autonomy to dogreat work
Medical, dental, and vision coverage along withnumeroushealth and wellness programs
Parental leave and support plus adoption and surrogacyassistance
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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It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.
Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.
Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.
Blue Cross NC is an independent licensee of the Blue Cross and Blue Shield Association.
