Director, Care Continuum Operations

Wellvana; Nashville (TN); On-site; USD 180,000 - 280,000; Full time

Job summary

Wellvana in Nashville seeks a Senior Director, Care Continuum Operations to design and operate the Care Management and Site of Care programs across its value-based network. You will shape staffing, pathways, and performance frameworks to improve transitions, reduce avoidable utilization, and lower total cost of care while preserving quality and patient experience.

Reporting to executive leadership, you will lead cross-functional teams, define operating cadences, and partner with Product,

Qualifications

• Integrity: The right way is the only way.
• Dependability: You do what you say you’re going to do.
• Advocacy: You fight for the best possible outcome for providers and their patients.
• Clarity: You make it all understandable.

Responsibilities

• Stay ahead of evolving CMS value-based care programs and payment models, and drive innovation in program offerings that position Wellvana to capitalize on new opportunities as they emerge.
• Identify and drive adoption of AI-enabled tools and innovations across both Care Management and Site of Care, ensuring new capabilities are evaluated, piloted, and scaled in ways that improve outcomes and operational efficiency.
• Own the design and ongoing evolution of Wellvana's care continuum operating model, spanning care management and post-acute network management.
• Define the service architecture and delivery standards that distinguish full-service engagements, in which Wellvana delivers the service directly, from advisory engagements, in which partner-employed teams deliver the service with Wellvana enablement, including scope, staffing, service levels, and performance expectations for each.
• Develop and maintain staffing models, caseload methodology, and care pathways, adjusting as membership, acuity mix, and contract composition shift across the network.
• Build the business case for program expansion, new service offerings, and technology or vendor investment, presenting recommendations to executive and clinical leadership with defensible cost, capacity, and outcome assumptions.
• Partner with Product, Analytics, and Clinical leadership to define platform and data requirements, including ADT feeds, next site of care reporting, and workflow tooling, ensuring programs are operationally supportable at scale.
• Lead implementation and go-to-market readiness for new care continuum programs, including standard operating procedures, training curricula, partner-facing materials, and launch sequencing.

Skills

Healthcare leadership

Care management design

Value-based care

CMS regulations

Executive communication

Data-driven decisions

Cross-functional leadership

Interoperability (ADT)

Job description

Wellvana in Nashville seeks a Senior Director, Care Continuum Operations to design and operate the Care Management and Site of Care programs across its value-based network. You will shape staffing, pathways, and performance frameworks to improve transitions, reduce avoidable utilization, and lower total cost of care while preserving quality and patient experience.

Reporting to executive leadership, you will lead cross-functional teams, define operating cadences, and partner with Product,