Director of Payor Performance and Network Operations

VillageMD; United States; Remote; USD 120,000 - 152,000; Full time

Job summary

Join a forward-thinking organization as a Director of Payor Performance and Network Operations, where you will play a pivotal role in transforming primary care delivery. This position focuses on enhancing healthcare outcomes through strategic planning, data analysis, and collaboration with physicians and staff. You will lead initiatives that improve patient satisfaction and ensure compliance with regulations while fostering a culture of continuous learning and excellence. If you are passionate about reshaping healthcare and driving change in a dynamic environment, this opportunity is for you.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401k Plan

Flexible Spending Account

Qualifications

• 7+ years in healthcare management with a focus on value-based care.
• Proven ability to translate data into actionable strategies.

Responsibilities

• Oversee specialty network workflows and payor contract performance.
• Engage clinicians and staff in initiatives for quality improvement.

Skills

Leadership

Data Analysis

Communication Skills

Problem-Solving

Collaboration

Population Health Knowledge

Education

Bachelor’s in Healthcare

Master’s in Healthcare

Tools

Microsoft Excel

Microsoft PowerPoint

EMR Systems

Job description

Director of Payor Performance and Network Operations

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights, and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

Job Description

At VillageMD, we're looking for a Director of Payor Performance and Network Operations to help us transform primary care delivery and patient service. As a national leader in healthcare, we've partnered with top primary care physicians, providing digital tools, strategic support, and innovative practices.

Our goal is to create accessible, effective, and efficient care that is value-based, physician-driven, and patient-centered. We seek individuals who share our pursuit of excellence, are adaptable, and committed to continuous learning.

This role involves working across markets to improve payor contract performance under value-based arrangements, collaborating with teams and practice staff to integrate analytics, ancillary, and operational capabilities to improve healthcare outcomes—better results, lower costs, and enhanced patient and clinician experiences.

Could this be you?

The Director will oversee the development, implementation, and management of specialty network workflows and outcomes, including market process improvement, payor relationship management, and healthcare cost reduction. The role requires a deep understanding of payor-primary care relationships, healthcare analytics, and stakeholder collaboration, including physicians, staff, leadership, payers, and community partners.

How you can make a difference

1. Strategic Planning & Program Development: Develop and execute specialty network and referral strategies, set performance metrics, and monitor outcomes.
2. Data Analysis & Performance Improvement: Use analytics to track performance, identify improvements, and develop strategies based on cost, quality, and utilization data.
3. Physician and Staff Engagement: Engage clinicians and staff in initiatives, providing necessary education and resources.
4. Collaboration: Partner with market leadership to optimize contract performance.
5. Quality & Patient Experience: Lead efforts to improve care quality and patient satisfaction within the network.
6. Regulatory Compliance: Ensure adherence to relevant regulations and reporting standards.
7. Team Leadership & Development: Guide managers, set goals, and foster relationships to influence decision-making.
8. Market Analysis & Research: Stay informed on industry trends and identify new opportunities.
9. Effective Communication: Lead operational reviews through regular reporting.

Core competencies

• Influence
• Excellent communication, interpersonal, and presentation skills
• Ability to analyze complex data and develop insights
• Partnership cultivation
• Strong problem-solving and decision-making skills

Skills for success

• Proven leadership with results achieved through others
• Balance critical thinking with execution
• Accountability and results-oriented mindset
• Partnering with physicians on change management
• Knowledge of population health and value-based care data

Experience to drive change

• Bachelor’s degree in healthcare or related field; Master’s preferred
• At least 7 years in healthcare management
• Experience with Population Management and Value-Based Care, especially with physician practices
• Ability to translate data into actionable care strategies
• Experience with physician engagement and P&L management
• Proficiency in Microsoft Excel and PowerPoint; EMR experience preferred

This is an exempt role. Salary range: $120,800 - $151,100. Compensation depends on education, experience, certifications, location, etc. Benefits include health, dental, life, disability, vision, FSA, and 401k.

Our Commitment

Total Rewards at VillageMD

Our team is vital to reshaping healthcare through connection. We value health and wellness, offering comprehensive benefits including Medical, Dental, Life, Disability, Vision, FSA, and 401k.

Equal Opportunity Employer

We provide equal employment opportunities without discrimination based on race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, and other protected characteristics.

Safety Disclaimer

We prioritize safety and do not use informal chat platforms for job communications or request personal or financial information. Be cautious of scams. Interviews are conducted at our locations during business hours. For scam info, visit the FTC website.

About Our Company

VillageMD leads in healthcare, supporting physicians with tools, technology, and staffing to deliver high-quality care across populations.