Director of Value-Based Care Execution & Operations

Blue Cross and Blue Shield of North Carolina; Indiana; Hybrid; USD 144,000 - 230,000; Full time

Benefits offered by this job

Parental leave

Paid time off

Tuition reimbursement

401(k)

Job summary

Blue Cross NC is seeking a Director of Value Based Care Operations & Execution to lead the operational delivery of value-based care programs across the enterprise. The role coordinates clinical, network, finance, actuarial, analytics and operations stakeholders in federated environments to ensure programs scale with measurable outcomes.

You will establish workflows, governance, and accountability, drive readiness for new program implementations and contract changes, and partner with analytics to

Qualifications

• Bachelor's degree required or equivalent experience.
• 10+ years in related field if no degree.

Responsibilities

• 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.

Skills

Business development

Business operations

Enterprise strategies

Leadership

Market strategy

Operations management

Process improvements

Strategic initiative

Strategic planning

Strategy execution

Education

Bachelor's degree

12+ years of related experience

Job description

Blue Cross NC is seeking a Director of Value Based Care Operations & Execution to lead the operational delivery of value-based care programs across the enterprise. The role coordinates clinical, network, finance, actuarial, analytics and operations stakeholders in federated environments to ensure programs scale with measurable outcomes.

You will establish workflows, governance, and accountability, drive readiness for new program implementations and contract changes, and partner with analytics to