Director of Value-Based Care: Operations & Execution

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

Benefits offered by this job

Parental leave

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. You will coordinate clinical, network, finance, actuarial, analytics, and operational stakeholders to ensure programs are implemented effectively and yield measurable outcomes.

You will build and lead a team, establish workflows and governance, and align with contracts and financial targets.

Qualifications

• Bachelor's degree and 10 years of experience
• In lieu of degree, 12+ years of experience in related field

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

Value-based care

Cross-functional leadership

Healthcare program management

Federated environments

Education

Bachelor's degree

12+ years experience in related field

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. You will coordinate clinical, network, finance, actuarial, analytics, and operational stakeholders to ensure programs are implemented effectively and yield measurable outcomes.

You will build and lead a team, establish workflows and governance, and align with contracts and financial targets.