Director, Value Based Care Operations and Execution

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

Benefits offered by this job

401k match

Health benefits

Paid time off

Parental leave

Job summary

Blue Cross NC is seeking a Director of Value Based Care Operations & Execution to lead the enterprise-wide delivery of value-based care initiatives. You will drive end-to-end execution, remove barriers, and ensure programs meet contractual and financial expectations while aligning with performance analytics.

You will partner with performance, finance, and strategy teams, building a team for value-based care program operations and delivery within a hybrid-flex setup at our Durham HQ.

Qualifications

• Bachelor's degree plus 10 years of healthcare operations or equivalent experience; in lieu of degree, 12+ years of related experience
• Experience leading execution of complex, cross-functional healthcare programs in Commercial and Medicare Advantage settings
• Experience operating in a federated or matrixed environment

Responsibilities

• Lead end-to-end execution of value-based care programs across the enterprise.
• Drive cross-functional alignment and hold stakeholders accountable for delivery to timelines and objectives.
• Identify and resolve operational barriers to program implementation and ongoing execution.
• Establish governance, workflows, and accountability structures across programs.
• Ensure operational readiness for new program implementations, contract changes, and model updates.
• Oversee initiatives to improve program delivery and provider engagement.
• Translate insights from performance, finance, and analytics teams into actionable operational changes.
• Align operational processes with contractual requirements and financial expectations.
• Prioritize and sequence operational initiatives across enterprise stakeholders.

Skills

Business Development

Business Operations

Enterprise Strategies

Leadership

Market Strategy

Operations Management

Process Improvements

Strategic Initiative

Strategic Planning

Strategy Execution

Education

Bachelor's degree

Job description

Job Description

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.

What You’ll Do

• 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.

What You Bring

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 programs in both Commercial and Medicare Advantage.
• Strong understanding of value-based care 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 to operate effectively in matrixed or federated environments.

What You’ll Get

• The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community
• Work-life balance, flexibility, and the autonomy to do great work
• Medical, dental, and vision coverage along with numerous health and wellness programs
• Parental leave and support plus adoption and surrogacy assistance
• Career development programs and tuition reimbursement for continued education
• 401k match

Salary Range

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

Location

Blue Cross NC is a Hybrid Flex company. Whether the role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any of our approved states: Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming

Key Skills

Skills Business Development, Business Operations, Enterprise Strategies, Leadership, Market Strategy, Operations Management, Process Improvements, Strategic Initiative, Strategic Planning, Strategy Execution

About Us

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.

Authorization to Work in the United States

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Request Accommodations

Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please notify HR at [e-mail].