Director, Value-Based Care Ops & Execution

Blue Cross and Blue Shield of North Carolina

Kentucky

Hybrid

USD 144,000 - 230,000

Full time

6 days ago
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Benefits offered by this job

Medical, dental, and vision coverage
Parental leave and adoption support
401k match
Tuition reimbursement

Job summary

Blue Cross NC seeks a Director of Value Based Care Operations & Execution to lead the operational delivery of value-based care programs across a federated enterprise. You will drive accountability, establish workflows, and align performance, finance, and strategy teams to achieve measurable outcomes.

You will partner with stakeholders to ensure programs translate into actionable improvements, manage program readiness for contracts and model updates, and build a capable team delivering

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

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

Education

Bachelor's degree
12+ years of related field experience

Job description

Blue Cross NC seeks a Director of Value Based Care Operations & Execution to lead the operational delivery of value-based care programs across a federated enterprise. You will drive accountability, establish workflows, and align performance, finance, and strategy teams to achieve measurable outcomes.

You will partner with stakeholders to ensure programs translate into actionable improvements, manage program readiness for contracts and model updates, and build a capable team delivering

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