Value-Based Care Operations Leader: Execution & Impact

Blue Cross and Blue Shield of North Carolina; Arizona; 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 seeks a Director of Value Based Care Operations and Execution to lead the operational delivery of value-based care programs across the enterprise. You will coordinate clinical, financial, and operational stakeholders to ensure programs are implemented effectively and measurable outcomes are achieved.

Responsibilities include driving end-to-end program execution, resolving barriers, establishing workflows and governance, and ensuring readiness for new implementations.

Qualifications

• Bachelor's degree required with 10 years of experience
• In lieu of degree, 12+ years of related experience

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.

Education

Bachelor's degree

12+ years of related experience

Job description

Blue Cross NC seeks a Director of Value Based Care Operations and Execution to lead the operational delivery of value-based care programs across the enterprise. You will coordinate clinical, financial, and operational stakeholders to ensure programs are implemented effectively and measurable outcomes are achieved.

Responsibilities include driving end-to-end program execution, resolving barriers, establishing workflows and governance, and ensuring readiness for new implementations.