Director, VBC & Payor Performance Management

Director, VBC & Payor Performance Management

#26-425

Position Type

Full Time

Shift

TBD

Pay Rate

$150 - 170k

Job Description

The Director of VBC & Payor Performance Management leads the management and growth of payor relationships across Complete Health's value-based care portfolio. Partnering with Contracting, Finance, Analytics, and operational leaders, this role ensures contractual, financial, and operational objectives are achieved while advancing organizational performance and growth.

This leader drives cross-functional alignment and accountability by monitoring contract performance, tracking key metrics, and coordinating efforts to close gaps and improve outcomes. Serving as a trusted liaison between internal stakeholders and payor partners, the role resolves complex issues, fosters collaborative relationships, and leads initiatives that enhance operational effectiveness and financial results.

The ideal candidate thrives in a fast-paced, matrixed environment and excels at turning complexity into action. They are organized, accountable, and results-driven, with strong project management, problem-solving, and stakeholder engagement skills. They are naturally curious and data-oriented, using analytics to identify opportunities, inform strategies, and improve quality, operational, and financial performance. Success in this role also requires the ability to build trusted, collaborative partnerships with payors and leverage technology, including emerging AI capabilities, to drive efficiency, decision-making, and results in a value-based care environment.

Requirements

Required Qualifications:

• Bachelor's degree or equivalent experience in healthcare, business, finance, or a related field
• 7+ years of progressive healthcare experience, including experience in payor or managed care.
• 5+ years of experience in strategy, consulting, business performance or a related field
• Proven ability to build and manage collaborative relationships and influence stakeholders across levels of an organization
• Strong analytical, problem-solving, and project management skills
• Excellent written and verbal communication skills, with the ability to translate complex data into actionable recommendations
• Proven ability to build relationships, align stakeholders, and drive results through influence across all levels of the organization.
• Ability to influence without direct authority across a senior audience
• Travel up to 25% of the time

Preferred Qualifications

• Master's degree (MBA, MHA, MPH, or related field).
• Strong understanding of healthcare reimbursement models, payor-provider relationships, and contract performance
• Formal process improvement training or certification
• Experience in creating materials for both executive environments and operational partners
• Experience working in ambiguous, fast-changing environments

Locations

• Remote; Preference to candidates in large metropolitan areas

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