Head of Care Management Operations

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 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. You will be partnering with performance, finance, and strategy teams but retain accountability for execution and operational delivery.

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.

Partner with performance and analytics teams to translate insights into actionable operational changes.

Align operational processes with contractual requirements, measurement methodologies, and financial expectations.

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.

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.

The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community

Medical, dental, and vision coverage along with numerous health and wellness programs

Career development programs and tuition reimbursement for continued education

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.

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

#