Director Value Based Products & Attribution

As a leader within the Value-Based Care Center of Excellence (VBC CoE), this role serves as the enterprise leader on the value-based care industry landscape, GuideWell's depth in value-based models and advancing our physician attribution objectives. This is a senior individual contributor role, potentially supported by a small team of analysts, responsible for defining where and how the organization competes across all lines of business.

 The Director translates market dynamics, provider performance insights, and emerging payment models into a clear, replicable playbook executing our value-based care program. This role also plays a targeted external-facing role with large provider organizations to shape and introduce new models.

Key Responsibilities: 

• Own and evolve enterprise approach to value-based care in a manner that balances pragmatic, year-to-year wins with long-term targeted bets on the future – including developing new value-based products to meet market demand

• Conduct competitive assessments of value-based models in place today, but also the market pipeline of new models emerging from CMS/CMMI and other places; the incumbent will refine and improve existing models as well as lead new model ideation
• The incumbent is the business owner of the attribution engine and member assignment and as such will develop multi-year provider attribution targets for key markets based on future capability enhancements and in coordination with our clinical asset growth strategy
• Define annual market prioritization and provider attribution targets based on segment priorities and tools currently in place today
• Coordinate with Contracting and Performance teams to bring new models to market for TCOC, HEDIS, Stars, and risk adjustment accuracy improvements
• Support the development and piloting of new value-based models including bundles and system partnerships

Key Requirements: 

• 7+ years’ related work experience of healthcare consulting, value-based analytics, or similar experience with heavy exposure to population health, value-based care and/or product design

• 5+ years’ direct supervisory/management experience
• Bachelor's degree or additional related work experience
   

General Physical Demands
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. 
 

Physical/Environmental Activities
Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences). Occasionally 
What We Offer: 
As a Florida Blue employee, you will be at the heart of GuideWell’s vision – to lead the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living. 
To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: 
 

• Medical, dental, vision, life and global travel health insurance;
• Income protection benefits: life insurance, short- and long-term disability programs;
• Leave programs to support personal circumstances;
• Retirement Savings Plan including employer match;
• Paid time off, volunteer time off, 10 holidays and 2 well-being days;
• Additional voluntary benefits available; and
• A comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.
To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. 
Annualized Salary Range: $110,000 - $178,800
Typical Annualized Hiring Range: $110,000 - $137,500
Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.
We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.