Director, VBC Payer Operations & Implementation

Posted 3 Days Ago
Be an Early Applicant
Downers Grove, IL, USA
In-Office
125K-188K Annually
Senior level
Healthtech
The Role
Leads implementation and ongoing execution of partial-risk, value-based care payer contracts. Translates contract requirements into operational initiatives, workflows, and physician-practice changes; coordinates clinical, operational, analytics, IT, and payer stakeholders; manages execution cadence, dashboards, performance tracking, issue resolution, and course correction. Presents results to executive leadership, facilitates payer meetings, and identifies performance improvement opportunities and strategic initiatives.
Summary Generated by Built In

At Duly Health and Care, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do.

With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.

Benefits:

•        Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.

•        Access to a mental health benefit at no cost.

•        Employer provided life and disability insurance.

•        $5,250 Tuition Reimbursement per year.

•        Immediate 401(k) match.

•        40 hours paid volunteer time off.

•        A culture committed to community engagement and social impact.

•        Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.

Director, VBC Payer Operations & Implementation
Position Highlights:

  • Full-Time
  • Monday-Friday; 8am-5pm
  • Location: Downers Grove, IL

The Director of VBC Payer Operations & Implementation is the architect behind scalable, high-performing contracts. This leader translates complex payer contracts into clear, executable initiatives that deliver results in partial-risk environments. Shaping and owning outcomes, the Director orchestrates clinical, operational, analytic, and payer stakeholders to design workflows, launch programs, and continuously sharpen performance. With a bias for action and accountability, this role builds the execution engine—using disciplined operating cadence, data-driven optimization, and relentless improvement—and ensures results follow.         

Responsibilities:

Implement and Run Partial Risk Plans

  • Own implementation and ongoing execution of partial risk contracts
  • Translate contract requirements into specific, operational initiatives
  • Partner with operations to build and deploy BPAs and workflow changes embedded in physician practice
  • Lead a weekly execution workgroup to drive timelines, adoption, and issue resolution

Manage Performance

  • Partner with Analytics/IT to build and use dashboards that track initiative execution and results
  • Monitor performance and actively course-correct when targets are missed
  • Work directly with payers to validate and improve reporting
  • Present implementation status and results to the President and steering committee
  • Own and maintain action tracker and facilitate payer JOCs as needed

Drive Improvement & Additional Initiatives

  • Identify and implement performance improvement opportunities
  • Support ad hoc payer, strategic, and enterprise initiatives as they arise, including analysis, partnership evaluation, and special projects

Qualifications:

  • 7+ years of progressive experience in healthcare operations, payer contracting, value-based care, or related programs
  • Bachelor’s degree in healthcare administration, Business Administration, Finance, Public Health, Analytics, or a related field, or an equivalent combination of education and relevant work experience
  • Working knowledge of Medicare Advantage, ACO REACH, and MSSP programs
  • Demonstrated experience supporting the execution of risk-based or value-based contracts
  • Proven ability to lead cross-functional initiatives and collaborate with teams such as utilization management and care management
  • Strong analytical and execution-oriented mindset with the ability to balance strategic objectives and day-to-day operations

The compensation for this role includes a base pay range of $125K-$188K, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.

Skills Required

  • 7+ years of progressive experience in healthcare operations, payer contracting, value-based care, or related programs
  • Bachelor's degree in healthcare administration, business administration, finance, public health, analytics, or a related field, or equivalent education and relevant work experience
  • Working knowledge of Medicare Advantage, ACO REACH, and MSSP programs
  • Experience supporting the execution of risk-based or value-based contracts
  • Ability to lead cross-functional initiatives and collaborate with utilization management and care management teams
  • Strong analytical and execution-oriented mindset with the ability to balance strategic objectives and day-to-day operations
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
6,000 Employees
Year Founded: 1999

What We Do

Duly Health and Care is an independent, physician-directed, multispecialty medical group serving patients throughout the Midwest. Its network provides primary and specialty care, including dermatology, orthopedics, surgery, oncology, pediatrics, urology, gastroenterology, ophthalmology, and more. Duly combines traditional and value-based care with connected providers, ambulatory services, imaging, laboratories, telehealth, and a focus on quality, efficiency, access, and patient experience.

Similar Jobs

Coursera + Udemy  Logo Coursera + Udemy

Chief Of Staff

Artificial Intelligence • Consumer Web • Edtech • Enterprise Web • HR Tech • Social Impact • Generative AI
Remote or Hybrid
United States
1500 Employees
181K-273K Annually

Zscaler Logo Zscaler

Account Manager

Cloud • Information Technology • Security • Software • Cybersecurity
Easy Apply
Remote or Hybrid
USA
8697 Employees
66K-94K Annually

Cloudflare Logo Cloudflare

Senior Cloudflare One GTM Specialist (Central or East)

Cloud • Information Technology • Security • Software • Cybersecurity
Remote or Hybrid
3 Locations
4400 Employees
146K-303K Annually

Cloudflare Logo Cloudflare

Senior Software Engineer

Cloud • Information Technology • Security • Software • Cybersecurity
Hybrid
2 Locations
4400 Employees

Similar Companies Hiring

Sailor Health Thumbnail
Healthtech • Social Impact • Telehealth
New York City, NY
20 Employees
Granted Thumbnail
Artificial Intelligence • Healthtech • Insurance • Mobile • Financial Services
New York, New York
23 Employees
OneImaging Thumbnail
Healthtech
Miami, FL
62 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account