Blue Cross Blue Shield of North Carolina

Director, Value Based Care Operations and Execution

US-Anywhere
+ 24 other locationsRemote
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree and 10 years of experience in healthcare operations or related field
  • 12+ years of experience in lieu of degree
  • Strong understanding of value-based care program structures
  • Experience leading cross-functional healthcare programs
  • Ability to operate in matrixed environments

Responsibilities

  • Lead the execution of value-based care programs across the enterprise
  • Drive accountability across cross-functional teams
  • Identify and overcome operational barriers to program success
  • Establish operational workflows and governance structures
  • Ensure readiness for new program implementations
  • Oversee initiatives to improve program delivery and engagement
  • Align operational processes with financial and contractual requirements

Benefits

  • Opportunity to work at the cutting edge of healthcare delivery
  • Work-life balance and flexible work environment
  • Comprehensive medical, dental, and vision coverage
  • Support for parental leave, adoption, and surrogacy
  • Career development programs and tuition reimbursement
  • 401k match program
Full Job Description

Job Description

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 is accountable for ensuring programs are implemented effectively, operational barriers are resolved, and cross-functional teams are aligned to deliver results tied to enterprise goals and objectives.

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. The position is responsible for driving accountability, establishing operational discipline, and ensuring programs translate into measurable outcomes. You will be partnering with performance, finance, and strategy teams but retain accountability for execution and operational delivery.

WhatYou’llDo

  • Lead end-to-end execution ofvalue-basedcare programs, ensuring alignment between program requirements and operational delivery.

  • Drive execution across cross-functional teams, holding stakeholders accountable for delivery against defined timelines andobjectives.

  • 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 andsequencing ofoperational initiatives across enterprise stakeholders.

  • Serve asescalationpoint for complex operational issues impactingvalue-based care program execution.

  • Lead implementation of standardized processes supporting attribution, reporting inputs, and operational execution.

  • Provide clear updates to leadership onexecutionprogress, risks, and mitigation actions.

  • Build and lead a team responsible forvalue-basedcare program operations and delivery.

What You Bring 

  • 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.

  • Proven ability to operate effectively in matrixed or federated environments. 

WhatYou’llGet

  • The opportunity to work at thecutting edgeof health care delivery with a team that’sdeeply invested in the community

  • Work-life balance, flexibility, and the autonomy to dogreat work

  • Medical, dental, and vision coverage along withnumeroushealth and wellness programs

  • Parental leave and support plus adoption and surrogacyassistance

  • Career development programs and tuition reimbursement for continued education

  • 401k match

#LI-Hybrid 

 

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. 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.

$143,616.00 - $229,786.00

Skills

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

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About Blue Cross Blue Shield of North Carolina

Blue Cross Blue Shield of North Carolina (BCBSNC) is a non-profit health insurance company based in Durham, North Carolina. The company provides health insurance to more than 3.7 million customers in North Carolina. BCBSNC offers a variety of health insurance plans, including individual and family plans, Medicare Advantage plans, and employer-sponsored plans. The company also offers wellness programs and resources to help customers manage their health. BCBSNC was founded in 1933 and has since grown to become one of the largest health insurance providers in North Carolina.
Learn more about Blue Cross Blue Shield of North Carolina
Size
5,000 employees
Industry

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