The JobThe Director, Value-Based Care Partner Success is responsible for the strategic oversight, operational readiness, and performance optimization of value-based care provider partnerships. This leader serves
as the primary liaison between internal market teams and provider organizations, ensuring successful implementation, governance, and performance of value-based arrangements. The Director partners closely with General Managers, Provider Relations, Network Management, Clinical Operations, Innovation, Finance, and Analytics teams to drive joint accountability for clinical, operational, quality, and financial outcomes. This role leads partner onboarding, program deployment, governance structures, and performance improvement initiatives while identifying opportunities to advance innovation and value-based care capabilities.
You Will- Value-Based Care Partnership Leadership • Serve as the primary strategic partner to provider organizations participating in value-based care programs. • Partner closely with General Managers(GMs), Network Management, and Provider Relations teams to strengthen provider engagement and alignment. • Foster executive-level relationships with physician leaders, medical groups, health systems, and operational stakeholders. • Act as a trusted advisor to provider partners on performance improvement, population health strategies, and value-based care transformation.
- Joint Operating Committee (JOC) Leadership and Governance • Lead the design, preparation, and facilitation of Value-Based Care Joint Operating Committees (JOCs). • Coordinate development of meeting content, performance reporting, strategic priorities, and action plans. • Support partnership governance related to risk pools, incentive structures, and shared accountability models. • Drive alignment on clinical, operational, quality, utilization, and financial performance objectives.
- New Partner Implementation and Readiness • Design, maintain, and execute a comprehensive New Partner Playbook for value-based care organizations. • Lead cross-functional readiness activities to support successful onboarding of new provider partners, coordinating field readiness planning across operational and clinical teams. • Monitor implementation milestones and proactively address barriers to successful launch.
- Population Health Strategy and Innovation • Partner with Clinical Center of Excellence team to identify provider and member needs, and prioritize population health opportunities and translate insights into actionable initiatives. • Serve as a key stakeholder in the innovation pipeline by identifying, evaluating, and advancing solutions that improve provider performance and member outcomes. • Champion adoption of care management, utilization management, transitions of care, and other population health programs among provider partners.
- Value-Based Contract Assessment and Development • Provide strategic recommendations regarding partner readiness, performance potential, and support requirements for potential VBC partnerships. • Collaborate with Network Management, Finance, and Actuarial teams to inform value-based care strategy and contract design.
- Cross-Functional Leadership • Lead complex initiatives requiring coordination among clinical, operational, analytics, finance, and provider-facing teams. • Build alignment across departments to ensure successful execution of provider partnership strategies.
We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Supervisory Responsibilities Supervises/Manages Others (i.e. hires, performance reviews, corrective action, etc.)
Actively support the achievement of SCAN's Vision and Goals. Other duties as assigned.
Your Qualifications- 8+ years of progressive healthcare experience in value-based care, provider partnerships, managed
- care, population health, or healthcare operations
- 5 years of leadership experience managing programs, teams, or strategic initiatives
- Bachelor's Degree required in Healthcare Administration, Business, Public
- undefined
- Experience working with risk-bearing provider organizations, medical groups, IPAs, ACOs, or health
- systems.
- Strong understanding of value-based reimbursement models, risk arrangements, provider economics,
- and population health management.
- Demonstrated success leading cross-functional initiatives and provider-facing programs.
- Strong analytical, financial, and executive communication skills.
Preferred Education, Certifications and Experience- Graduate or Advanced Degree or equivalent Experience MBA, MHA, MPH, or related advanced degree
- Medicare Advantage experience.
- Experience with delegated models and shared-risk contracting.
- Knowledge of quality programs, STARS, HEDIS, risk adjustment, and total cost of care management.
Competencies- Leadership - Leads leaders and translates organizational strategy into departmental direction
- Business Insight - In-Depth understanding of the business
- Problem Solving - Addresses complex, systemic issues and makes decisions with long-term
- undefined
- Strategic Mindset - Sets departmental direction, integrates cross-functional priorities, and creates
- undefined
- Communication - Communicates departmental strategy, influences senior stakeholders, and builds commitment across functions
Skills/Abilities- Ability to build trusted, executive-level relationships with provider organizations and influence alignment on value-based care priorities.
- Strong strategic, analytical, and financial acumen with the ability to translate performance data into actionable improvement strategies.
- Demonstrated ability to lead complex, cross-functional initiatives and drive accountability across clinical, operational, financial, and provider-facing teams.
- Excellent executive communication, facilitation, negotiation, and problem-solving skills in complex healthcare environments.
What's in it for you?- Base Pay Range: $147,900-$214,030 Salary + Incentive Plan
- Work Mode: Mostly Onsite
- Out of Town Travel: Occasional
- An annual employee bonus program
- Robust Wellness Program
- Generous paid-time-off (PTO)
- 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
- Excellent 401(k) Retirement Saving Plan with employer match
- Robust employee recognition program
- Tuition reimbursement
- An opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
