Description:
The Senior Director, Value-Based Care Strategy & Operations develops and ensures execution of complex, enterprise-wide strategic and operational plans that advance value-based care across the organization. This role translates corporate strategy into multi-year operational roadmaps that drive clinical quality, patient experience, and total cost of care performance. The Senior Director is accountable for governance, financial performance, stakeholder alignment, and cross-functional execution across multiple departments, ensuring value-based initiatives achieve measurable outcomes aligned with organizational objectives.
Job Description
PRIMARY DUTIES AND RESPONSIBILITIES
Employees are expected to work consistently to demonstrate the mission, vision, and core values of the organization.
- Develops and executes comprehensive, multi-year value-based care strategies that align with enterprise goals and drive improved clinical outcomes, patient experience, equity, and financial performance.
- Translates enterprise strategy into operational plans with defined milestones, KPIs, governance structures, and accountability mechanisms across multiple departments and divisions.
- Leads the design, implementation, and optimization of value-based payment models (e.g., ACOs, shared savings, bundled payments, capitation, risk-based arrangements) to achieve quality, utilization, and financial targets.
- Establishes and oversees performance management frameworks, dashboards, and reporting systems to monitor quality, utilization, risk adjustment, cost, and compliance outcomes.
- Oversees multiple functional areas and cross-department workstreams, coordinating clinical, operational, financial, analytics, compliance, and contracting resources to ensure successful program delivery.
- Develops and manages departmental budgets and cost centers, ensuring responsible stewardship of financial, human, and operational resources.
- Identifies enterprise-level risks, implements mitigation strategies, and escalates significant issues appropriately to protect strategic, operational, and financial objectives.
- Develops, interprets, executes, and recommends modifications to organizational policies and procedures that support value-based care transformation and regulatory compliance.
- Serves as the primary organizational representative for senior-level internal and external stakeholders, including health systems, payers, providers, employers, and community partners.
- Leads negotiations and contractual strategy for payer-provider arrangements and risk-based agreements, ensuring alignment with organizational financial and quality goals.
- Accomplishes results through Directors, Managers, and other leaders by establishing effective organizational structures, supervisory relationships, performance expectations, and accountability standards.
- Provides full leadership accountability including hiring, performance management, succession planning, talent identification, and leadership development.
- Drives organizational adoption of value-based care principles through education, change management strategies, and cross-functional collaboration.
- Promotes a culture of accountability, continuous improvement, innovation, and alignment with the organization’s mission, vision, and core values.
Position Qualifications
There are additional competencies linked to individual contributor, provider, and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to your position.
Education
- Bachelor’s degree in healthcare administration, business, public health, finance or related field
- Master’s degree (MBA, MHA, MPH, or related field strongly preferred)
Experience
- 10 years of progressive experience in healthcare strategy, value-based care, population heath, payer-provider contracting, or related complex healthcare environments, including leadership of cross-functional teams and multi department initiatives