Senior Director – Value Based Care Operations
Cardiovascular Associates of America - CVAUSA
full-time
Posted on:
Location Type: Remote
Location: Florida • United States
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Job Level
About the role
- Serve as the primary point of contact for external partners in value-based care arrangements.
- Design and manage escalation and collaboration processes between Operators and external partners.
- Build and maintain strong, collaborative relationships with key stakeholders, including health system leaders, payers, and provider groups.
- Understand strategic partner needs and priorities, identifying opportunities for innovation and collaboration.
- Direct oversight of the Director of Clinical Services and VBC Market Manger on program operations and ongoing client relationships.
- Responsible for development, execution and performance oversight of all value-based care initiatives.
- Coordinate and facilitate Joint Operating Committee (JOC) meetings to ensure alignment on goals, performance, and issue resolution.
- Own and execute creation and review of JOC meeting materials in collaboration with Medical Economics, Data & Analytics, Operations, and Leadership teams.
- Responsible for contract performance, identifying risks and opportunities for improvement in collaboration with internal teams.
- Collaborate with Data & Analytics around contract reporting; collaborate with Operations around metric outlier management.
- Responsible for clinical team KPIs and success metrics.
- Develop scalable processes and ensure regulatory requirements including payor contractual metrics are met.
- Work closely with internal analytics, medical economics, clinical operations, and finance teams to track outcomes, support decision-making, and drive partner satisfaction.
- Prepare and present performance updates, recommendations, and action plans to both internal leadership and external partners.
- Ensure timely and transparent communication of risks, challenges, and achievements.
Requirements
- Bachelor’s degree in business administration, healthcare management, or clinical degree, Registered Nurse, Nurse Practitioner, Physician Associate or a related field
- 7+ years of experience in healthcare account management, provider relations, or a related field, with experience in value-based care.
- Experience in value-based care with Medicare Advantage plans required.
- Proven ability to manage complex partnerships and drive outcomes in risk-bearing arrangements with wrap around virtual care teams.
- Excellent interpersonal, negotiation, and communication skills, with a demonstrated ability to influence and build consensus among diverse stakeholders.
- Strong organizational and project management skills, with the ability to manage multiple priorities simultaneously.
- Familiarity with specialty value-based care clinical operations and financial modeling.
- Proven operational excellence with experience leading clinical value based care teams.
Benefits
- Equal employment opportunities (EEO) to all employees and applicants for employment without regard to religion, race, creed, color, sex, sexual orientation, alienage or citizenship status, national origin, age, marital status, pregnancy, disability, veteran or military status, predisposing genetic characteristics or any other characteristic protected by applicable federal, state or local law.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
value-based carehealthcare account managementprovider relationsclinical operationsfinancial modelingcontract performanceKPI developmentrisk managementdata analyticsproject management
Soft Skills
interpersonal skillsnegotiation skillscommunication skillsinfluenceconsensus buildingorganizational skillscollaborationrelationship managementproblem-solvingpresentation skills
Certifications
Bachelor’s degreeRegistered NurseNurse PractitionerPhysician Associate