Director, Value Based Care Partner Success
About The Position
The Director, Value-Based Care Partner Success is responsible for strategic oversight, operational readiness, and performance optimization of value-based care provider partnerships. The role serves as the primary liaison between internal market teams and provider organizations, guiding implementation, governance, and performance of value-based arrangements. The Director works with General Managers, Provider Relations, Network Management, Clinical Operations, Innovation, Finance, and Analytics teams to support shared accountability for clinical, operational, quality, and financial outcomes. The position leads partner onboarding, program deployment, governance structures, and performance improvement initiatives, and identifies opportunities to advance innovation and value-based care capabilities. It provides strategic advice to provider partners, supports partnership and contract strategy, and leads cross-functional efforts to improve care delivery and member outcomes. This role supervises/manages others and performs other duties as assigned. SCAN seeks candidates who are curious about AI and its potential to transform operations and member service.
Requirements
- At least 8 years of progressive healthcare experience in value-based care, provider partnerships, managed care, population health, or healthcare operations.
- At least 5 years of leadership experience managing programs, teams, or strategic initiatives.
- Bachelor's degree required; the posting lists Healthcare Administration, Business, and “Public” before an incomplete/undefined entry.
- 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.
- Ability to build trusted executive-level relationships with provider organizations and influence alignment on value-based care priorities.
- Ability to translate performance data into actionable improvement strategies using strategic, analytical, and financial acumen.
- 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.
Nice To Haves
- Graduate or advanced degree, or equivalent experience; examples include MBA, MHA, or MPH.
- 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.
- Curiosity about AI and its potential to transform operations and member service.
Responsibilities
- Serve as the primary strategic partner to provider organizations participating in value-based care programs.
- Work with General Managers, Network Management, and Provider Relations to strengthen provider engagement and alignment.
- Build executive-level relationships with physician leaders, medical groups, health systems, and operational stakeholders.
- Advise provider partners on performance improvement, population health strategies, and value-based care transformation.
- Design, prepare, and facilitate Value-Based Care Joint Operating Committees (JOCs).
- Coordinate meeting content, performance reporting, strategic priorities, and action plans for JOCs.
- Support partnership governance related to risk pools, incentive structures, and shared-accountability models.
- Drive alignment on clinical, operational, quality, utilization, and financial performance objectives.
- Design, maintain, and execute a New Partner Playbook for value-based care organizations.
- Lead cross-functional readiness activities and field readiness planning for new provider partner onboarding.
- Monitor implementation milestones and proactively address barriers to successful launch.
- Work with the Clinical Center of Excellence team to identify provider and member needs, prioritize population health opportunities, and translate insights into initiatives.
- Identify, evaluate, and advance innovations that improve provider performance and member outcomes.
- Promote adoption of care management, utilization management, transitions of care, and other population health programs among provider partners.
- Recommend partner readiness, performance potential, and support requirements for potential value-based care partnerships.
- Collaborate with Network Management, Finance, and Actuarial teams on value-based care strategy and contract design.
- Lead complex initiatives involving clinical, operational, analytics, finance, and provider-facing teams.
- Build cross-departmental alignment to execute provider partnership strategies.
- Supervise/manage others, support SCAN's vision and goals, and perform other duties as assigned.
Benefits
- Annual employee bonus program
- Robust wellness program
- Generous paid time off (PTO)
- 11 paid holidays per year, one floating holiday, birthday off, and two volunteer days
- 401(k) retirement savings plan with employer match
- Employee recognition program
- Tuition reimbursement
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What This Job Offers
Job Type
Full-time
Career Level
Director
