Director Value Based Products & Attribution

Florida Blue (Blue Cross and Blue Shield of Florida)FL, FL
$110,000 - $178,800Hybrid

About The Position

As a leader within the Value-Based Care Center of Excellence (VBC CoE), this role serves as the enterprise leader on the value-based care industry landscape, GuideWell's depth in value-based models and advancing our physician attribution objectives. This is a senior individual contributor role, potentially supported by a small team of analysts, responsible for defining where and how the organization competes across all lines of business. The Director translates market dynamics, provider performance insights, and emerging payment models into a clear, replicable playbook executing our value-based care program. This role also plays a targeted external-facing role with large provider organizations to shape and introduce new models.

Requirements

  • 7+ years’ related work experience of healthcare consulting, value-based analytics, or similar experience with heavy exposure to population health, value-based care and/or product design
  • 5+ years’ direct supervisory/management experience
  • Bachelor's degree or additional related work experience

Responsibilities

  • Own and evolve enterprise approach to value-based care in a manner that balances pragmatic, year-to-year wins with long-term targeted bets on the future – including developing new value-based products to meet market demand
  • Conduct competitive assessments of value-based models in place today, but also the market pipeline of new models emerging from CMS/CMMI and other places; the incumbent will refine and improve existing models as well as lead new model ideation
  • The incumbent is the business owner of the attribution engine and member assignment and as such will develop multi-year provider attribution targets for key markets based on future capability enhancements and in coordination with our clinical asset growth strategy
  • Define annual market prioritization and provider attribution targets based on segment priorities and tools currently in place today
  • Coordinate with Contracting and Performance teams to bring new models to market for TCOC, HEDIS, Stars, and risk adjustment accuracy improvements
  • Support the development and piloting of new value-based models including bundles and system partnerships

Benefits

  • Medical, dental, vision, life and global travel health insurance
  • Income protection benefits: life insurance, short- and long-term disability programs
  • Leave programs to support personal circumstances
  • Retirement Savings Plan including employer match
  • Paid time off, volunteer time off, 10 holidays and 2 well-being days
  • Additional voluntary benefits available
  • A comprehensive wellness program
  • competitive pay
  • opportunities for incentive or commission compensation
  • regular annual reviews with pay for performance considerations for base pay increases
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