Director, VBC & Payor Performance Management

Complete Health • Jacksonville, FL

3d • Remote

About The Position

The Director of VBC & Payor Performance Management leads the management and growth of payor relationships across Complete Health's value-based care portfolio. Working with Contracting, Finance, Analytics, and operational leaders, the Director ensures contractual, financial, and operational objectives are achieved while advancing organizational performance and growth. The role drives cross-functional alignment and accountability by monitoring contract performance, tracking key metrics, and coordinating efforts to close gaps and improve outcomes.

The Director serves as a trusted liaison between internal stakeholders and payor partners, resolving complex issues, fostering collaborative relationships, and leading initiatives to improve operational effectiveness and financial results. The successful candidate is organized, accountable, and results-driven, with strong project management, problem-solving, and stakeholder engagement skills. They use analytics to identify opportunities, inform strategies, and improve quality, operational, and financial performance. The role also leverages technology, including emerging AI capabilities, to drive efficiency, decision-making, and results in a value-based care environment.

The position is remote, with preference for candidates in large metropolitan areas, and requires travel up to 25% of the time.

Requirements

• Bachelor's degree or equivalent experience in healthcare, business, finance, or a related field.
• At least 7 years of progressive healthcare experience, including experience in payor or managed care.
• At least 5 years of experience in strategy, consulting, business performance, or a related field.
• Proven ability to build and manage collaborative relationships and influence stakeholders across organizational levels.
• Strong analytical, problem-solving, and project management skills.
• Excellent written and verbal communication skills, including the ability to translate complex data into actionable recommendations.
• Ability to align stakeholders and drive results through influence across all levels of an organization.
• Ability to influence without direct authority across a senior audience.
• Ability to travel up to 25% of the time.

Nice To Haves

• Master's degree (MBA, MHA, MPH, or related field).
• Strong understanding of healthcare reimbursement models, payor-provider relationships, and contract performance.
• Formal process improvement training or certification.
• Experience creating materials for executive environments and operational partners.
• Experience working in ambiguous, fast-changing environments.

Responsibilities

• Lead the management and growth of payor relationships across the value-based care portfolio.
• Partner with Contracting, Finance, Analytics, and operational leaders to achieve contractual, financial, and operational objectives.
• Monitor contract performance and track key metrics.
• Coordinate cross-functional efforts to close performance gaps and improve outcomes.
• Serve as a liaison between internal stakeholders and payor partners, resolving complex issues and fostering collaborative relationships.
• Lead initiatives that enhance operational effectiveness and financial results.
• Use analytics to identify opportunities, inform strategies, and improve quality, operational, and financial performance.
• Leverage technology, including emerging AI capabilities, to improve efficiency, decision-making, and results.

What This Job Offers

• Job Type: Full-time
• Career Level: Director