Director, VBC & Payor Performance Management
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. As a liaison between internal stakeholders and payor partners, the director resolves complex issues, fosters collaborative relationships, and leads initiatives to enhance operational effectiveness and financial results. The position suits an organized, accountable, and results-driven leader who can turn complexity into action in a fast-paced, matrixed environment. The director uses analytics to identify opportunities, inform strategies, and improve quality, operational, and financial performance. Success also requires building trusted partnerships with payors and leveraging technology, including emerging AI capabilities, to drive efficiency, decision-making, and results in value-based care. The role requires travel up to 25% of the time and is remote, with a preference for candidates in large metropolitan areas.
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.
- 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 the 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
- Manage and grow payor relationships across Complete Health's value-based care portfolio.
- Partner with Contracting, Finance, Analytics, and operational leaders to achieve contractual, financial, and operational objectives.
- Drive cross-functional alignment and accountability.
- Monitor contract performance and track key metrics.
- Coordinate efforts to close performance gaps and improve outcomes.
- Serve as a liaison between internal stakeholders and payor partners.
- Resolve complex issues and foster collaborative relationships with payor partners.
- 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.
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What This Job Offers
Job Type
Full-time
Career Level
Director
