Senior Director of Value Based Care Operations

Cardiovascular Associates of America

10d•Remote

About The Position

At Cardiovascular Associates of America (CVAUSA), we believe that the total cost of cardiovascular care is too high and the optimal way to identify and remove the avoidable costs in cardiovascular care delivery is by equipping and empowering cardiovascular physicians with new care models and new financial incentives via risk-based contracts. Novocardia, the value-based care division of CVAUSA, is responsible for supporting our partner practices to transform care models in ways which improve care quality and help achieve the triple aim and implement risk-based contracting. We are deeply passionate about improving care quality, and about providing more Americans with access to great, evidence-based chronic disease care. We are also committed to building more sustainable and durable payment models for this care – models which reward clinicians for delivering the right care, in the right place at the right time. Opportunity CVAUSA is seeking a Sr Director of Value Based Care Operations to join our Novocardia Division. This role focuses on managing partnerships in arrangements that include total cost of care, sub-capitation cardiology models, and bundled payment agreements. This is an externally facing role focused on fostering strong relationships with partners, facilitating strategic alignment, and ensuring operational success. Reporting directly to the Division President, the Sr Director of Value Based Care Operations will oversee external engagements, lead Joint Operating Committees, and ensure all contractual obligations and performance metrics are met, delivering exceptional value for both our organization and our partners. This role is responsible for the Value Based Care (VBC) Clinical team and the wrap around VBC clinical staff including the Director of Clinical Services and VBC Market Manager will report directly to the Director of VBC Operations.

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.
Experience managing virtual wrap around care teams
Deep experience with building new teams with understanding of clinical ops metrics, performance KPIs and creating successful outcomes with virtual teams
Start up or earlier stage team building
Strong operations and tech savvy (we utilize a lot of tools for day-to-day business ops and care management)

Nice To Haves

Specialty value-based care experience
Resides in FL - not a requirement but prefer east of the MS. Would be willing to flex on this for an amazing candidate

Responsibilities

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. This leader will direct the clinicians, policies, procedures and execution of the clinical model.
Develop scalable processes and ensure regulatory requirements including payor contractual metrics are met.
Understand the financial, clinical, and operational drivers of risk-bearing cardiology agreements.
Work closely with internal analytics, medical economics, clinical operations, and finance teams to track outcomes, support decision-making, and drive partner satisfaction.
Proactively identify and pursue opportunities to optimize performance under existing agreements.
Understand strategic partner needs, priorities, and objectives that may be relevant to future contract renewal.
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.
Strong verbal and written presentation skills. Able to engage and connect with a broad spectrum of stakeholders across the healthcare landscape.
Ability to communicate at both a strategic level and a more granular tactical level.