SVP Value Based Care, Operations

U.S. Renal Care

1d

About The Position

The Senior Vice President, Value-Based Care Operations is accountable for the end-to-end operational performance of the organization's value-based care portfolio. This role translates value-based contracts into repeatable, scalable operating models that improve quality, cost, access, and patient outcomes while achieving financial targets. The SVP leads cross-functional execution across clinical and market operations to ensure consistent performance across markets. This role will provide direct oversight of market/clinical operations, risk adjustment, & implementation of new private payor programs. This role will partner closely with OCMO, VBC Growth and VBC Finance/Analytics/Technology to ensure successful execution against our clinical and financial goals.

Requirements

• Bachelor's degree and master's degree strongly preferred
• Proven P&L ownership and track-record (managing and growing $500M-$1B business)
• Fifteen (15) plus years of =experience leading operations and clinical teams
• Deep value-based care experience and track record: driving performance in quality outcomes, medical cost reductions and risk adjustment. Demonstrated thought leadership in developing strategies and driving performance.
• Demonstrated experience in partnering with independent physicians and driving outcomes. Nephrology experience is a plus, but not required
• Demonstrated experience building and implementing complex strategies. Track record of innovation and taking performance to the next level.
• Strong analytics and financial acumen.
• Experience interacting with C-Suite executives internally and externally
• Demonstrated ability to partner effectively across functions and different parts of organizations.
• Proven leadership and experience developing talent and managing a team of senior executives and VPs
• Intermediate computer skills, including Microsoft Office (Word, Excel, PowerPoint, Outlook and web-based tools) required; proficiency in USRC applications required within 90 days of hire.

Nice To Haves

• Nephrology experience is a plus, but not required

Responsibilities

• Ensure successful deployment and performance of our existing and prioritized value-based care operating model and toolkit across all markets.
• Drive continuous improvement across care management, workflow standardization, and population health execution.
• Leverage data and insights to reduce performance variability across markets through standardized metrics and benchmarking.
• Align clinic operations, care management, and physician engagement with contract-specific requirements.
• Identify underperforming markets early and deploy rapid stabilization plans.
• Ensure operational readiness (clinical model, processes, tools) for new payor contracts, expansions, and risk arrangements.
• Lead operational scaling of new markets and risk contracts.
• Innovate, design and prioritize new interventions that will further improve clinical impact and reduce total cost of care
• Provide oversight and ensure connectedness between different operations components of our model
• Risk Adjustment / Market and Clinical Operations Affordability / Private Payor Implementation
• Develop talent and effectively lead operations and clinical team
• Establish structured management process: monthly operations reviews, quarterly business reviews.
• Own VBC P&L performance across all contracts and populations.
• Partner with Finance to manage forecasting, medical cost trends, and shared savings.
• Ensure disciplined budget management of care management and VBC infrastructure.
• Establish and maintain high-level physician partnerships.
• Ensure compliance with CMS, commercial payer, and state regulatory requirements.
• Oversee internal audit processes related to quality reporting, risk coding accuracy, utilization management, and documentation standards. Implement controls that prevent coding inflation, inappropriate utilization suppression, or quality manipulation.
• Partner with Compliance and Legal on risk mitigation and reporting accuracy.
• Support diligence and integration of acquisitions tied to VBC.
• Close partnership with OCMO as well as VBC Finance and Growth

What This Job Offers

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