Director, VBC Payer Operations & Implementation
Duly Healthcare, Downers Grove, Illinois, United States, 60516
Overview
Director, VBC Payer Operations & Implementation
Position Highlights:
Full-Time
Monday-Friday; 8am-5pm
Location: Downers Grove, IL
Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work.
Duly Health and Care works to understand what matters most to you. We recruit and retain team members who share a relentless passion and pride for helping others live happier and healthier lives. We invest in helping our team members develop their talents in a way that is rich in personal meaning. We invite you to join us, fulfill your purpose and make your mark!
Holistic benefits designed to help our team members flourish in all aspects of their lives, including:
Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider.
Employer provided life and disability insurance.
$5,250 Tuition Reimbursement per year.
Immediate 401(k) match.
40 hours paid volunteer time off.
A culture committed to community engagement and social impact.
Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.
The Director of VBC Payer Operations & Implementation is the architect behind scalable, high-performing contracts. This leader translates complex payer contracts into clear, executable initiatives that deliver results in partial-risk environments. Shaping and owning outcomes, the Director orchestrates clinical, operational, analytic, and payer stakeholders to design workflows, launch programs, and continuously sharpen performance. With a bias for action and accountability, this role builds the execution engine—using disciplined operating cadence, data-driven optimization, and relentless improvement—and ensures results follow.
Responsibilities Implement and Run Partial Risk Plans
Own implementation and ongoing execution of partial risk contracts
Translate contract requirements into specific, operational initiatives
Partner with operations to build and deploy BPAs and workflow changes embedded in physician practice
Lead a weekly execution workgroup to drive timelines, adoption, and issue resolution
Manage Performance
Partner with Analytics/IT to build and use dashboards that track initiative execution and results
Monitor performance and actively course-correct when targets are missed
Work directly with payers to validate and improve reporting
Present implementation status and results to the President and steering committee
Own and maintain action tracker and facilitate payer JOCs as needed
Drive Improvement & Additional Initiatives
Identify and implement performance improvement opportunities
Support ad hoc payer, strategic, and enterprise initiatives as they arise, including analysis, partnership evaluation, and special projects
Qualifications
7+ years of progressive experience in healthcare operations, payer contracting, value-based care, or related programs
Bachelor’s degree in healthcare administration, Business Administration, Finance, Public Health, Analytics, or a related field, or an equivalent combination of education and relevant work experience
Working knowledge of Medicare Advantage, ACO REACH, and MSSP programs
Demonstrated experience supporting the execution of risk-based or value-based contracts
Proven ability to lead cross-functional initiatives and collaborate with teams such as utilization management and care management
Strong analytical and execution-oriented mindset with the ability to balance strategic objectives and day-to-day operations
The compensation for this role includes a base pay range of $125K-$188K, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.
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Position Highlights:
Full-Time
Monday-Friday; 8am-5pm
Location: Downers Grove, IL
Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work.
Duly Health and Care works to understand what matters most to you. We recruit and retain team members who share a relentless passion and pride for helping others live happier and healthier lives. We invest in helping our team members develop their talents in a way that is rich in personal meaning. We invite you to join us, fulfill your purpose and make your mark!
Holistic benefits designed to help our team members flourish in all aspects of their lives, including:
Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider.
Employer provided life and disability insurance.
$5,250 Tuition Reimbursement per year.
Immediate 401(k) match.
40 hours paid volunteer time off.
A culture committed to community engagement and social impact.
Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.
The Director of VBC Payer Operations & Implementation is the architect behind scalable, high-performing contracts. This leader translates complex payer contracts into clear, executable initiatives that deliver results in partial-risk environments. Shaping and owning outcomes, the Director orchestrates clinical, operational, analytic, and payer stakeholders to design workflows, launch programs, and continuously sharpen performance. With a bias for action and accountability, this role builds the execution engine—using disciplined operating cadence, data-driven optimization, and relentless improvement—and ensures results follow.
Responsibilities Implement and Run Partial Risk Plans
Own implementation and ongoing execution of partial risk contracts
Translate contract requirements into specific, operational initiatives
Partner with operations to build and deploy BPAs and workflow changes embedded in physician practice
Lead a weekly execution workgroup to drive timelines, adoption, and issue resolution
Manage Performance
Partner with Analytics/IT to build and use dashboards that track initiative execution and results
Monitor performance and actively course-correct when targets are missed
Work directly with payers to validate and improve reporting
Present implementation status and results to the President and steering committee
Own and maintain action tracker and facilitate payer JOCs as needed
Drive Improvement & Additional Initiatives
Identify and implement performance improvement opportunities
Support ad hoc payer, strategic, and enterprise initiatives as they arise, including analysis, partnership evaluation, and special projects
Qualifications
7+ years of progressive experience in healthcare operations, payer contracting, value-based care, or related programs
Bachelor’s degree in healthcare administration, Business Administration, Finance, Public Health, Analytics, or a related field, or an equivalent combination of education and relevant work experience
Working knowledge of Medicare Advantage, ACO REACH, and MSSP programs
Demonstrated experience supporting the execution of risk-based or value-based contracts
Proven ability to lead cross-functional initiatives and collaborate with teams such as utilization management and care management
Strong analytical and execution-oriented mindset with the ability to balance strategic objectives and day-to-day operations
The compensation for this role includes a base pay range of $125K-$188K, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.
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