Vice President, Value Based Care Operations

OverviewVice President, Value Based Care OperationsThe Vice President of Value-Based Care Operations is a senior leader responsible for driving excellence in Duly Health and Care’s value-based care (VBC) programs. This role oversees the execution of a variety of VBC models—including full capitation, shared savings, partial risk, and pay-for-performance (P4P). The Vice President will have market responsibility for two geographies plus responsibility for Quality outcomes globally. This individual will provide strategic leadership, operational oversight, and cross-functional collaboration to ensure Duly delivers superior outcomes, financial performance, and patient value across government and commercial risk contracts.ResponsibilitiesLead execution across all value-based care models (capitation, shared savings, partial risk, and P4P), including ownership of operational initiatives, performance improvement strategies, and optimization of economic drivers.Drive organizational alignment to meet and exceed contractual quality and financial goals.Own and drive performance outcomes for Quality initiatives across Duly’s portfolio.Own and drive performance outcomes for QMG and SBC markets.Utilize analytics and insights to identify opportunities within VBC contracts and translate them into actionable workplans with measurable outcomes.Lead the achievement of >4 Star performance across Medicare Part C and Part D HEDIS and PQA measures.Oversee Utilization Management operations for a delegated commercial plan.Partner with Population Health, Clinic Operations, Managed Care, and Finance to ensure cohesive execution of VBC strategies.Act as a liaison between internal teams and external partners to enhance Duly’s value-based care performance.Leverage data to evaluate contract performance, identify gaps, and size opportunities.Partner with analytics teams to translate insights into sustainable operational initiatives.Provide direct leadership to managers and oversight to a broader team of 20+ FTEs.Establish a culture of accountability, innovation, and continuous improvement.QualificationsEducation:Master’s degree in healthcare administration, public health, nursing, or related field strongly preferred.Experience:10+ years of progressive leadership experience in healthcare quality, population health, or value-based care programs.Deep expertise in VBC models, including capitation, shared savings, partial risk, and P4P.Proven track record of delivering superior performance in quality and outcomes under government and commercial risk contracts.Experience leading large teams, including direct managers and frontline staff.Strong knowledge of HEDIS, PQA, Medicare Stars, and utilization management operations strongly preferred.Exceptional ability to collaborate cross-functionally and influence across a matrixed organization.Data-driven, analytical mindset with the ability to translate insights into measurable pensationThe compensation for this role includes a base pay range of $171,000-$256,000, 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.DetailsLocation: Downers Grove, ILEmployment type: Full-timeSeniority level: ExecutiveJob function: OtherIndustries: Hospitals and Health CareReferrals increase your chances of interviewing at Duly Health and Care by 2xGet notified about new Vice President Operations jobs in Downers Grove, IL. #J-18808-Ljbffr

Created: 2025-10-08