Director, VBC Payer Operations & Implementation

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.