Dir-Value-Based Care Ops

Position Overview

The Director of Value-Based Care Operations leads the execution and growth of all value-based care programs, ensuring strong clinical outcomes, financial performance, and operational excellence across the organization. It drives enrollment, strengthens provider and partner operations, and manages key relationships with health plans, ACOs, and clinical leaders.

Roles And Responsibilities

• Leads and supports end-to-end project management activities, including project planning, timelines, stakeholder coordination, risk identification, and progress tracking to ensure on-time and accurate delivery.
• PARTNERS WITH CROSS-FUNCTIONAL STAKEHOLDERS TO DRIVE PROJECTS FROM CONCEPT THROUGH IMPLEMENTATION, ENSURING SCOPE ALIGNMENT, CLEAR COMMUNICATION, AND EFFECTIVE ISSUE RESOLUTION THROUGHOUT THE PROJECT LIFECYCLE.
• LEADS THE OPERATIONAL EXECUTION OF ALL VALUE-BASED CARE PROGRAMS, INCLUDING I SNP/IE SNP, ACO PARTNERSHIPS, AND GUIDE/TEAM INITIATIVES.
• IDENTIFIES AND IMPLEMENTS NEW VALUE-BASED PARTNERSHIPS AND ECONOMIC MODELS TO EXPAND ORGANIZATIONAL PARTICIPATION AND FINANCIAL OPPORTUNITY.
• SERVES AS THE INTERNAL SUBJECT-MATTER EXPERT ON VALUE-BASED CARE MODELS, REIMBURSEMENT STRUCTURES, AND PROGRAM REQUIREMENTS.
• DESIGNS AND SCALES LEAD GENERATION STRATEGIES TO DRIVE ENROLLMENT GROWTH ACROSS I SNP AND RELATED PROGRAMS.
• ORGANIZES CAMPUS-DRIVEN ENROLLMENT EFFORTS, INCLUDING SALES SUPPORT, SCRIPTING, AND WORKFLOW OPTIMIZATION TO IMPROVE CONVERSION RATES.
• MONITORS ENROLLMENT PIPELINES AND DRIVES ACCOUNTABILITY FOR GROWTH TARGETS ACROSS CAMPIGS.
• OWNS CLINICAL AND FINANCIAL PERFORMANCE OUTCOMES, INCLUDING HOSPITALIZATIONS, LOS, QUALITY METRICS, AND TOTAL COST OF CARE.
• PARTNERS WITH CLINICAL AND OPERATIONAL LEADERS TO IMPROVE OUTCOMES AND IMPLEMENT CORRECTIVE ACTION PLANS.
• TRACKS AND REPORTS FINANCIAL PERFORMANCE, INCLUDING SHARED SAVINGS AND PMPY IMPACT, TO INFORM STRATEGIC DECISIONS.
• OVERSEES PROVIDER OPERATIONS, INCLUDING NP AND MEDICAL DIRECTOR SETUP, PERFORMANCE, AND ONGOING SUPPORT.
• MANAGES RELATIONSHIPS WITH HEALTH PLANS, ACO OPERATORS, AND HOSPITAL SYSTEMS TO STRENGTHEN COLLABORATION AND REFERRAL PATHWAYS.
• SUPPORTS CONTRACTING, ONBOARDING, AND IMPLEMENTATION FOR ALL VALUE-BASED PROGRAMS AND NEW CAMPUS OR PROVIDER PARTICIPANTS.
• EYES COMPLIANCE WITH PROGRAM REQUIREMENTS, DOCUMENTATION STANDARDS, AND REPORTING EXPECTATIONS.
• DEVELOPS AND DELIVERS TRAINING AND CHANGE MANAGEMENT PROGRAMS TO DRIVE ADOPTION OF VALUE-BASED WORKFLOWS AND BEST PRACTICES.

Qualifications

• Education: Bachelor's Degree
• Experience: 5-8 years
• Licenses and Certifications: MBA degree preferred, Project Management Professional (PMP) certification preferred

Physical Requirements

• Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours.
• Must be able to lift at least 50 lbs.
• Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.

Benefits

• Competitive salaries and weekly pay
• 401(k) Company Match
• Mental Health Support Program
• Student Loan Repayment and Tuition Reimbursement
• Health, vision, dental & life insurance kick in on the first of the month after your start date
• First-time homebuyers' program
• HSA/FSA

About Trilogy Health Services

Trilogy Health Services is a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest. Trilogy is committed to being a great place to work and is an equal opportunity employer committed to diversity and inclusion.