Vice President, Value-Based Care Operations

Vice President, Value-Based Care Operations

• Full-Time, 40 hours per week.
• Monday - Friday; Business hours.
• Location - Downers Grove, IL

The 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.

VBC Strategy & Execution

• Lead 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.

Performance Management

• Own and drive performance outcomes for Quality initiatives across Duly’s portfolio
• Own and driver 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.

Cross-Functional Collaboration

• 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.

Data-Driven Insights

• Leverage data to evaluate contract performance, identify gaps, and size opportunities.
• Partner with analytics teams to translate insights into sustainable operational initiatives.

Leadership & Operational Oversight

• Provide direct leadership to managers and oversight to a broader team of 20+ FTEs.
• Establish a culture of accountability, innovation, and continuous improvement.

Education:

• 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 results.