Vice President, Payer Operations & Strategy

Vice President, VBC Payer Operations & Strategy

• Employment Type : Full-time (40 hours / week)
• Schedule : Monday–Friday, standard business hours
• Work Arrangement : Hybrid
• Location : Downers Grove, IL

The Vice President (VP) of Value-Based Care (VBC) Payer Operations and Strategy is responsible for leading the organization’s value-based care programs and payer partnerships across multiple lines of business, including Medicare Advantage (MA), ACO REACH, and MSSP. This executive leader will serve as the subject matter expert for VBC programs, drive operational excellence in program execution, and ensure success in partial risk arrangements. The VP will oversee payer relations, utilization management, and strategic initiatives that drive member growth and overall performance.

Responsibilities

Program Expertise and Operations

Success of Partial Risk Programs

Payer Management and Relations

Oversight of Utilization Management (UM)

Member and Strategic Growth

Qualifications

EXPERIENCE MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES

MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES

The compensation for this role includes a base pay range of $125,000-$188,000, 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.