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Director of Value-Based Care Platforms

Physicians Revenue Group

Downers Grove, IL

Practice Managers & Administrators

Posted Jun 26 · Not open to new grads

Shift
Days
Unit
Psych

What the listing says

Role

Schedule
Days
Term
Permanent
Practice
Epic charting
Setting
Hospital
Experience
5+ years

Ratio not posted. Ask in the interview.

Pay

Against the board
This role$65/hr
nursing in Illinois$35/hr

The median for nursing in Illinois is $35/hr, across 939 postings. It covers every nursing role in the state, so it is a bearing, not a like-for-like comparison.

Overtime
$120/hr

About this role

*Job Summary*

PRG's Value-Based Care Platform brings together two complementary service lines — Remote Patient Monitoring and Chronic Care Management — that serve patients across hundreds of practices nationwide. Together they represent one of the company's most exciting growth opportunities, with strong clinical foundations, deep practice relationships, established reimbursement fluency across the Medicare value-based care code stack, and meaningful runway for expansion across patient populations and provider partners.

Read the full posting

The Director of Value-Based Care Platform is the senior operational leader of this combined business. The role owns the platform direction, supplier and vendor relationships, operational scale and team development, device fulfillment and logistics, and the development of new value-based care service offerings as the regulatory environment continues to expand. The Director collaborates closely with the clinical leadership of our VBC programs — who own clinical protocols, patient criteria, and regulatory compliance — and with our R&D engineering team on platform capabilities.

This is a high-impact role with operational ownership of a growing business line and meaningful budget responsibility. It is an operations and platform role, not a clinical leadership role; the right candidate is someone who has scaled tech-enabled healthcare services, built supplier and logistics operations, and worked effectively in partnership with clinical co-leaders.

*Responsibilities*

_*Operational Leadership & Scale*_

  • *Lead the operations team *across patient enrollment, care coordination, tech support, eligibility, and billing functions. Develop the team, set performance expectations, and grow operational leadership over time.
  • *Design the operational scaling strategy *for the line of business, balancing selective hiring with thoughtful workflow design and automation so that the cost-to-serve improves as patient volume grows.
  • *Establish operational KPIs *and unit economics tracking for the line of business — productivity metrics, patient outcomes, fulfillment cycle times, cost-to-serve, and business unit performance — and report regularly to senior leadership.
  • *Build the customer experience *for our practice partners and their patients, including the tech support model that supports both providers and end users.
  • *Drive continuous productivity improvement *across the care coordinator and operations teams through better tooling, refined workflow design, and intelligent use of automation.
  • *Partner with the Business Operations & Intelligence (BOI) department *on dashboards, performance analytics, and operational automation initiatives that improve insight quality and operational efficiency.

_*Supply Chain, Logistics & Procurement*_

  • *Manage end-to-end device logistics *across procurement, inventory, fulfillment to patients, returns, and reverse logistics. Establish and continuously improve the inventory management system as device volume grows.
  • *Build and manage supplier relationships *with cellular and bluetooth device manufacturers, contactless monitoring vendors, and logistics partners. Negotiate pricing, SLAs, warranty terms, and replacement economics.
  • *Lead the rollout of new device categories *and emerging monitoring technologies as the program expands beyond its current device mix.
  • *Own the device retrieval and reverse logistics workflow *for patients exiting the program, ensuring devices are returned, accounted for, and refurbished or retired efficiently.
  • *Develop fulfillment processes *that scale to multi-thousand-patient enrollment growth without proportional headcount expansion.
  • *Continuously evaluate *the cost structure and competitive landscape of the device and platform vendor ecosystem; recommend supplier consolidation or expansion as the business grows.

_*Platform Strategy & Technology*_

  • *Own platform strategy *for the VBC line of business — including device integration, patient engagement, clinical workflow support, billing handoff, and EHR interoperability. Translate business and operational needs into platform priorities.
  • *Lead a platform direction review *in the first 60–90 days, including assessment of build-versus-buy options, partnerships with established VBC platforms in the market, and the optimal mix of in-house R&D investment and external partnership.
  • *Partner with the R&D team *on the platform development roadmap. R&D's in-house software development and AI engineering capability is a core asset of the line of business, and the Director shapes how that capability is directed toward VBC.
  • *Drive bi-directional EHR integration priorities *with the systems used most commonly by our practice base — including eClinicalWorks, AdvancedMD, Athena, Epic, NextGen, and CareCloud — to enable real-time eligibility, alerting, and bi-directional documentation.
  • *Define automation requirements *for patient outreach, including automated voice, SMS engagement, and intelligent contact sequencing — alongside the care coordination teams that own the clinical conversations.
  • *Partner with the offshore engineering team *in India and Pakistan on platform development and technical capacity planning. Coordinate with BOI on shared analytics and automation infrastructure.
  • *Drive platform reliability, scalability, and security *in partnership with the IT and CyRx360 functions, ensuring HIPAA, HITRUST, and SOC 2 alignment as the platform grows.

_*Partnership with Clinical Leadership*_

  • Patient eligibility criteria, ICD code mapping, comorbidity exceptions, and exclusion criteria.
  • Clinical escalation thresholds (AHA-aligned ranges, hypertensive crisis protocols, individualized baselines, and special-population considerations).
  • Care plan structure, documentation language, time documentation requirements, and clinical oversight standards.
  • Patient contact rule sequencing and the clinical logic governing patient transitions across program states.
  • HIPAA and CMS compliance posture, including documentation standards required for CPT 99453/99454/99457/99458 reimbursement and audit defense.
  • Clinical staff training content and clinical quality oversight of the care coordination team.

_*New Service Development & Market Expansion*_

  • *Partner with clinical leadership on new service design *— clinical leadership defines protocol, the Director leads on platform, operational, and commercial design.
  • *Identify expansion opportunities *into Accountable Care Organizations, Medicare Advantage plans, risk-bearing entities, and health system partnerships.
  • *Develop concurrent multi-program billing capability *(Remote Patient Monitoring + Chronic Care Management + Remote Therapeutic Monitoring + Behavioral Health Integration for the same patient where qualifying).
  • *Stay current *on CMS regulatory updates, reimbursement changes, and competitive offerings; brief leadership on material strategic implications.
  • *Represent the VBC line of business *in executive committee discussions and selected industry conferences and partnership conversations.

*Required *

_*Qualifications*_

  • 5–7 years of progressive leadership experience spanning healthcare operations, value-based care, or tech-enabled services.
  • Direct experience leading or scaling a tech-enabled services operation, ideally in a healthcare context.
  • Operational experience in logistics, supply chain, or device fulfillment at scale — including procurement, vendor management, and reverse logistics.
  • Procurement and vendor management experience, including direct negotiation of multi-year commercial agreements with hardware suppliers, software platforms, or service partners.
  • Working knowledge of CMS value-based care reimbursement programs (CCM, RPM, RTM, BHI, MACRA, MIPS) and how they monetize at the patient and practice level.
  • Demonstrated ability to scale operations through a combination of automation and selective hiring, rather than headcount alone.
  • Demonstrated cross-functional leadership and effective partnership with clinical leaders.
  • Operational ownership of a meaningful healthcare services function with direct budget responsibility.
  • Bachelor's degree required.

_*Preferred*_

  • Advanced degree (MBA, MHA, MPH, or similar).
  • Prior experience scaling a remote patient monitoring, chronic care management, or value-based care platform business.
  • Direct experience in a peer-partnership structure with a clinical co-leader.
  • Prior P&L responsibility for a healthcare services line of business.
  • Direct experience operating within or alongside an ACO, risk-bearing entity, or Medicare Advantage plan vendor.
  • Experience with device manufacturer ecosystems (cellular-enabled devices, bluetooth devices, integrated hubs).
  • Experience launching new healthcare service lines from concept to revenue.
  • Experience operating across U. S., India, and Pakistan time zones.

*Job Information*

Full-time: On-site/Hybrid

Travel: 5-10% (Client visits, vendor meetings, professional development)

Compensation

120,000 - 150,000 + 10-15% annual bonus (based on operational performance)

Pay: $120,000.00 - $150,000.00 per year

Benefits

  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Professional development assistance
  • Vision insurance

Application Question(s)

  • What is your required compensation range?

Education

  • Bachelor's (Required)

Experience

  • Tech-Enablement Services: 5 years (Required)
  • Logistics Operations: 3 years (Required)
  • Procurement management: 5 years (Required)
  • Value-based Care CMS: 5 years (Required)
  • Operations Scaling: 5 years (Required)
  • Leadership: 5 years (Required)
  • Strategic partnerships: 5 years (Required)

Ability to Commute

  • Downers Grove, IL 60515 (Required)

Work Location: In person

Sourced from a public job board.

Application Question(s): * What is your required compensation range? Education: * Bachelor's (Required) Experience: * Tech-Enablement Services: 5 years (Required) * Logistics Operations: 3 years (Required) * Procurement…· from this posting

Requirements

  • Bachelor's
  • Tech-Enablement Services: 5 years
  • Logistics Operations: 3 years

Place

City
Downers Grove, IL
Median rent
$1,656/mo

rent and tenant-paid utilities · Census ACS 2024

Local household income
$115,114/yr

all local households, not nurse pay · Census ACS 2024

State price level
about the national average

Illinois index 100.0, where 100 is the national average.

Downers Grove is a leafy western suburb of Chicago in DuPage County with a classic Midwestern small-town feel. Its downtown area offers local shops and community events. Metra rail access connects residents to the city, making it a convenient home base for nurses working across the greater Chicago area.

Map showing the location of Downers Grove, IL
Approximate location in Downers Grove, IL. · © Mapbox © OpenStreetMap· Open the live map

Cost figures from U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024.

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Psychiatric is open from year one. Behavioral health spans inpatient, emergency, and community settings.

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