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Blue Cross and Blue Shield of Kansas · 2 weeks ago

AVP Chief of Integrated Care

Missouri

Full-time

Hybrid

Senior Level, Lead/Staff

10+ years exp

Blue Cross and Blue Shield of Kansas is looking to add to our Medical Affairs teams with a new opportunity for an AVP Chief of Integrated Care. This position is responsible for driving whole-person care strategy by integrating behavioral health, physical health, care management, and population health functions, while leading cross-functional teams to improve member outcomes and enhance affordability.

Financial ServicesHealth Care

Growth Opportunities

Responsibilities

Lead enterprise integration of behavioral and physical health programs and enable whole-person care

Provide fiscal oversight and budget accountability for integrated care programs; align investments to affordability and outcome targets. Oversee care management operations by setting the strategic direction for complex case management, transitions of care, wellness, and member engagement using standardized pathways and proactive interventions

Direct population health initiatives including prevention, chronic condition management, community health, and health equity

Collaborate with analytics, informatics, and quality teams to establish executive-level data-driven strategies and performance metrics including dashboards and reports for senior leadership

Ensure compliance with regulatory and accreditation standards and proactively identify and mitigate operational and clinical risks

Represent integrated care strategy as a thought leader with regulators, industry forums, provider partners, and community organizations

Build and lead high-performing teams and oversee succession planning to sustain leadership capability

Support modernization of Medical Affairs by driving evidence-based clinical pathways and prospective utilization strategies

Develop and manage budgets, staffing plans, and operational and create multi-year roadmaps and operating plans to deliver enterprise performance outcomes. Partner with Clinical Quality, Informatics/Analytics, Finance, Operations, and Provider Network to design, implement, and scale value-based care models tied to outcomes

Champion digital health and telehealth enablement, interoperability, and data exchange to support integrated care delivery and measurement

Qualification

Integrated care leadershipPopulation health managementHealthcare analyticsBudget managementStakeholder engagementWhole-person care frameworksRegulatory complianceDigital health platformsTelehealth capabilitiesCross-functional team leadershipStrategic initiativesQuality improvementChange managementCommunication skills

Required

Bachelor's degree in public health, public administration or health policy – required

10+ years of progressive leadership experience in integrated care, population health, or behavioral health within a payer or provider organization – required

Over 5 years of executive leadership experience driving strategic initiatives and measurable outcomes in integrated medical and behavioral health care models – required

Demonstrated budget ownership for clinical/population health programs — required

Strong understanding of care management models, behavioral health integration, and whole-person care frameworks

Advanced healthcare analytics, quality improvement, and regulatory compliance; translates insights into measurable outcomes

Executive-level communication and influence; skilled in stakeholder engagement and Board reporting

Advanced financial and strategic acumen, including budget management and cost-of-care optimization. Experience designing and executing value-based care models and provider partnerships

Proven ability to lead cross-functional teams and drive enterprise change and innovation

Proficiency in healthcare analytics, informatics, and quality improvement. Demonstrated success in driving the strategic shift from a physical health focus to a whole-person care vision, including the integration of social determinants of health

Demonstrated ability to drive affordability and improve member outcomes through strategic care initiatives within all lines of business. (Commercial, ACA, Medicaid, Medicare Advantage)

Demonstrated experience in standing up, scaling, or overseeing a robust digital health platform that effectively supports integrated care delivery and data exchange

Specific experience ensuring telehealth capabilities are fully enabled and utilized as a core component of the integrated care model

Preferred

Experience across both payer and provider environments (direct employment or senior consulting) - Preferred. Proven success in leading cross-functional teams and implementing enterprise-wide care strategies

Master's degree preferred