Job Description: Sr. Director Market Performance

The Sr. Director, Market Performance is responsible for the operational health and financial performance of Cityblock’s Value-Based Care (VBC) ecosystem within an assigned market(s). This role bridges the gap between enterprise strategy and local execution, leading through others to ensure care delivery models and payer partnerships are integrated and efficient.

In partnership with regional market leadership, the Sr. Director drives P&L performance by applying broad industry knowledge to resolve complex business problems.

Key Responsibilities

Operational Excellence & Strategic Leadership

• Strategic Market Ownership: Contributes directly to the market strategy, providing leadership and direction through others.
• Matrixed Accountability: Monitors care team execution and drives results through lateral influence, navigating complex organizational structures to align resources with market-specific needs.
• Behavioral Transformation: Drives systemic change among providers and care teams using clinical data, transparent reporting, and incentive-aligned workflows.
• Operational Remediation: Oversees market-led efforts to improve performance across the organization, payer initiatives, and community-based organizations (hospitals, specialists, and SDoH providers).

Value Creation & Financial Stewardship

• Advanced P&L Mastery: Leads cross-functional teams to identify financial opportunities leveraging deep understanding of Medicaid/Medicare payment levers, including government rate-setting and risk adjustment (HCC/RAF).
• Health Plan Optimization: Drives P&L performance by optimizing health plan levers such as claims processing, Utilization Management (UM) efficiency, and Payment Integrity programs.
• Financial Outcomes: Drives improvements in financial outcomes, including the Medical Loss Ratio (MLR) and integrates Social Determinants of Health (SDoH) frameworks into medical spend reduction strategies.
• Growth Strategy: In collaboration with the Growth team, drives the lifecycle of payer contracts and in-market(s) expansion.

Network Relationship & Influence

• Executive Presence: Operates with high executive presence to build alignment across leadership teams and represent the market in enterprise-level discussions.
• Strategic Provider Relations: Nurtures relationships with key network providers to coordinate member care and ensure mapping to HEDIS/Star rating improvements.
• Technical Proficiency: Utilizes Population Health Management (PHM) platforms for forensic analysis and claims trend auditing.

Requirements

• 12+ years of leadership experience in healthcare operations, value-based care, and/or population health.
• 3+ years in direct P&L leadership roles in managed care, provider groups, or integrated delivery systems.
• Expertise: Deep understanding of Medicare Advantage, Medicaid managed care, and/or commercial risk-sharing arrangements.
• Mission Alignment: Proven commitment to improving healthcare for underserved or complex populations.

Skills & Education

• Analytical Rigor: Ability to use complex datasets (Claims, UM, Revenue) to identify P&L levers and tell a compelling business story.
• Leadership: Demonstrated success in providing direction through others and leading large, high-performing teams.
• Education: Bachelor’s degree required; Master’s preferred or equivalent combination of education and experience.

We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location.

The expected salary range for this position is: $153,000.00 - $210,000.00 Annual

Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic. We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.

Cityblock Health is the first tech-driven provider for communities with complex needs—bringing better care to where it’s needed most, block by block. Founded in 2017 on the premise that “health is local” and based in Brooklyn, we are backed by Alphabet’s Sidewalk Labs along with some of the top healthcare investors in the country. Our mission is to improve the health of underserved communities.

Importantly, our solutions are designed specifically for Medicaid and lower-income Medicare beneficiaries, and we meet our members where they are, bringing care into the home and neighborhoods through our community-based care teams and Virtual Care offerings. In close collaboration with community-based organizations, local providers, and leading health plans, we are reorganizing the health system to focus on what matters to our members.

Equipped with world-class, custom care delivery technology, we deliver personalized primary care, behavioral health, and social services to deliver a radically better experience of care for every member and community we serve. Over the next year, we’ll grow quickly to bring better care to many more members and their communities. To do this, we need people who, like us, believe that everyone should have good care for what matters to them, in their community.

Our work is grounded in a belief in the power of a diverse community. To close gaps in care and advance equity in the communities we serve, we have to start with making our own team diverse and inclusive. Our ways of working are characterized by creativity, collaboration, and mutual learning that comes from bringing together a community from diverse backgrounds and perspectives. We strive to ensure that every person on the Cityblock team, and every Cityblock member, feels supported and included as a part of our community.

Our Values:

• Aim for Understanding
• Be All In
• Bring Your Whole Self
• Lean Into Discomfort
• Put Members First

About our Team:

We employ a field-based, home-based care model and are committed to meeting members where they are--in their homes, in their community, and in our Hubs. We will go above and beyond to connect with Cityblock members in a non-judgmental, respectful and empathic manner, to meet their needs, and to provide feedback to the system as a whole as we strive to do better every day.