Value Based Care Director

• Responsible for the development, execution, and optimization of the organization's value-based care (VBC) strategy across Medicare Advantage and other risk-based lines of business.
• Provides enterprise leadership for provider risk arrangements, payment model design, performance management, and the integration of clinical, financial, and operational strategies to improve quality, experience, and total cost of care.
• Partners closely with executive leadership, provider organizations, and internal clinical and financial teams to advance value-based transformation while maintaining strong provider relationships and financial sustainability.
• Leads the organization's approach to value-based contracting and performance strategy.

• Bachelor's degree in Healthcare Administration, Business, Finance, Public Health, or a related field.
• Ten (10) or more years of progressive experience in value-based care, provider strategy, healthcare finance, or managed care.
• Seven (7) or more years of experience designing or managing provider risk arrangements or value-based programs.
• Demonstrated success designing and scaling advanced risk arrangements, including partial and full capitation, global budgets, or population-based payment models.
• Experience aligning quality, utilization management, care management, and population health programs to value-based performance goals.
• Demonstrated experience working directly with providers, health systems, or physician organizations.
• Proven ability to lead cross-functional initiatives across clinical, financial, and operational teams.

Expertise in developing and executing value-based care strategies, with a strong focus on provider risk arrangements and performance management. Proven ability to lead cross-functional teams and align clinical, financial, and operational strategies to enhance quality and reduce costs.

• Value-Based Care Strategy
• Provider Risk Arrangements
• Healthcare Finance
• Population-Based Payment Models
• Cross-Functional Leadership

• Value-Based Contracting
• Performance Management
• Utilization Management
• Care Management
• Quality Improvement
• Financial Sustainability
• Advanced Risk Arrangements
• Global Budgets
• Partial Capitation
• Full Capitation

• Leadership
• Collaboration
• Relationship Management
• Strategic Thinking
• Communication

• Medicare Advantage
• Managed Care
• Healthcare Administration
• Public Health
• Provider Organizations