- 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.
Requirements
- 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.
Core Competencies
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.
Highest-signal resume keywords
- Value-Based Care Strategy
- Provider Risk Arrangements
- Healthcare Finance
- Population-Based Payment Models
- Cross-Functional Leadership
ATS Optimization Keywords
Hard Skills
- Value-Based Contracting
- Performance Management
- Utilization Management
- Care Management
- Quality Improvement
- Financial Sustainability
- Advanced Risk Arrangements
- Global Budgets
- Partial Capitation
- Full Capitation
Soft Skills
- Leadership
- Collaboration
- Relationship Management
- Strategic Thinking
- Communication
Industry Keywords
- Medicare Advantage
- Managed Care
- Healthcare Administration
- Public Health
- Provider Organizations