Manager, Value-Based Care

RiseMe

Town of Florida (NY)

On-site

USD 120,000 - 160,000

Full time

3 days ago
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Job summary

Premier Community HealthCare Group seeks a Manager, Value-Based Care to lead strategic initiatives across managed-care and ACO portfolios. You’ll align clinical operations, coding, analytics, and revenue cycle to drive performance, close care gaps, and meet contract targets.

This role reports to senior leadership and shapes the VBC trajectory for the organization. The position requires strong leadership, data-driven decision making, and a passion for improving community health outcomes through

Qualifications

  • Strategic leader for value-based care initiatives across multiple portfolios.
  • Must understand value‑based care metrics and performance drivers.
  • Experience coordinating across clinical operations, coding, analytics and revenue cycle.

Responsibilities

  • Lead VBC program strategy with Senior Leadership on growth and sustainability.
  • Drive provider engagement, risk-score capture, coding accuracy, and documentation gaps.
  • Own VBC dashboards, payer scorecards, ACO data, and risk scores for performance tracking.
  • Oversee cross-functional gap-closure and coding huddles to capture high-value opportunities.
  • Manage AWV and redetermination workflows, and patient outreach programs.
  • Collaborate with Quality and Marketing to improve care-gap closure and patient seen rates.
  • Optimize Epic alerts and data workflows to ensure accurate delivered care.

Skills

Leadership
Strategy
Analytics
Revenue cycle
Risk coding

Education

Bachelor’s degree in Health Information Management, Public Health, Healthcare Administration, Nursing, or related field
High School diploma with commitment to obtain a degree

Tools

Epic

Job description

Manager, Value-Based Care

Location: Dade City, FL


Make a Difference. Build Healthier Futures. Grow With Premier.

Premier Community HealthCare Group is seeking a strategic, mission-driven Manager, Value-Based Care (VBC) to lead value-based performance across our managed-care and Accountable Care Organization (ACO) portfolios. This leadership role connects clinical operations, risk coding, data analytics, revenue cycle, and senior leadership to improve outcomes and strengthen contract performance. You will own key VBC metrics, turn data into action, close care gaps, and help Premier reach and exceed contract targets. As a member of the leadership team, you will serve as Premier’s VBC subject-matter expert and help advance value-based care across the organization.


We are seeking a Manager, Value-Based Care who wants to:


  • Lead a growing value-based care strategy that improves both patient outcomes and organizational performance.

  • Build strong partnerships across clinical, operational, quality, coding, analytics, and revenue cycle teams.

  • Turn performance data and identified gaps into measurable action and results.

  • Help advance accessible, equitable healthcare for the communities Premier serves.


If you’re passionate about improving healthcare through better outcomes, smarter care, and stronger community impact, we would love to connect with you.


What You’ll Do


  • Lead Premier’s VBC program and partner with Senior Leadership on strategy, growth, and sustainability.

  • Drive provider engagement, risk‑score capture, coding accuracy, and resolution of documentation and continuity‑of‑care gaps.

  • Own VBC dashboards, payer scorecards, ACO data, risk scores, seen rates, and care‑gap performance.

  • Lead cross-functional gap‑closure and coding huddles and prioritize the highest‑value opportunities.

  • Oversee AWV, newly attributed‑member, patient outreach, and redetermination‑retention workflows.

  • Partner with Quality and Marketing to develop campaigns that improve care‑gap closure and patient‑seen rates.

  • Optimize Epic alerts, registries, and supplemental‑data workflows so delivered care is accurately captured and credited.


What’s In It for You


  • A leadership opportunity at a mission‑driven community health organization.

  • The opportunity to directly influence quality, access, outcomes, and value‑based performance.

  • A collaborative role connecting clinical teams, leadership, analytics, and community health.

  • The opportunity to build and develop the Value‑Based Care team.

  • A culture focused on teamwork, trust, psychological safety, and service excellence.

  • The chance to help shape Premier’s long‑term value‑based care strategy.


Qualifications


  • Bachelor’s degree in Health Information Management, Public Health, Healthcare Administration, Nursing, or related field; or 10+ years of relevant experience as determined by Human Resources.

  • High School diploma with commitment to obtain a degree within a reasonable period may be considered under PCHG guidelines.

  • Five years of healthcare experience, including two years in value‑based care, population health, quality improvement, or risk adjustment.

  • Experience leading teams or projects.

  • Strong understanding of value‑based care, population health, quality measures, care gaps, and performance metrics.

  • Ability to analyze data, identify opportunities, and develop actionable strategies.


Bonus Skills


  • FQHC, community health, or ACO experience.

  • CRC, CPC, or CDIP certification.

  • Epic experience and ability to maintain Epic certification and annual compliance.


Join Premier: Where Your Purpose Takes Root

At Premier, value‑based care is about more than metrics—it is about helping people access the care they need and creating healthier communities. You’ll have the opportunity to lead meaningful change while supporting teams dedicated to accessible, compassionate, high‑quality care. Your leadership can help Premier turn data, collaboration, and purpose into better outcomes for the people we serve.


We can’t wait to welcome you to our Care Team.


Working Conditions & Physical Requirements


  • Ability to lift 20 lbs. regularly and 30-50 lbs. occasionally.

  • Ability to sit for long periods of time.

  • Direct exposure to computer screens.

  • May be exposed to contagious/infectious diseases.

  • Ability to travel between PCHG sites for meetings, as necessary.

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