SME - Health Plan Operations

Linkitall LLC; United States; Remote; USD 90,000 - 120,000; Full time

Job summary

A leading healthcare consulting firm is seeking an experienced SME in Health Plan Operations for a remote role. You will guide the design and implementation of value-based care pilot programs and work closely with VA healthcare systems. Ideal candidates should have a Master's degree and extensive experience leading in VA healthcare, particularly in national clinical and business programs.

Qualifications

• 10 years of experience with VA healthcare systems in both rural and metropolitan settings.
• Experience in leading Congressionally mandated VHA initiatives.
• Extensive experience with national clinical and business programs.

Responsibilities

• Lead design and implementation of value-based care pilots.
• Analyze pilot implementations and recommend improvements.
• Develop business processes for value-based health care.

Skills

Value-based care

Leadership

Data analysis

Policy development

Education

Master's degree in relevant field

Job description

PSCI-LIA, a fast-growing 8(a), SDVOSB, and woman-owned small business, is seeking an experienced SME - Health Plan Operations that is 100% REMOTE in nature. The SME will guide the design, development, and implementation of value-based care pilot programs in accordance with Section 105 and 107 requirements. The role includes advising on legislative requests, policy development, and business process improvement across VHA.

Responsibilities:

• Lead design and implementation of value-based care pilots, ensuring compliance with legislative mandates.
• Analyze current and future pilot implementations, providing data-driven recommendations.
• Develop business processes supporting value-based health care.
• Coordinate with policymakers, GAO, OIG, and national VHA stakeholders.
• Provide leadership in managing national clinical and business programs.

Required Experience & Qualifications:

• Master's degree in the relevant field.
• 10 years of experience required with extensive experience in leading VA healthcare systems in both rural and metropolitan settings.
• At least eight years of VA Medical Center and/or Veteran Service Integrated Network (VISN) operations.
• Preference will be given for experience with leading Congressionally mandated VHA initiatives to include coordination with policymakers, GAO and OIG stakeholders, and experience managing VHA national clinical and business programs.

PSCI-LIA is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to equal employment opportunity and affirmative action.