Strategic Leader, Value-Based Care & Payer Strategy

EPIC Health System LLC; Southfield (MI); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Competitive compensation

Medical, Dental, and Vision benefits

401(k) with company match

Paid Time Off

Job summary

EPIC Health is seeking a strategic Healthcare Strategy Manager – Value-Based Reimbursement & Payer Strategy to lead initiatives that optimize value-based reimbursement, payer performance, and financial outcomes.

You will partner with executive leadership, Finance, Operations, Revenue Cycle, and clinical leadership to translate payer contracts and quality metrics into actionable strategies, driving alignment and measurable improvements.

Qualifications

• Bachelor's degree in a related field.
• 5+ years of healthcare experience in value-based reimbursement, payer relations, or related area.
• Experience with payer contract analysis and/or negotiation.
• Strong understanding of value-based reimbursement models and payer operations.
• Experience with HEDIS measures and quality performance.
• Experience managing provider credentialing and payer enrollment.

Responsibilities

• Develop and implement strategies to maximize value-based reimbursement opportunities.
• Analyze payer performance, reimbursement models, utilization, quality, and financial results.
• Monitor performance against value-based contracts and develop action plans.
• Partner with clinical and operational teams to align workflows with payer requirements and goals.
• Track reimbursement and performance metrics and communicate findings to leadership.
• Support forecasting and financial modeling related to value-based arrangements.
• Lead or support payer contract negotiations, renewals, amendments, and performance discussions.

Skills

Value-based reimbursement

Payer relations

Strategic planning

Project management

Negotiation

Education

Bachelor's degree in Healthcare Administration, Business Administration, Finance, Public Health, or related field

Job description

EPIC Health is seeking a strategic Healthcare Strategy Manager – Value-Based Reimbursement & Payer Strategy to lead initiatives that optimize value-based reimbursement, payer performance, and financial outcomes.

You will partner with executive leadership, Finance, Operations, Revenue Cycle, and clinical leadership to translate payer contracts and quality metrics into actionable strategies, driving alignment and measurable improvements.