Strategic Value-Based Care Leader

Intermountain Health; Murray (KY); On-site; USD 83,000 - 127,000; Full time

Job summary

Intermountain Health is seeking a Proactive Care Director to lead the enterprise value-based care strategy across Medicare Advantage and other risk-based lines of business. You will design provider risk arrangements, work with Finance and Actuarial teams, and drive performance reporting and incentives.

The role requires deep expertise in value-based care, strong financial and analytical skills, and the ability to influence provider behavior at scale.

Qualifications

• 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.

Responsibilities

• Develop and execute the enterprise value-based care strategy across Medicare Advantage and other applicable lines of business.
• Design and oversee provider risk arrangements, including shared savings, downside risk, capitation, and global budget models.
• Partner with Finance and Actuarial teams to ensure financial sustainability, risk adjustment accuracy, and margin performance.
• Establish provider performance frameworks that align quality, cost, utilization, and experience metrics.
• Lead the development of provider incentives, scorecards, and performance reporting.
• Partner with Clinical Operations to align care management, utilization management, and population health strategies to VBC goals.
• Collaborate with Analytics teams to define performance measurement, attribution, benchmarking, and forecasting.
• Serve as a senior leader in provider engagement, including contract negotiations, performance reviews, and strategic planning.
• Oversee governance structures for value-based programs, including executive committees and provider councils.
• Monitor market trends, CMS policy changes, and emerging value-based models; translate into strategic recommendations.
• Drive adoption of value-based workflows and accountability across internal teams and provider organizations.
• Support enterprise initiatives that align value-based strategy with quality performance, consumer experience, and Star Ratings.
• Communicate progress, risks, and opportunities to executive leadership and Boards.

Skills

Strategic planning

Financial management

Contracting

Risk contracts

Financial modeling

Analytical skills

Written/verbal communication

Presentation skills

Provider engagement

Dashboard development

Education

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

Job description

Intermountain Health is seeking a Proactive Care Director to lead the enterprise value-based care strategy across Medicare Advantage and other risk-based lines of business. You will design provider risk arrangements, work with Finance and Actuarial teams, and drive performance reporting and incentives.

The role requires deep expertise in value-based care, strong financial and analytical skills, and the ability to influence provider behavior at scale.