Value-Based Care Contract Program Manager

The University of Vermont Health Network

South Burlington (VT)

On-site

USD 110,000 - 170,000

Full time

14 days+

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Job summary

The University of Vermont Health Network seeks a program leader to manage and execute value-based contracts across government and commercial payers, focusing on impact to the Medical Group and Partner Hospitals in New York and Vermont. You will collaborate with the payer policy analyst to develop policy impact statements and ensure governance and compliance.

Reporting to the Vice President of Payer Strategy and Contracting, this role drives development, coordination, and implementation of

Qualifications

  • Bachelor's degree required; Master's preferred.
  • 5+ years' experience in value-based care operations.
  • Knowledge of CMS alternative payment models.
  • Strong program management and performance improvement experience.

Responsibilities

  • Lead development and administration of MSSP, ACO REACH, Medicaid VBC and commercial value-based contracts.
  • Evaluate and coordinate contracting of mandatory Medicare programs.
  • Coordinate implementation of new value-based agreements.
  • Maintain program governance and regulatory compliance.
  • Support financial and quality performance.
  • Collaborate with population health, finance, analytics, and medical group leadership.
  • Support clinical engagement around contract development and implementation.
  • Monitor federal and state-level policy changes.
  • Assess operational and financial impacts of changing payment models.
  • Coordinate required reporting activities.

Skills

Value-based care knowledge
Program management
Performance improvement
CMS APM knowledge
Stakeholder collaboration

Education

Bachelor's degree
Master's degree preferred

Job description

Leads operational management and execution of value-based contracts across government and commercial payer contracts. Evaluates and oversees contract development, coordination, execution and implementation of across government and commercial payer on value-based Care and Alternative Payment Programs, with a focus on their impact on the Medical Group and Partner Hospitals in New York and Vermont. Works with the payer policy analyst to develop policy impact statements.

Reports To: Vice President, Payer Strategy and Contracting

Key Responsibilities
Program Development and Contract Administration
  • MSSP, ACO REACH, Medicaid VBC programs, employer-based VBC initiatives, and commercial value-based contracts.
  • Evaluates and coordinates the contracting of mandatory Medicare programs
  • Coordinate implementation of new value-based agreements.
  • Maintain program governance and regulatory compliance.
Performance Management
  • Support financial and quality performance.
Stakeholder Coordination
  • Collaborate with population health, finance, analytics, and medical group leadership.
  • Support clinical engagement around contract development and implementation.
Regulatory Monitoring
  • Monitor federal and state-level policy changes.
  • Assess operational and financial impacts of changing payment models.
  • Coordinate required reporting activities.
Qualifications
  • Bachelor's degree required; Master's preferred.
  • 5+ years' experience in value-based care operations.
  • Knowledge of CMS alternative payment models.
  • Strong program management and performance improvement experience.
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