Value-Based Care Contract Program Manager

University of Vermont Medical Center; South Burlington (VT); On-site; USD 110,000 - 150,000; Full time

Job summary

University of Vermont Medical Center seeks an experienced leader to manage value-based contracts across government and commercial payer programs in New York and Vermont. You will lead development, coordination, execution, and implementation of MSSP, ACO REACH, Medicaid VBC and related contracts, and work with provider networks to maximize value.

You will partner with payer policy analysts, population health, finance and analytics to assess policy impact, ensure governance and regulatory

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 MSSP, ACO REACH, Medicaid VBC programs, employer-based 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.
• Support financial and quality performance.
• Collaborate with population health, finance, analytics, and medical group leadership.
• Monitor federal and state-level policy changes.
• Assess operational and financial impacts of changing payment models.
• Coordinate required reporting activities.

Skills

Program management

Performance improvement

Value-based care

CMS payment models

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.