Value Based Care Director

Jobtailor; Murray (UT); On-site; USD 180,000 - 280,000; Full time

Job summary

Jobtailor is seeking a senior leader to drive and optimize our value-based care initiatives. You will shape strategy across Medicare Advantage and risk-based lines, coordinating clinical, financial, and operational aims to improve quality and reduce costs.

The role requires extensive experience in value-based care, provider risk, and payment model design, with a track record of leading cross-functional teams and delivering scalable programs.

Qualifications

• Bachelor's degree in a relevant field.
• 10+ years of progressive experience in value-based care or related areas.
• 7+ years designing or managing provider risk arrangements or value-based programs.
• Experience scaling advanced risk arrangements (partial/full capitation, global budgets).
• Experience aligning quality, utilization management, care management, and population health with value-based goals.
• Direct experience working with providers, health systems, or physician organizations.
• Proven ability to lead cross-functional initiatives across clinical, financial, and operational teams.

Responsibilities

• Develop, execute, and optimize the organization\'s value-based care strategy across Medicare Advantage and risk-based lines of business.
• Provide enterprise leadership for provider risk arrangements, payment model design, performance management, and integration of clinical, financial, and operational strategies to improve quality, experience, and total cost of care.
• Partner with executive leadership, provider organizations, and internal teams to advance value-based transformation while maintaining provider relationships and financial sustainability.
• Lead the organization\'s approach to value-based contracting and performance strategy.

Skills

Value-Based Contracting

Performance Management

Utilization Management

Care Management

Quality Improvement

Financial Sustainability

Advanced Risk Arrangements

Global Budgets

Partial Capitation

Full Capitation

Education

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

Job description

• Responsible for the development, execution, and optimization of the organization's value-based care (VBC) strategy across Medicare Advantage and other risk-based lines of business.


• Provides enterprise leadership for provider risk arrangements, payment model design, performance management, and the integration of clinical, financial, and operational strategies to improve quality, experience, and total cost of care.


• Partners closely with executive leadership, provider organizations, and internal clinical and financial teams to advance value-based transformation while maintaining strong provider relationships and financial sustainability.


• Leads the organization's approach to value-based contracting and performance strategy.

Requirements

• 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.

Core Competencies

Expertise in developing and executing value-based care strategies, with a strong focus on provider risk arrangements and performance management. Proven ability to lead cross-functional teams and align clinical, financial, and operational strategies to enhance quality and reduce costs.

Highest-signal resume keywords

• Value-Based Care Strategy


• Provider Risk Arrangements


• Healthcare Finance


• Population-Based Payment Models


• Cross-Functional Leadership

ATS Optimization Keywords

Hard Skills

• Value-Based Contracting


• Performance Management


• Utilization Management


• Care Management


• Quality Improvement


• Financial Sustainability


• Advanced Risk Arrangements


• Global Budgets


• Partial Capitation


• Full Capitation

Soft Skills

• Leadership


• Collaboration


• Relationship Management


• Strategic Thinking


• Communication

Industry Keywords

• Medicare Advantage


• Managed Care


• Healthcare Administration


• Public Health


• Provider Organizations