Value-Based Care Director & ACO Strategy Lead

Beacon Health System; Granger (IN); On-site; USD 140,000 - 230,000; Full time

Job summary

Beacon Health System seeks an Executive Director of Value Based/Care Coordination to design and implement strategies for value-based reimbursement contracts, aligning financial and quality outcomes. You will engage physicians, drive utilization improvements, and ensure data reporting to providers and executives.

The role includes managing CHA, Provider Enrollment, and ACO activities, with CMS and NCQA collaboration.

Qualifications

• Bachelor's degree in Business, Economics, Marketing or related field; Master’s preferred.
• Three to five years of managed care/group insurance experience with Medicaid/Medicare exposure.
• Experience in utilization review, contract negotiations, and leadership roles.

Responsibilities

• Oversee CHA, Provider Enrollment, and CHA ACO operations and strategy.
• Lead credentialing processes for providers and ensure NCQA alignment.
• Manage ACO-related contracts, CMS reporting, and client relationships.
• Develop plans to meet savings and quality targets under value-based contracts.
• Supervise staffing, budgeting, and performance reviews for the department.

Skills

Value-based care

ACO knowledge

Contract negotiation

Leadership

Data analysis

Regulatory compliance

Communication skills

Education

Bachelor's degree in Business

Master's degree preferred

Tools

Credentialing software

Job description

Beacon Health System seeks an Executive Director of Value Based/Care Coordination to design and implement strategies for value-based reimbursement contracts, aligning financial and quality outcomes. You will engage physicians, drive utilization improvements, and ensure data reporting to providers and executives.

The role includes managing CHA, Provider Enrollment, and ACO activities, with CMS and NCQA collaboration.