Value-Based Care Program Architect

Visa Hunt; United States; On-site; USD 83,000 - 133,000; Full time

Job summary

CareSource is seeking a Value Based Reimbursement Program Manager to oversee VBR programs across markets, including risk-sharing, ACOs, and Pay For Quality initiatives. This role emphasizes data-driven strategy and cross-functional collaboration to optimize value-based care contracts.

The position involves partnering with Finance, Medical Economics, and network teams to develop governance, dashboards, and performance models, with travel as needed to improve outcomes and financial results.

Qualifications

• Bachelor's degree in business administration or related field or equivalent work experience required.
• Minimum 5 years in value-based reimbursement design, methodologies, or VBR contracting and data analysis.
• Healthcare experience in managed care is preferred.
• Provider contracting or provider relations experience is preferred.

Responsibilities

• Evaluate opportunities and the value of interventions using data to inform VBR programs.
• Coordinate with Finance to develop near real-time reporting of financial, quality, and clinical performance with dashboards and data exports.
• Assist in developing VBR Program Office governance for contract tracking and approvals.
• Collaborate with Finance and Medical Economics to improve performance and reconciliation, including predictive modeling and population stratification.
• Work with national/market network teams to engage providers and improve outcomes.

Skills

Microsoft Office

Analytical thinking

Problem solving

Communication

Independent work

Education

Bachelor's degree in business administration or related field

Tools

Excel

PowerPoint

Job description

CareSource is seeking a Value Based Reimbursement Program Manager to oversee VBR programs across markets, including risk-sharing, ACOs, and Pay For Quality initiatives. This role emphasizes data-driven strategy and cross-functional collaboration to optimize value-based care contracts.

The position involves partnering with Finance, Medical Economics, and network teams to develop governance, dashboards, and performance models, with travel as needed to improve outcomes and financial results.