Value-Based Care Program Manager

Duke University Health System; Durham (NC); On-site; USD 85,000 - 125,000; Full time

Job summary

Duke University Health System in Durham seeks a Quality Program Specialist to oversee value-based care initiatives, bundled payments, and shared savings programs, partnering with clinical, operational, and analytics teams to drive performance and contract outcomes.

This role reports to senior leadership and focuses on standardizing workflows, delivering timely reporting, and improving HEDIS/Star measures, with emphasis on data-driven improvements and risk mitigation.

Qualifications

• Minimum of 3-5 years of experience in healthcare quality, population health, or value-based care programs.
• Experience in an integrated delivery system or large physician enterprise.
• Familiarity with EMR reporting tools (Epic).
• Demonstrated understanding of HCC coding.
• Lean or Six Sigma certification preferred.
• Healthcare coaching certification or experience preferred.

Responsibilities

• Supports bundled payment program management across service lines and contracts.
• Tracks performance metrics for cost, utilization and quality outcomes.
• Coordinates with clinical and operational teams to align workflows with bundle requirements.
• Supports quality-based contract negotiations.
• Monitors shared savings contracts and communicates drivers of cost and quality.
• Identifies risks and develops mitigation strategies.
• Leads initiatives to improve quality performance including HEDIS/Star measures.
• Analyzes performance data and prepares executive summaries.
• Serves as liaison between quality, operations, and clinical teams.
• Promotes standardization of workflows and SOPs.
• Collaborates with IT/EMR to optimize quality measurement and reporting.

Skills

HCC coding

Lean Six Sigma

Healthcare coaching

Education

Bachelor’s Degree

Master’s Degree in Healthcare Administration or related field (preferred)

Tools

Epic

Job description

Duke University Health System in Durham seeks a Quality Program Specialist to oversee value-based care initiatives, bundled payments, and shared savings programs, partnering with clinical, operational, and analytics teams to drive performance and contract outcomes.

This role reports to senior leadership and focuses on standardizing workflows, delivering timely reporting, and improving HEDIS/Star measures, with emphasis on data-driven improvements and risk mitigation.