Value-Based Care Transformation Director

Intermountain Healthcare Inc.; Georgia; On-site; USD 83,000 - 127,000; Full time

Benefits offered by this job

Generous benefits package

Job summary

Intermountain Health in Utah is seeking a Proactive Care Director to lead the value-based care strategy across Medicare Advantage and other risk lines. You will shape risk models, incentives, and performance measurement, partnering with finance, analytics, and clinical operations to drive quality, experience, and cost outcomes.

You will act as a senior liaison to providers and executive leadership, translating strategic goals into scalable contracts and sustainable payment models, while ensuring

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Finance, Public Health, or a related field.
• Ten or more years of progressive experience in value-based care, provider strategy, healthcare finance, or managed care.
• Seven 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.

Responsibilities

• Develop and execute the enterprise value-based care strategy across Medicare Advantage and other applicable lines of business.
• Design and oversee provider risk arrangements, including shared savings, downside risk, capitation, and global budget models.
• Partner with Finance and Actuarial teams to ensure financial sustainability, risk adjustment accuracy, and margin performance.
• Establish provider performance frameworks that align quality, cost, utilization, and experience metrics.
• Lead the development of provider incentives, scorecards, and performance reporting.
• Partner with Clinical Operations to align care management, utilization management, and population health strategies to VBC goals.
• Collaborate with Analytics teams to define performance measurement, attribution, benchmarking, and forecasting.
• Serve as a senior leader in provider engagement, including contract negotiations, performance reviews, and strategic planning.
• Oversee governance structures for value-based programs, including executive committees and provider councils.
• Monitor market trends, CMS policy changes, and emerging value-based models; translate into strategic recommendations.
• Drive adoption of value-based workflows and accountability across internal teams and provider organizations.
• Support enterprise initiatives that align value-based strategy with quality performance, consumer experience, and Star Ratings.
• Communicate progress, risks, and opportunities to executive leadership and Boards.

Skills

Strategic planning

Financial management

Contracting

Risk contracts

Financial modeling

Analytical skills

Written / verbal communication

Presentation skills

Provider engagement

Dashboard development

Education

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

Job description

Intermountain Health in Utah is seeking a Proactive Care Director to lead the value-based care strategy across Medicare Advantage and other risk lines. You will shape risk models, incentives, and performance measurement, partnering with finance, analytics, and clinical operations to drive quality, experience, and cost outcomes.

You will act as a senior liaison to providers and executive leadership, translating strategic goals into scalable contracts and sustainable payment models, while ensuring