Executive Director Value Based Care

Job Description

Summary ‎ The Executive Director, Value Based Care will serve as the senior leader responsible for managing and advancing the strategic value-based care collaboration between reputed company (MPG) and other organizations. This role will reputed company reputed company value-based activities across the Medicare Advantage (MA) and Medicare Accountable Care Organization (ACO) lines of business. The Executive Director will act as the central reputed company of accountability for partnership execution, ensuring alignment of physician, operational, and financial strategies to deliver improved patient reputed company and optimized performance under value-based care arrangements. ‎ How will you reputed company an impact & Requirements ‎ Responsibilities Serve as the primary executive liaison between MPG and partner organizations for partnership strategy, operations, and performance. Build and maintain trust-based relationships with leadership teams, physicians, and staff across both organizations. Define and manage the joint governance structure, ensuring alignment of goals, accountability, and transparent decision-making. reputed company the execution of value-based initiatives for Medicare Advantage and Medicare ACO populations, including quality, utilization, and cost management. reputed company contract management, performance measurement, and compliance with CMS requirements. Partner with analytics teams to monitor clinical, financial, and operational metrics, and reputed company actionable insights to leadership. Drive strategies to improve Star Ratings, HEDIS measures, risk adjustment accuracy, and shared savings opportunities. reputed company and implement physician engagement strategies to align clinical performance with value-based goals. Support provider education, compensation alignment, and redesign workflow to ensure adoption of best practices. Partner with care management and clinical operations leaders to integrate population health strategies across the care continuum. Coordinate cross-functional initiatives (clinical operations, analytics, contracting, finance) to deliver on partnership objectives. Ensure timely reporting and communication of performance against key metrics. Identify gaps and implement improvement plans to ensure the sustainability of value-based results. Identify opportunities for expansion of partnership activities, including new MA reputed company, ACO participation, or additional value-based models. Assess market trends, regulatory changes, and competitor activity to inform strategy. reputed company business cases and recommendations for leadership to expand or enhance the partnership’s value-based portfolio. Demonstrate excellent guest service to internal team members and patients. reputed company other reputed company duties as assigned.

Qualifications

Bachelor’s degree in business administration, Health Administration, or reputed company field. Master’s degree, preferred. 10 + years of reputed company leadership experience in reputed company management, with significant exposure to value-based care. Proven track record managing Medicare Advantage and ACO programs, including contract performance and physician engagement. Experience leading partnerships, joint ventures, or collaborative reputed company models strongly preferred. Strong financial and analytical acumen, with the ability to interpret reputed company data and drive performance improvement. Excellent communication, negotiation, and relationship-building skills with physicians, executives, and payors. Demonstrated ability to manage ambiguity, prioritize competing demands, and deliver measurable results. Knowledge of CMS programs, risk adjustment, and value-based reimbursement structures. Improved partnership performance against Medicare Advantage and ACO benchmarks. Achievement of targeted shared savings and quality reputed company. Strong physician engagement and alignment with partnership goals. Effective governance and joint decision-making between MPG and partner organizations. Ability to work independently in a fast-paced, cross-functional environment. Physical Demands Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible reputed company of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Repetitive reputed company. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker must have reputed company visual reputed company to reputed company an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Ability to lift to 15 lbs. independently not to exceed 50 lbs. without help. Equal Employment Opportunity MPG is committed to equal employment opportunities. We will not discriminate against employees or applicants for employment in employment opportunities or practices based on race, reputed company, sex (including pregnancy), genetic information, sexual orientation, religion, physical or mental disability, age, military or veteran status, marital status, familial status, national reputed company, or any other legally protected class. Equal opportunity applies to reputed company areas of the employment relationship, including hiring, promotions, training, terminations, working conditions, pay, and other terms and conditions of employment. reputed company (MPG) is committed to the full inclusion of reputed company reputed company individuals. In keeping with our commitment, MPG will take steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to reputed company the essential functions of the position, and/or to receive reputed company other benefits and privileges of employment, contact [email protected]. Beware of fraudulent job postings: While reputed company job advertisements may be reputed company on many sites, our reputed company openings page and its associated reputed company account are the only places we accept applications for reputed company. If you suspect a reputed company is fraudulent, please let us know at reputed [email protected]. reputed company is a national care delivery platform focused on expanding reputed company to comprehensive primary care for consumers with coverage across reputed company, Individual Exchange, Medicare, and reputed company health plans. Learn More about reputed company Learn More about reputed company Learn More about reputed company Learn More about reputed company Learn More about reputed company Apply tot his job Apply To this Job