Director, Value Based Programs
About The Position
NeueHealth is a value-driven healthcare company focused on coordinating care for health consumers across the ACA Marketplace, Medicare, and Medicaid. We align interests of consumers, providers, and payors to make healthcare accessible and affordable. NeueHealth operates clinics like Centrum Health and Premier Medical and partners with affiliated providers. We also provide technology and services to help providers succeed in performance-based arrangements. As a leader in value-based care, NeueHealth participates in CMS and CMMI alternative payment models. This role supports value-based care program strategy and operations, and evaluates new innovation model opportunities. The Director will report to the VP, Government Programs and Business Development, managing program evaluation, application writing, market analyses, policy updates, and stakeholder presentations. This integral team member will manage key deliverables and collaborate with the VP on strategic initiatives. Preferred locations are Miami, FL and Minneapolis, MN.
Requirements
- A Bachelor’s degree with a concentration in economics, business, public health, community health, healthcare administration or related field is required.
- 7+ years professional experience in health care consulting, policy, value-based care program management, or internal strategy.
- Prior experience with CMS models, such as MSSP or ACO REACH.
- Experience managing teams in a remote environment.
- Genuine interest in value-based care.
- Proficiency with MS Office tools including Excel, PowerPoint, and Word required.
- Critical thinker with the ability to identify, solve problems, and thrive in a fast-paced environment.
- Ability to independently draft PowerPoint presentations with “story telling”.
- Strong communication skills, both verbal and written.
- Organized and able to prioritize work to meet deadlines.
- Results and detail-oriented; accountable for their work.
- Comfortable working with large data sets.
- Team-player; contributes to a collaborate culture.
Nice To Haves
- An MBA, MHA, or MPP is preferred.
Responsibilities
- Set NeueHealth’s strategy for value-based care initiatives, including ACOs and other CMS/CMMI alternative payment models.
- Serve as a subject matter expert on CMS alternative payment models, value-based care transformation, and population health management strategies.
- Develop and deliver executive-level presentations, strategic recommendations, and stakeholder communications.
- Evaluate and pursue participation in new CMS and CMMI innovation models.
- Lead development of model applications, responses to RFAs, and other CMS/CMMI submissions.
- Oversee program implementation and ongoing management for Medicare Shared Savings Program (MSSP), LEAD, AHEAD, and other government-sponsored value-based care initiatives.
- Monitor and interpret federal healthcare policy, CMS rulemaking, and CMMI model updates and own relationships with trade associations.
- Conduct market research and competitive analyses to identify growth opportunities, partnership strategies, and emerging trends.
- Partner cross-functionally with clinical, actuarial, finance, operations, network management, analytics, compliance, legal, and practice transformation teams to drive successful program execution.
- Other duties as required.
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What This Job Offers
Job Type
Full-time
Career Level
Director
