Director, Value Based Programs
About The Position
NeueHealth is a value-driven healthcare company focused on making healthcare accessible and affordable. We deliver clinical care through owned clinics and partnerships, and enable providers to succeed in performance-based arrangements. As a leader in value-based care, NeueHealth participates in CMS and CMMI alternative payment models. We are hiring a Director to support value-based care program strategy and operations, and evaluate new innovation model opportunities. This role reports to the VP, Government Programs and Business Development and manages a portfolio including program evaluation, market analyses, policy updates, and stakeholder presentations. The Director will collaborate with the VP on strategic initiatives.
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
