Manager, Value-Based Care
About The Position
Premier Community HealthCare Group is seeking a strategic, mission-driven Manager, Value-Based Care to lead value-based performance across managed-care and Accountable Care Organization (ACO) portfolios. This leadership role connects clinical operations, risk coding, data analytics, revenue cycle, and senior leadership to improve outcomes and strengthen contract performance. The manager owns key value-based care metrics, turns data into action, closes care gaps, and helps Premier meet and exceed contract targets. As a member of the leadership team, the manager serves as Premier’s value-based care subject-matter expert and helps advance value-based care across the organization. The role leads Premier’s value-based care program and partners with senior leadership on strategy, growth, and sustainability. It drives provider engagement, risk-score capture, coding accuracy, and resolution of documentation and continuity-of-care gaps. The manager owns dashboards, payer scorecards, ACO data, risk scores, seen rates, and care-gap performance; leads cross-functional gap-closure and coding huddles; and oversees Annual Wellness Visit, newly attributed-member, patient outreach, and redetermination-retention workflows. The manager also partners with Quality and Marketing on campaigns and optimizes Epic alerts, registries, and supplemental-data workflows so delivered care is accurately captured and credited. This position offers an opportunity to influence quality, access, outcomes, and value-based performance; build and develop the Value-Based Care team; and help shape Premier’s long-term strategy in a collaborative, mission-driven community health organization focused on accessible, compassionate, high-quality care.
Requirements
- Bachelor’s degree in Health Information Management, Public Health, Healthcare Administration, Nursing, or a related field; alternatively, 10+ years of relevant experience as determined by Human Resources.
- A high school diploma with commitment to obtain a degree within a reasonable period may be considered under PCHG guidelines.
- Five years of healthcare experience, including two years in value-based care, population health, quality improvement, or risk adjustment.
- Experience leading teams or projects.
- Strong understanding of value-based care, population health, quality measures, care gaps, and performance metrics.
- Ability to analyze data, identify opportunities, and develop actionable strategies.
- Ability to lift 20 lbs. regularly and 30–50 lbs. occasionally.
- Ability to sit for long periods of time.
- Ability to travel between PCHG sites for meetings, as necessary.
Nice To Haves
- FQHC, community health, or ACO experience.
- CRC, CPC, or CDIP certification.
- Epic experience and ability to maintain Epic certification and annual compliance.
Responsibilities
- Lead Premier’s value-based care program and partner with Senior Leadership on strategy, growth, and sustainability.
- Drive provider engagement, risk-score capture, coding accuracy, and resolution of documentation and continuity-of-care gaps.
- Own value-based care dashboards, payer scorecards, ACO data, risk scores, seen rates, and care-gap performance.
- Lead cross-functional gap-closure and coding huddles and prioritize the highest-value opportunities.
- Oversee Annual Wellness Visit, newly attributed-member, patient outreach, and redetermination-retention workflows.
- Partner with Quality and Marketing to develop campaigns that improve care-gap closure and patient-seen rates.
- Optimize Epic alerts, registries, and supplemental-data workflows so delivered care is accurately captured and credited.
- Build and develop the Value-Based Care team.
- Help advance Premier’s long-term value-based care strategy.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
