Senior Manager Value Based Care Innovation
About The Position
The Senior Manager, Value-Based Care Innovation identifies, evaluates, and scopes programs that can improve value-based care performance, provider experience, and population health outcomes. Reporting to the VP, Value-Based Care, this role leads innovation initiatives from concept through evaluation and works closely with the Director, Value-Based Care Partner Success to ensure solutions address provider and market needs. The role evaluates emerging programs, technologies, and operational models for the Value-Based Care roadmap; develops business cases and recommendations based on expected clinical, operational, and financial impact; and prioritizes opportunities that align with organizational and provider partner needs. It leads pilot and proof-of-concept implementation and coordination, defines objectives and success measures, and evaluates outcomes to recommend whether initiatives should be expanded, refined, or discontinued. The Senior Manager establishes and monitors process, operational, and outcome KPIs; develops executive reporting and performance dashboards; escalates risks and barriers; and coordinates work across Value-Based Care, Analytics, Population Health, Product, and Technology teams. The role also incorporates provider and market feedback into program design and prioritization and supports provider-facing initiatives. Supervisory responsibilities include managing others, including hiring, performance reviews, and corrective action. The position supports SCAN’s vision and goals and performs other duties as assigned.
Requirements
- Bachelor’s degree or equivalent experience in Healthcare Administration, Business, Public Health, or a related field.
- At least 5 years of experience in healthcare strategy, value-based care, population health, consulting, product management, or program management.
- Strong project management, analytics, and stakeholder management skills.
- Experience leading cross-functional initiatives and evaluating program performance.
- Experience with external vendor evaluation and implementation.
- Experience with pilot or field implementation design.
Nice To Haves
- Medicare Advantage experience.
- Value-based care experience.
- Curiosity about AI and its potential to transform operations and member service.
Responsibilities
- Evaluate emerging programs, technologies, and operational models for inclusion in the Value-Based Care roadmap.
- Develop business cases and recommendations based on expected clinical, operational, and financial impact.
- Prioritize opportunities aligned with organizational and provider partner needs.
- Lead implementation and coordination of pilots and proof-of-concept initiatives.
- Define pilot objectives, success measures, timelines, and resource requirements.
- Evaluate pilot outcomes and recommend expansion, refinement, or discontinuation.
- Establish and monitor key process, operational, and outcome KPIs.
- Develop executive reporting and performance dashboards.
- Escalate risks, barriers, and underperforming initiatives to leadership.
- Coordinate efforts across Value-Based Care, Analytics, Population Health, Product, and Technology teams.
- Ensure alignment between business priorities, reporting capabilities, and technical development.
- Facilitate stakeholder communication, governance, and decision-making.
- Partner with the Director, Value-Based Care Partner Success to identify innovation opportunities and support provider-facing initiatives.
- Incorporate provider and market feedback into program design and prioritization.
- Manage others, including hiring, performance reviews, and corrective action.
- Support the achievement of SCAN’s vision and goals and perform other duties as assigned.
Benefits
- Annual employee bonus program.
- Robust wellness program.
- Generous paid time off (PTO).
- 11 paid holidays per year, one floating holiday, birthday off, and two volunteer days.
- 401(k) retirement savings plan with employer match.
- Employee recognition program.
- Tuition reimbursement.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
