Senior Manager Value Based Care Innovation

SCAN Health Plan • Long Beach, CA

1d • Remote

About The Position

The Senior Manager, Value-Based Care Innovation identifies, evaluates, and scopes programs intended to 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 partners 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 based on clinical, operational, and financial impact; and prioritizes opportunities in alignment with organizational and provider partner needs. It leads pilots and proof-of-concept initiatives, sets objectives and measures, monitors performance, and recommends whether initiatives should be expanded, refined, or discontinued. The position coordinates cross-functional teams and supports provider-facing initiatives by incorporating provider and market feedback.

The position supervises and manages others, supports SCAN’s vision and goals, and performs other duties as assigned. SCAN describes the work mode as mostly remote and seeks people curious about AI and its potential to transform operations and member service.

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 designing pilots or field implementations.

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.
• Align 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.
• Supervise and manage others, including hiring, performance reviews, and corrective action.
• Actively support achievement of SCAN’s vision and goals.
• Perform other duties as assigned.

Benefits

• Annual employee bonus program.
• Robust wellness program.
• Generous paid time off.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior