Sr. Program Manager, Value Based Care

Honest Health-posted 3 months ago
$129,700 - $152,300/Yr
Full-time • Mid Level
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The Sr. Program Manager, Value-Based Care is responsible for operationalizing value-based care government programs and strategy. In this role you will play a pivotal role in the overall success of the organization, ensuring proper implementation, operationalization, and tracking of value-based care programmatics. You will ensure program success through collaboration with cross-functional teams, regulatory compliance, and performance monitoring.

  • Serve as an organizational subject matter expert (SME) and tactical lead for ACO REACH and other Center for Medicare and Medicaid Innovations (CMMI) programs; knowledgeable of emerging trends within CMMI models.
  • Partner with colleagues from Market Operations, Finance, Clinical Programs, and other domains to develop and clarify business questions, think critically about solutions, and deploy cross-departmental efforts.
  • Develop tactical plans to ensure consistent deployment of ACO REACH education and program implementation across markets.
  • Lead program design efforts in population health data reporting and care delivery benefit enhancements across multiple external business partners.
  • Lead development of specialist and SNF networks and serve as primary contact for ACO preferred providers.
  • Identify opportunities and facilitate analyses to improve care delivery, support population health, and contextualize observed performance trends in Medicare REACH contracts.
  • Work with teams across Honest to conduct ROI analyses of existing ACO REACH programs.
  • Manage and facilitate periodic reports, as well as any necessary ad hoc reports, to provide insight into REACH performance.
  • Partner with teams across the organization to ensure programs meet regulatory requirements, are implemented according to plan, and trackable to provide insights into progress and program efficacy.
  • Maintain the value-based care program, including things like provider roster management, government program database entry, and tactical performance.
  • Support preparation of presentations, updates, and strategy briefs for senior leadership, government agencies, and external partners.
  • Assist the advocacy team in shaping responses to proposed rules or initiatives and translating operational insights into policy recommendations.
  • Perform other related responsibilities as assigned.
  • Bachelor’s degree in public health, healthcare administration, business, or related field required.
  • Master’s degree in business, public administration, or related field preferred.
  • 7+ years of experience or any combination of education and experience, which would provide an equivalent background, in managed care, quality improvement, or government program management.
  • 3+ years of experience in value-based care, population health, government programs, or quality improvement.
  • PMP or Lean Six Sigma certification preferred.
  • Deep knowledge of Medicare, ACOs, and/or CMS Innovation models.
  • Proven experience working cross-functionally and implementing, monitoring, and adjusting organizational-wide programs.
  • Strong project management skills, including the ability to manage multiple projects simultaneously, prioritize tasks, and deliver results.
  • Experience with project management tools and methodologies.
  • Strong analytics and problem-solving skills; experience with data interpretation and performance reporting.
  • Experience in value-based care and Medicare and/or Medicare Advantage policy, plan operations, data, and financial methodologies.
  • Experience with Medicare Advantage and/or CMMI government programs (DCE, ACO REACH, MSSP, etc.).
  • Excellent written and verbal communication skills, including ability to engage diverse audiences, both internal and external.
  • Advanced Microsoft Office Suite skills.
  • PMP or Lean Six Sigma certification preferred.
  • Competitive Compensation
  • Attractive base salary with performance-based bonuses and rewards
  • 401(k) plan with a generous company match, fully vested from day one
  • Comprehensive Health and Wellness Benefits
  • Flexible health, dental, and vision insurance options tailored to your needs
  • Company contribution towards health savings accounts (HSA) for high-deductible health plan (HDHP) participants
  • 100% company-paid short-term disability and life insurance
  • Wellness programs and resources to support your physical and mental health
  • Generous paid time off, including vacation, sick leave, and paid holidays annually
  • Two paid volunteer days to support causes you're passionate about
  • Flexible work arrangements to accommodate your lifestyle
  • Robust onboarding program and ongoing training opportunities
  • Reimbursement for role-related continuing education and certifications
  • Paid parental leave for new parents
  • Dependent care flexible spending accounts
  • Support for work-life integration
  • Opportunities to contribute to meaningful projects and initiatives
  • Team member recognition programs
  • Team-building events and social activities
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