Vice President, VBC Impact & Strategy

Q Point Health LLC• US,

11d•Remote

About The Position

The Vice President of Value-Based Care Impact & Strategy will lead the organization’s efforts to comprehensively assess the impact of its value-based care model across clinical, financial, operational, and patient-level outcomes; demonstrate Equality Health’s value to external stakeholders (i.e., tailored to specific payer partners, provider network, state agencies), and shape Equality Health’s future value-based care offerings. The VP will build the enterprise capability for on-going comprehensive VBC impact assessment, partnering closely with Medical Economics, Actuarial, Clinical, Operations, and Growth teams to define frameworks and metrics to assess impact across Equality Health’s stakeholders and to establish processes and governance for on-going evaluation. The VP will translate findings into clear, credible narratives for external stakeholders and use these insights to shape payer and provider strategy, strengthen partner engagement and retention, support growth, and drive opportunities to enhance Equality Health’s programs and overall value proposition. The ideal candidate combines deep expertise in value-based care and healthcare economics with exceptional strategic thinking, synthesis, and executive communication skills. They are comfortable interpreting complex healthcare performance data, developing compelling value narratives for different audiences, engaging senior payer and provider leaders, and orchestrating cross-functional teams.

Requirements

10+ years of progressive experience in value-based care, healthcare economics, healthcare analytics, actuarial analysis, outcomes research, population health, healthcare strategy, or a related field.
Significant experience within or partnering with health plans, provider organizations, risk-bearing medical groups, accountable care organizations, healthcare technology companies, or management services organizations.
Deep understanding of value-based care models, including total cost of care, shared savings, downside risk, capitation, quality incentives, and provider performance.
Strong understanding of healthcare claims, clinical, financial, quality, and operational data and how these data are used to evaluate clinical and financial performance.
Knowledge of attribution, risk adjustment, benchmarking, trend, program evaluation, and financial impact measurement, with the ability to assess the credibility and limitations of different measurement approaches.
Demonstrated ability to synthesize complex clinical, financial, and operational results into a clear and compelling value story tailored to the priorities of payer, provider, and executive audiences.
Experience developing and communicating evidence of value, impact, or ROI to senior healthcare executives and external partners.
Demonstrated ability to move from analysis to insight—identifying what matters, why it matters, and the implications for strategy, customers, and the business.
Experience working cross-functionally with clinical, actuarial, finance, analytics, operations, product, network, growth, and commercial teams.
Exceptional executive communication, storytelling, and presentation skills, with the ability to establish credibility and influence across senior leadership, Boards, payer and provider executives, and other external stakeholders.
Bachelor’s degree in economics, statistics, mathematics, public health, health services research, actuarial science, business, data science, or a related discipline.

Nice To Haves

Master’s degree or other advanced degree in a relevant field.
Deep experience with Medicaid managed care and populations, including an understanding of the clinical, social, operational, and economic dynamics that influence Medicaid outcomes.
Experience developing value propositions and performance narratives for payer and/or provider partners within a value-based care environment.
Experience evaluating healthcare interventions using comparative, longitudinal, or other rigorous program-evaluation methodologies.
Familiarity with causal inference and quasi-experimental study design and the ability to appropriately interpret and communicate findings from these analyses.
Experience supporting customer relationships, contract renewals, growth opportunities, or strategic partnerships through evidence of clinical and financial impact.
Experience presenting performance and value results to Boards, customers, investors, regulators, or other senior external audiences.

Responsibilities

Develop the framework to assess the impact of Equality Health’s value-based care model for payer partners, providers, and states.
Define the clinical, financial, operational, quality, utilization, patient experience, and health equity measures that collectively demonstrate the value of Equality Health’s model.
Provide strategic direction to define the analytical questions and evidence to substantiate Equality Health’s value proposition, partnering with Medical Economics, Actuarial, and other analytical teams to develop the supporting analyses.
Synthesize findings across multiple analytic domains into an integrated view of performance.
Identify the most significant drivers of cost, utilization, quality, clinical outcomes, and translate those insights into opportunities to strengthen Equality Health’s impact.
Use evidence of impact to inform enterprise strategy, VBC model design, investment priorities, product and program development, and care-model design.
Lead the development of differentiated, evidence-based value stories for payer partners, providers, state agencies, and other external stakeholders, translating complex healthcare performance results into compelling executive narratives of the value Equality Health delivers.
Establish consistent approaches, frameworks, and materials to communicate Equality Health’s impact while tailoring the value story to the priorities and needs of each audience.
Serve as a senior subject-matter expert in customer discussions, executive and Board presentations, business development, and external communications related to Equality Health’s value-based care impact.
Serve as a strategic advisor to executive leadership on value-based care performance, opportunities to increase impact, and areas of performance or customer risk.
Shape the strategy, design, and evolution of Equality Health’s value-based care models, reflecting how Equality Health delivers value to different stakeholders and helps address changing healthcare market dynamics.
Partner closely with Clinical, Medical Economics, Actuarial, Finance, Operations, Product, Network, Growth, and customer-facing teams to align around how Equality Health creates and demonstrates value.
Bring the payer and provider perspective into internal discussions about program design, operating priorities, and investments to ensure Equality Health remains focused on outcomes that matter most to its partners.