Director of Value Based Care
On-site · Florence, South Carolina, United States
Job Summary
Strategic leader responsible for developing, implementing, and optimizing value-based care initiatives across the organization, including management of payer incentives, shared savings programs, risk adjustment, and quality performance. Oversees coordination with MCOs, ACOs, Medicare Advantage plans, and related payer contracts; leads Value-Based Care Coordinators; collaborates with clinical, operational, finance, coding, quality, and analytics teams to improve patient outcomes and maximize organizational performance. Responsibilities include risk adjustment and coding integrity, quality improvement and population health initiatives, care coordination, utilization management, and ensuring compliance with payer and regulatory requirements. Requires strong analytical skills, proficiency with healthcare reporting and analytics tools, and ability to drive performance dashboards and contract reporting.
Required Qualifications
- Bachelor’s degree in Healthcare Administration, Nursing, Business Administration, Public Health, or related field
- Minimum of 5 years of experience in value-based care, population health, managed care, healthcare operations, quality improvement, or related healthcare leadership role
- Experience with payer incentive programs, shared savings arrangements, risk adjustment, and quality initiatives
- Experience with Medicare Advantage, ACOs, MCOs, and FQHC quality reporting preferred
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