Facktor

Trusted Advisors--Healthcare Experts--Proven Results

Value-Based Care Director

DirectorDirectorFull TimeRemoteTeam 11-50Since 2001H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

62 days ago

Salary

$150K - $200K / year

Postgraduate Degree7 yrs expEnglish

Job Description

• Lead and oversee the development and implementation of value-based care strategies for clients, including managed care, Medicare Advantage, Accountable Care Organizations (ACOs), Medicare ACO REACH, Medicare Shared Savings Program (MSSP), Clinically Integrated Networks (CINs); shared risk contracts, and capitation models. • Collaborate with FQHC healthcare providers and organizations to identify opportunities for optimizing financial and operational performance and achieving cost savings through value-based reimbursement initiatives. • Analyze client needs and current healthcare delivery systems to identify opportunities for transitioning to value-based care and achieving cost savings. • Provide strategic guidance to clients on state-based Alternative Payment Model (APM) readiness and implementation. • Provide strategic guidance to clients on payer negotiations, contract terms, and financial risk management in value-based arrangements. • Utilize data-driven approaches to measure and improve care quality, patient outcomes, and operational efficiencies across client organizations. • Work cross-divisionally across Facktor to support VBC projects. • Stay current with industry trends, regulatory changes, and best practices in value-based healthcare delivery, and translate insights into actionable recommendations for clients. • Provide thought leadership within the firm by disseminating knowledge, developing training programs, and contributing to firm-wide initiatives related to value-based payment models and value-based care. • Act as a subject matter expert on value-based care during client engagements, conferences, and other industry events. • Support and drive in business development efforts by identifying new opportunities, participating in client meetings, and contributing to proposal development.

Job Requirements

  • Master’s degree in healthcare administration, public health, business administration, or related field.
  • Minimum of 7 years of demonstrated experience leading complex, multi-stakeholder value-based care initiatives.
  • Progressive experience in healthcare management or managed care, with a focus on value-based care enablement, practice transformation, payer contracting, and alternative payment models.
  • Experience with FQHCs preferred.
  • Strategic, entrepreneurial thinker with the ability to develop innovative solutions to complex healthcare challenges.
  • Proven track record of successfully implementing value-based care initiatives, improving financial performance, and enhancing patient outcomes.
  • In-depth knowledge of managed care, Medicaid, Medicare Advantage, Medicare ACO REACH, Medicare Shared Savings Program (MSSP), CINs, ACOs, shared risk contracts, and capitation.
  • Passion for driving and advocating for change and a commitment to Facktor’s values: Should-to-Shoulder, With Heart, and Better Than Yesterday.
  • Strong analytical skills with proficiency in data analysis and interpretation.
  • Excellent communication and presentation skills, with the ability to influence and advise senior healthcare executives.
  • Demonstrated leadership capabilities and experience managing cross-functional teams.
  • Commitment to continuous learning and staying abreast of emerging trends in value-based care and APMs.

Benefits

  • N/A

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