Director of Value-Based Reimbursement (VBR) & CIN
Director of Value-Based Reimbursement (VBR) & CIN
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Job Description
Director of Value-Based Reimbursement (VBR) & Clinically Integrated Network (CIN)
Location: Southfield MI (On-site with local travel as needed)
Employment Type: Full-Time
Shape the Future of Healthcare Value and Integration with EPIC Health
At EPIC Health we are redefining healthcare through innovation collaboration and a relentless focus on patient outcomes. As a mission-driven organization we are committed to advancing value-based care models that promote better health lower costs and a superior experience for patients providers and payers.
We believe high-quality care begins with strong systems smart strategy and integrated teamsand were building just that.
Position Summary
We are seeking an experienced and strategic Director of VBR and CIN to lead the development execution and optimization of our value-based care contracts and our Clinically Integrated Network (CIN). This role will oversee all aspects of performance-based reimbursement models payer relationships provider engagement and population health strategies to ensure financial sustainability and clinical excellence.
Key Responsibilities
Value-Based Reimbursement (VBR):
- Lead the strategic development and implementation of VBR programs including shared savings capitation bundled payments and risk-based models.
- Manage payer negotiations and contract performance for Medicare Medicaid and commercial payers.
- Monitor financial and clinical performance metrics and ensure alignment with contractual obligations.
- Collaborate with finance analytics and clinical teams to track ROI and optimize contract performance.
Clinically Integrated Network (CIN):
- Drive the growth and governance of the CIN ensuring alignment with regulatory requirements and value-based goals.
- Onboard providers into the CIN with a focus on engagement and performance accountability.
- Lead clinical integration initiatives that support care coordination data sharing and evidence-based care delivery.
- Ensure provider alignment with quality metrics incentive programs and population health targets.
Leadership & Strategy:
- Collaborate with executive leadership to design and implement strategic plans that support organizational goals in VBR and CIN.
- Lead multidisciplinary teams and oversee project execution across departments.
- Serve as a subject matter expert on market trends CMS initiatives payer models and policy updates.
Qualifications
- Bachelors degree required; Masters in Health Administration Public Health Business or related field preferred.
- Minimum 45 years of experience in both VBR (value-based reimbursement) and CIN (clinically integrated networks) with proven leadership and operational success.
- Strong knowledge of healthcare contracting risk adjustment methodologies and payer-provider relations.
- Familiarity with MACRA MSSP ACO models and commercial VBR arrangements.
- Exceptional analytical communication and stakeholder engagement skills.
- Experience working within health systems MSOs ACOs or physician groups preferred.
What We Offer
- Competitive salary and performance-based incentives
- Comprehensive benefits package including health dental vision disability life insurance
- 401(k) Retirement Plan
- Generous PTO and Paid Holidays
- Opportunity to lead transformative initiatives that directly impact patients and providers
- A collaborative mission-driven culture focused on innovation and long-term impact
Why EPIC Health
At EPIC Health we dont just deliver carewe transform lives. As a physician-led patient-first healthcare system we serve Michigans most vulnerable communities with compassionate coordinated and culturally responsive care. Youll join a leadership team committed to advancing healthcare excellence through strategy execution and empathy.
Apply Today
Ready to shape the next generation of healthcare delivery Join a leadership team thats all-in on better outcomes for our patients and our communities.
Background check required for this position.
Required Experience:
Director
Employment Type
Full-Time
