Value Based Care Performance Director Medicare Advantage

Site: Mass General Brigham Incorporated

Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Responsible for managing and optimizing value-based care performance ensuring financial and clinical outcomes align with the hospitals strategic goals. Develops initiatives to improve value-based contracts analyze performance metrics and collaborate with cross-functional teams to enhance care quality and financial efficiency.
Does this position require Patient Care
No
Essential Functions:
-Oversees implementing and managing value-based care initiatives to improve financial performance and patient outcomes.
-Analyzes performance data from value-based contracts identifying trends risks and opportunities for improvement.
-Collaborates with clinical and financial teams to develop strategies that meet value-based care objectives.
-Leads efforts to optimize revenue through effective management of risk-adjusted payments and performance incentives.
-Monitors quality and financial metrics ensuring compliance with contractual obligations and regulatory standards.
-Provides regular performance reports to senior leadership highlighting key metrics and areas for improvement.
-Manages relationships with payer partners negotiating terms and managing expectations to support organizational goals.
-Supports care management programs by providing financial insights and guidance on cost-effective strategies.
-Drives continuous improvement efforts by implementing best practices in value-based care and reimbursement.

Education
Bachelors Degree Healthcare Administration required or Bachelors Degree Finance required or Bachelors Degree Related Field of Study required or Masters Degree Related Field of Study preferred

Can this role accept experience in lieu of a degree
No

Licenses and Credentials

Experience
Experience in healthcare financial management or value-based care 5-7 years required and Experience in a leadership role 3-5 years required

Knowledge Skills and Abilities
- Strong analytical skills for interpreting financial and clinical data in value-based care.
- In-depth understanding of value-based payment models and healthcare reimbursement.
- Excellent communication and collaboration skills for working with cross-functional teams and external partners.
- Proven ability to lead initiatives that drive performance improvement in financial and clinical outcomes.
- Proficiency in data analysis tools and healthcare financial reporting software.

Physical Requirements

• Standing Occasionally (3-33%)
• Walking Occasionally (3-33%)
• Sitting Constantly (67-100%)
• Lifting Occasionally (3-33%) 20lbs - 35lbs
• Carrying Occasionally (3-33%) 20lbs - 35lbs
• Pushing Rarely (Less than 2%)
• Pulling Rarely (Less than 2%)
• Climbing Rarely (Less than 2%)
• Balancing Occasionally (3-33%)
• Stooping Occasionally (3-33%)
• Kneeling Rarely (Less than 2%)
• Crouching Rarely (Less than 2%)
• Crawling Rarely (Less than 2%)
• Reaching Occasionally (3-33%)
• Gross Manipulation (Handling) Constantly (67-100%)
• Fine Manipulation (Fingering) Frequently (34-66%)
• Feeling Constantly (67-100%)
• Foot Use Rarely (Less than 2%)
• Vision - Far Constantly (67-100%)
• Vision - Near Constantly (67-100%)
• Talking Constantly (67-100%)
• Hearing Constantly (67-100%)

Remote

399 Revolution Drive

40

Regular

Day (United States of America)

Pay Range

$121908.80 - $177351.20/Annual

Grade

9

At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

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