Job Description Summary
The Executive Director Value Based Care will serve as the senior leader responsible for managing and advancing the strategic value-based care collaboration between Millennium Physician Group (MPG) and other organizations. This role will oversee all value-based activities across the Medicare Advantage (MA) and Medicare Accountable Care Organization (ACO) lines of business. The Executive Director will act as the central point of accountability for partnership execution ensuring alignment of physician operational and financial strategies to deliver improved patient outcomes and optimized performance under value-based care arrangements.
How will you make an impact & Requirements
Responsibilities
- Serve as the primary executive liaison between MPG and partner organizations for partnership strategy operations and performance.
- Build and maintain trust-based relationships with leadership teams physicians and staff across both organizations.
- Define and manage the joint governance structure ensuring alignment of goals accountability and transparent decision-making.
- Lead the execution of value-based initiatives for Medicare Advantage and Medicare ACO populations including quality utilization and cost management.
- Oversee contract management performance measurement and compliance with CMS requirements.
- Partner with analytics teams to monitor clinical financial and operational metrics and provide actionable insights to leadership.
- Drive strategies to improve Star Ratings HEDIS measures risk adjustment accuracy and shared savings opportunities.
- Develop and implement physician engagement strategies to align clinical performance with value-based goals.
- Support provider education compensation alignment and redesign workflow to ensure adoption of best practices.
- Partner with care management and clinical operations leaders to integrate population health strategies across the care continuum.
- Coordinate cross-functional initiatives (clinical operations analytics contracting finance) to deliver on partnership objectives.
- Ensure timely reporting and communication of performance against key metrics.
- Identify gaps and implement improvement plans to ensure the sustainability of value-based results.
- Identify opportunities for expansion of partnership activities including new MA contracts ACO participation or additional value-based models.
- Assess market trends regulatory changes and competitor activity to inform strategy.
- Develop business cases and recommendations for leadership to expand or enhance the partnerships value-based portfolio.
- Demonstrate excellent guest service to internal team members and patients.
- Perform other related duties as assigned.
Qualifications
- Bachelors degree in business administration Health Administration or related field. Masters degree preferred.
- 10 years of progressive leadership experience in healthcare management with significant exposure to value-based care.
- Proven track record managing Medicare Advantage and ACO programs including contract performance and physician engagement.
- Experience leading partnerships joint ventures or collaborative healthcare models strongly preferred.
- Strong financial and analytical acumen with the ability to interpret complex data and drive performance improvement.
- Excellent communication negotiation and relationship-building skills with physicians executives and payors.
- Demonstrated ability to manage ambiguity prioritize competing demands and deliver measurable results.
- Knowledge of CMS programs risk adjustment and value-based reimbursement structures.
- Improved partnership performance against Medicare Advantage and ACO benchmarks.
- Achievement of targeted shared savings and quality outcomes.
- Strong physician engagement and alignment with partnership goals.
- Effective governance and joint decision-making between MPG and partner organizations.
- Ability to work independently in a fast-paced cross-functional environment.
Physical Demands
- Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift carry push pull or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists hands and/or fingers. The worker must have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Ability to lift to 15 lbs. independently not to exceed 50 lbs. without help.
Equal Employment Opportunity
- MPG is committed to equal employment opportunities. We will not discriminate against employees or applicants for employment in employment opportunities or practices based on race color sex (including pregnancy) genetic information sexual orientation religion physical or mental disability age military or veteran status marital status familial status national origin or any other legally protected class.
- Equal opportunity applies to all areas of the employment relationship including hiring promotions training terminations working conditions pay and other terms and conditions of employment.
- Millennium Physician Group (MPG) is committed to the full inclusion of all qualified keeping with our commitment MPG will take steps to assure that people with disabilities are provided reasonable accommodations. Accordingly if reasonable accommodation is required to fully participate in the job application or interview process to perform the essential functions of the position and/or to receive all other benefits and privileges of employment contact .
Required Experience:
Director
Job Description SummaryThe Executive Director Value Based Care will serve as the senior leader responsible for managing and advancing the strategic value-based care collaboration between Millennium Physician Group (MPG) and other organizations. This role will oversee all value-based activities acros...
Job Description Summary
The Executive Director Value Based Care will serve as the senior leader responsible for managing and advancing the strategic value-based care collaboration between Millennium Physician Group (MPG) and other organizations. This role will oversee all value-based activities across the Medicare Advantage (MA) and Medicare Accountable Care Organization (ACO) lines of business. The Executive Director will act as the central point of accountability for partnership execution ensuring alignment of physician operational and financial strategies to deliver improved patient outcomes and optimized performance under value-based care arrangements.
How will you make an impact & Requirements
Responsibilities
- Serve as the primary executive liaison between MPG and partner organizations for partnership strategy operations and performance.
- Build and maintain trust-based relationships with leadership teams physicians and staff across both organizations.
- Define and manage the joint governance structure ensuring alignment of goals accountability and transparent decision-making.
- Lead the execution of value-based initiatives for Medicare Advantage and Medicare ACO populations including quality utilization and cost management.
- Oversee contract management performance measurement and compliance with CMS requirements.
- Partner with analytics teams to monitor clinical financial and operational metrics and provide actionable insights to leadership.
- Drive strategies to improve Star Ratings HEDIS measures risk adjustment accuracy and shared savings opportunities.
- Develop and implement physician engagement strategies to align clinical performance with value-based goals.
- Support provider education compensation alignment and redesign workflow to ensure adoption of best practices.
- Partner with care management and clinical operations leaders to integrate population health strategies across the care continuum.
- Coordinate cross-functional initiatives (clinical operations analytics contracting finance) to deliver on partnership objectives.
- Ensure timely reporting and communication of performance against key metrics.
- Identify gaps and implement improvement plans to ensure the sustainability of value-based results.
- Identify opportunities for expansion of partnership activities including new MA contracts ACO participation or additional value-based models.
- Assess market trends regulatory changes and competitor activity to inform strategy.
- Develop business cases and recommendations for leadership to expand or enhance the partnerships value-based portfolio.
- Demonstrate excellent guest service to internal team members and patients.
- Perform other related duties as assigned.
Qualifications
- Bachelors degree in business administration Health Administration or related field. Masters degree preferred.
- 10 years of progressive leadership experience in healthcare management with significant exposure to value-based care.
- Proven track record managing Medicare Advantage and ACO programs including contract performance and physician engagement.
- Experience leading partnerships joint ventures or collaborative healthcare models strongly preferred.
- Strong financial and analytical acumen with the ability to interpret complex data and drive performance improvement.
- Excellent communication negotiation and relationship-building skills with physicians executives and payors.
- Demonstrated ability to manage ambiguity prioritize competing demands and deliver measurable results.
- Knowledge of CMS programs risk adjustment and value-based reimbursement structures.
- Improved partnership performance against Medicare Advantage and ACO benchmarks.
- Achievement of targeted shared savings and quality outcomes.
- Strong physician engagement and alignment with partnership goals.
- Effective governance and joint decision-making between MPG and partner organizations.
- Ability to work independently in a fast-paced cross-functional environment.
Physical Demands
- Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift carry push pull or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists hands and/or fingers. The worker must have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Ability to lift to 15 lbs. independently not to exceed 50 lbs. without help.
Equal Employment Opportunity
- MPG is committed to equal employment opportunities. We will not discriminate against employees or applicants for employment in employment opportunities or practices based on race color sex (including pregnancy) genetic information sexual orientation religion physical or mental disability age military or veteran status marital status familial status national origin or any other legally protected class.
- Equal opportunity applies to all areas of the employment relationship including hiring promotions training terminations working conditions pay and other terms and conditions of employment.
- Millennium Physician Group (MPG) is committed to the full inclusion of all qualified keeping with our commitment MPG will take steps to assure that people with disabilities are provided reasonable accommodations. Accordingly if reasonable accommodation is required to fully participate in the job application or interview process to perform the essential functions of the position and/or to receive all other benefits and privileges of employment contact .
Required Experience:
Director
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