Sr. Program Manager, Value Based Care

Honest Health

148d • $129,700 - $152,300

About The Position

The Sr. Program Manager, Value-Based Care is responsible for operationalizing value-based care government programs and strategy. In this role you will play a pivotal role in the overall success of the organization, ensuring proper implementation, operationalization, and tracking of value-based care programmatics. You will ensure program success through collaboration with cross-functional teams, regulatory compliance, and performance monitoring.

Requirements

• Bachelor’s degree in public health, healthcare administration, business, or related field required.
• Master’s degree in business, public administration, or related field preferred.
• 7+ years of experience or any combination of education and experience, which would provide an equivalent background, in managed care, quality improvement, or government program management.
• 3+ years of experience in value-based care, population health, government programs, or quality improvement.
• PMP or Lean Six Sigma certification preferred.
• Deep knowledge of Medicare, ACOs, and/or CMS Innovation models.
• Proven experience working cross-functionally and implementing, monitoring, and adjusting organizational-wide programs.
• Strong project management skills, including the ability to manage multiple projects simultaneously, prioritize tasks, and deliver results.
• Experience with project management tools and methodologies.
• Strong analytics and problem-solving skills; experience with data interpretation and performance reporting.
• Experience in value-based care and Medicare and/or Medicare Advantage policy, plan operations, data, and financial methodologies.
• Experience with Medicare Advantage and/or CMMI government programs (DCE, ACO REACH, MSSP, etc.).
• Excellent written and verbal communication skills, including ability to engage diverse audiences, both internal and external.
• Advanced Microsoft Office Suite skills.

Nice To Haves

• PMP or Lean Six Sigma certification preferred.

Responsibilities

• Serve as an organizational subject matter expert (SME) and tactical lead for ACO REACH and other Center for Medicare and Medicaid Innovations (CMMI) programs; knowledgeable of emerging trends within CMMI models.
• Partner with colleagues from Market Operations, Finance, Clinical Programs, and other domains to develop and clarify business questions, think critically about solutions, and deploy cross-departmental efforts.
• Develop tactical plans to ensure consistent deployment of ACO REACH education and program implementation across markets.
• Lead program design efforts in population health data reporting and care delivery benefit enhancements across multiple external business partners.
• Lead development of specialist and SNF networks and serve as primary contact for ACO preferred providers.
• Identify opportunities and facilitate analyses to improve care delivery, support population health, and contextualize observed performance trends in Medicare REACH contracts.
• Work with teams across Honest to conduct ROI analyses of existing ACO REACH programs.
• Manage and facilitate periodic reports, as well as any necessary ad hoc reports, to provide insight into REACH performance.
• Partner with teams across the organization to ensure programs meet regulatory requirements, are implemented according to plan, and trackable to provide insights into progress and program efficacy.
• Maintain the value-based care program, including things like provider roster management, government program database entry, and tactical performance.
• Support preparation of presentations, updates, and strategy briefs for senior leadership, government agencies, and external partners.
• Assist the advocacy team in shaping responses to proposed rules or initiatives and translating operational insights into policy recommendations.
• Perform other related responsibilities as assigned.

Benefits

• Competitive Compensation
• Attractive base salary with performance-based bonuses and rewards
• 401(k) plan with a generous company match, fully vested from day one
• Comprehensive Health and Wellness Benefits
• Flexible health, dental, and vision insurance options tailored to your needs
• Company contribution towards health savings accounts (HSA) for high-deductible health plan (HDHP) participants
• 100% company-paid short-term disability and life insurance
• Wellness programs and resources to support your physical and mental health
• Generous paid time off, including vacation, sick leave, and paid holidays annually
• Two paid volunteer days to support causes you're passionate about
• Flexible work arrangements to accommodate your lifestyle
• Robust onboarding program and ongoing training opportunities
• Reimbursement for role-related continuing education and certifications
• Paid parental leave for new parents
• Dependent care flexible spending accounts
• Support for work-life integration
• Opportunities to contribute to meaningful projects and initiatives
• Team member recognition programs
• Team-building events and social activities

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree