VP, Value Based Care

SHPCA SCAN Health Plan • Long Beach, CA

1d • Remote

About The Position

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve. About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 300,000 members in California, Arizona, Nevada, New Mexico, Washington and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org , www.scanhealthplan.com , or follow us on LinkedIn ; Facebook ; and Twitter . As the Vice President of Value Based Care, you will be responsible for developing and executing on SCAN’s strategy to drive financial and quality performance within our network, with a particular focus on managing total cost of care (TCOC). Partners with senior leadership across the organization to ensure SCAN’s clinical programs, contracting approach, and provider engagement come together to drive performance. We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Actively support the achievement of SCAN’s Vision and Goals. Other duties as assigned.

Requirements

• Bachelor’s Degree or equivalent experience required, Master’s degree preferred
• 10+ years of experience within a hospital, medical group, or health plan.
• Must have the ability to work collaboratively with senior leaders.
• Must have strong verbal communication skills.
• Must have ability to critically analyze data.
• Demonstrated leadership and management skills.
• Must have proven results overseeing quality and cost management programs.
• Strong interpersonal skills, including excellent written and oral communication skills: strong commitment to detail.

Nice To Haves

• Demonstrated expertise in Geriatrics.

Responsibilities

• Strategy development: Develop overall strategy for optimizing SCAN’s cost of care and quality performance.
• Clinical Operations and Playbook Design: Serve as the GM Organization’s dyad partner to work with Clinical Leadership to develop our clinical model. Lead a team of program managers to design and document a playbook of interventions to improve quality and reduce cost.
• Clinical Program Implementation: work with our central clinical functions, and our local market leadership (contracting and GM) to implement our playbook across our markets, adapting to the local market realities and arrangements with our contracted network.
• Performance management: In partnership with the Scan Analytics team, design and maintain the overall measurement framework for tracking and managing financial and clinical performance.
• Contract performance and governance structure: Design a Scan-based governance structure for contract performance oversight that effectively engages Scan’s clinical and administrative leaders.
• Continually assess external environment for both new value-based contracting opportunities and for trends and best practices around performance in risk-sharing arrangements.
• Organizational growth: Work closely with HR to build the Scan VBC care team by identifying core team needs, and hiring and training top talent.
• IT roadmap: In close partnership with SCAN’s IT leadership team, design a technology strategy and roadmap to support overall performance.
• Payor relations / network management input: Serve as key local POC for system network and contracting team to inform overall strategy for contract negotiations and payer collaboration.
• Actively support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

Benefits

• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
• Excellent 401(k) Retirement Saving Plan with employer match
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

What This Job Offers

• Job Type: Full-time
• Career Level: Executive