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Sr. Program Manager, Value Based Care

Sr. Program Manager, Value Based Care

Honest HealthNashville, TN, US
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Who You Are

You're a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don't deter youinstead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health's commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You're ready to join a team focused on reimagining primary care for a healthier future that benefits all.

Does this sound like you? If so, we should talk.

Who We Are

At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholdersfrom health systems, physician organizations, and payers to providers, practices, and patients to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we're creating a value-driven model that creates lasting benefits for everyone, now and into the future.

For us, that's just an Honest day's work.

Your Role

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.

Primary Functions of the Sr. Program Manager, Value Based Care Program Include :

  • 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.

How You Qualify

You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.

  • 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
  • The base pay range for this role is $129,700 - $152,300. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.

    How You are Supported

    Full time team members may be eligible for

    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
  • Work-Life Balance

  • 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
  • Professional Development

  • Robust onboarding program and ongoing training opportunities
  • Reimbursement for role-related continuing education and certifications
  • Family-Friendly Policies

  • Paid parental leave for new parents
  • Dependent care flexible spending accounts
  • Support for work-life integration
  • Collaborative and Purpose-Driven Environment

  • Work alongside professionals who share your commitment to Honest's high-quality, value-based care model
  • Opportunities to contribute to meaningful projects and initiatives
  • Additional Perks

  • Team member recognition programs
  • Team-building events and social activities
  • Join us and experience a rewarding career where your contributions are valued and your growth is supported.

    Honest Health is committed to ensuring fairness, opportunity, strong teams, and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit, without regard to race, color, religion, sex, national origin, disability, Veteran status, or other legally-protected characteristics.

    Honest Health is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email talent@honesthealth.com for assistance. Reasonable accommodation will be determined on a case-by-case basis.

    Honest Health values a secure and transparent recruitment process. We contact candidates through our official recruiting platform, email, or text message. When working directly with candidates, Honest Health will always use an HonestHealth.com email address. Our hiring process includes a live phone call or in-person interview before any formal offer is extended.

    To safeguard your personal information, Honest Health will never ask for confidential detailssuch as social security numbers, bank accounts, or routing numbersbefore making a formal offer. We will also never request financial transactions, PINs, passwords, or security access details through email, text, Venmo, or any social media platform.

    We encourage all candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication, please reach out to our team at talent@honesthealth.com

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