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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Expertise in developing and executing value-based care strategies, managing provider risk arrangements, and aligning financial and clinical operations to enhance performance metrics. Proven ability to lead cross-functional teams and communicate effectively with executive leadership and stakeholders.
Highest-signal resume keywords
Value-Based Care StrategyProvider Risk ArrangementsFinancial ManagementContract NegotiationsPerformance Measurement
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Healthcare AdministrationProvider StrategyRisk ContractsFinancial ModelingDashboard Development
Soft Skills
Written CommunicationVerbal CommunicationPresentation SkillsAnalytical SkillsStrategic Planning
Industry Keywords
Medicare AdvantagePopulation HealthUtilization ManagementQuality PerformanceStar Ratings
About the role
Key responsibilities & impact- Develop and execute the enterprise value-based care strategy across Medicare Advantage and other applicable lines of business
- Design and oversee provider risk arrangements, including shared savings, downside risk, capitation, and global budget models
- Partner with Finance and Actuarial teams to ensure financial sustainability, risk adjustment accuracy, and margin performance
- Establish provider performance frameworks aligning quality, cost, utilization, and experience metrics
- Lead development of provider incentives, scorecards, and performance reporting
- Partner with Clinical Operations to align care management, utilization management, and population health strategies to value-based care goals
- Collaborate with Analytics teams on performance measurement, attribution, benchmarking, and forecasting
- Serve as a senior leader in provider engagement, including contract negotiations, performance reviews, and strategic planning
- Oversee governance structures for value-based programs, including executive committees and provider councils
- Monitor market trends, CMS policy changes, and emerging value-based models and translate them into strategic recommendations
- Drive adoption of value-based workflows and accountability across internal teams and provider organizations
- Support enterprise initiatives aligning value-based strategy with quality performance, consumer experience, and Star Ratings
- Communicate progress, risks, and opportunities to executive leadership and Boards
Requirements
What you’ll need- Bachelor’s degree in Healthcare Administration, Business, Finance, Public Health, or a related field
- Ten (10) or more years of progressive experience in value-based care, provider strategy, healthcare finance, or managed care
- Seven (7) or more years of experience designing or managing provider risk arrangements or value-based programs
- Demonstrated success designing and scaling advanced risk arrangements, including partial and full capitation, global budgets, or population-based payment models
- Experience aligning quality, utilization management, care management, and population health programs to value-based performance goals
- Demonstrated experience working directly with providers, health systems, or physician organizations
- Proven ability to lead cross-functional initiatives across clinical, financial, and operational teams
- Strategic planning
- Financial management
- Contracting
- Risk contracts
- Financial modeling
- Analytical skills
- Written / verbal communication
- Presentation skills
- Provider engagement
- Dashboard development
Benefits
Comp & perks- Generous benefits package covering programs for wellness, healthy living, security, connection, and engagement
- Remote work expectations and company equipment provisions for hybrid roles
- Equal opportunity employment