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Vitae Health SystemsPosted 10/22/2026full-timeRemote • Illinois • United StatesMid-LevelSenior💰 $105,000 - $120,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Value-Based Care Operations, including managing ACO models and leading performance reviews. Proficient in data analysis, quality measures, and operational improvement cycles to enhance patient engagement and care coordination.
Highest-signal resume keywords
Value-Based Care OperationsCMS ACO Model ExperiencePerformance Review ManagementData Analysis and ReportingStaff Management
About the role
Key responsibilities & impact- Report to the Director of VBC Operations and lead VBC Operations Coordinators and a Patient Engagement Representative
- Run weekly team huddles and monthly performance reviews covering beneficiary alignment, utilization, quality, and reported spend
- Track LEAD quality measures and Prevention and Quality Plan milestones, reporting variances to leadership
- Monitor admissions, readmissions, ED visits, and post-acute stays; ensure high-risk patients have assigned owners and documented actions
- Review CMS reports and data feeds, flag variances, and escalate risks with recommended paths
- Maintain the master calendar of CMS deadlines and deliverables, with named owners and follow-up
- Oversee voluntary alignment against leadership targets and deadlines, including pre-submission reviews
- Reconcile CMS alignment lists with census and EHR data and lead root-cause reviews on avoidable attrition
- Reconcile Participant and Preferred Provider lists with HR and credentialing records at the TIN/NPI level
- Verify beneficiary notifications and outreach are completed and documented according to CMS requirements
- Coordinate VBC activities with operations managers at facility and NP levels
- Partner with VBC clinical leadership on workflows, checklists, and handoffs
- Support provider-facing scorecards, tip sheets, and trainings
- Submit and sequence data requests, review data for reasonableness, and identify automation opportunities
- Prepare performance summaries for senior leadership and ACO governance
- Lead root-cause reviews and track action plans through closure
- Facilitate quarterly PDSA improvement cycles involving Finance, clinical, and data partners
- Build and maintain a VBC operating playbook
- Coach the VBC operations team, set priorities and escalation thresholds, build SOPs, and resolve operational blockers
Requirements
What you’ll need- Bachelor’s degree in healthcare administration, public health, business, nursing, or a related field
- 4+ years in value-based care, ACO operations, or population health (provider-side strongly preferred)
- Direct experience in a CMS ACO model (ACO REACH, especially High Needs, MSSP, or LEAD)
- Experience in post-acute, SNF, or long-term care
- 2+ years managing staff
- Track record running recurring operating cadences and hitting deadlines
- Experience running structured improvement cycles (e.g., PDSA, Lean) and building playbooks
- Working knowledge of CMS alignment (claims-based and voluntary), ACO quality measures, beneficiary protections and marketing requirements, and benchmark and settlement basics
- Ability to drive follow-through across clinical, operational, and data teams without direct authority
- Clear communicator who can explain data to clinicians and leaders, and is comfortable with financial and utilization reports, Excel, BI dashboards, and EHR data
- Understanding of NP-led care teams (preferred)
- Clinical background (e.g., RN) (preferred)
- Master’s degree (preferred)
Benefits
Comp & perks- Health Care Plan (Medical, Dental & Vision)
- Retirement Plan (401k, IRA)
- Life Insurance (Basic, Voluntary & AD&D)
- Paid Time Off (Vacation, Sick & Public Holidays)
- Family Leave (Maternity, Paternity)
- Short Term & Long Term Disability
- Training & Development
- Work From Home
- Free Food & Snacks
- Wellness Resources
- Limited travel to facility partners and team meetings
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisQuality MeasuresPDSA Improvement CyclesLean MethodologyEHR Data ManagementCMS AlignmentBeneficiary ProtectionsOperational CadencesPlaybook DevelopmentFinancial Reporting
Soft Skills
Clear CommunicationTeam LeadershipCoachingProblem SolvingCollaboration
Tools & Technologies
ExcelBI Dashboards
Certifications & Qualifications
Bachelor’s Degree in Healthcare AdministrationMaster’s Degree (Preferred)Clinical Background (e.g., RN) (Preferred)
Industry Keywords
ACO OperationsPopulation HealthPost-Acute CareSNFHigh Needs