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Value-Based Care Director
FacktorValue-Based Care Director at Facktor leading value-based reimbursement models and optimizing healthcare delivery outcomes. Collaborate across divisions and advise clients in various healthcare sectors.
About the role
Key responsibilities & impact- Lead and oversee the development and implementation of value-based care strategies for clients, including managed care, Medicare Advantage, Accountable Care Organizations (ACOs), Medicare ACO REACH, Medicare Shared Savings Program (MSSP), Clinically Integrated Networks (CINs); shared risk contracts, and capitation models
- Collaborate with FQHC healthcare providers and organizations to identify opportunities for optimizing financial and operational performance and achieving cost savings through value-based reimbursement initiatives
- Analyze client needs and current healthcare delivery systems to identify opportunities for transitioning to value-based care and achieving cost savings
- Provide strategic guidance to clients on state-based Alternative Payment Model (APM) readiness and implementation
- Provide strategic guidance to clients on payer negotiations, contract terms, and financial risk management in value-based arrangements
- Utilize data-driven approaches to measure and improve care quality, patient outcomes, and operational efficiencies across client organizations
- Work cross-divisionally across Facktor to support VBC projects
- Stay current with industry trends, regulatory changes, and best practices in value-based healthcare delivery, and translate insights into actionable recommendations for clients
- Provide thought leadership within the firm by disseminating knowledge, developing training programs, and contributing to firm-wide initiatives related to value-based payment models and value-based care
- Act as a subject matter expert on value-based care during client engagements, conferences, and other industry events
- Support and drive in business development efforts by identifying new opportunities, participating in client meetings, and contributing to proposal development
Requirements
What you’ll need- Master’s degree in healthcare administration, public health, business administration, or related field
- Minimum of 7 years of demonstrated experience leading complex, multi-stakeholder value-based care initiatives
- Progressive experience in healthcare management or managed care, with a focus on value-based care enablement, practice transformation, payer contracting, and alternative payment models
- Experience with FQHCs preferred
- Strategic, entrepreneurial thinker with the ability to develop innovative solutions to complex healthcare challenges
- Proven track record of successfully implementing value-based care initiatives, improving financial performance, and enhancing patient outcomes
- In-depth knowledge of managed care, Medicaid, Medicare Advantage, Medicare ACO REACH, Medicare Shared Savings Program (MSSP), CINs, ACOs, shared risk contracts, and capitation
- Passion for driving and advocating for change and a commitment to Facktor’s values: Should-to-Shoulder, With Heart, and Better Than Yesterday
- Strong analytical skills with proficiency in data analysis and interpretation
- Excellent communication and presentation skills, with the ability to influence and advise senior healthcare executives
- Demonstrated leadership capabilities and experience managing cross-functional teams
- Commitment to continuous learning and staying abreast of emerging trends in value-based care and APMs
- Proven problem-solving skills, independent decision-making, and ability to navigate ambiguity
- Proactive—does not wait for things to happen—makes them happen
- Excellent organizational and time-management skills
- Ability to build trusted relationships with clients and colleagues
- Mission driven, motivated by working with non-profits who deliver high quality care.
Benefits
Comp & perks- 10 Paid Holidays and generous PTO accrual
- Friday afternoons off between Independence Day and Labor Day
- Facktor unofficially closes between Christmas Day and New Year’s Day
- 100% of medical, dental, and vision insurance premiums covered for full-time employees
- $500 annual reimbursement per calendar year
- 401(k) Plan – Facktor contributes 3% of your annual earnings each year, regardless of employee contribution
- End of Year Bonus
- Performance Based GEM (Go the Extra Mile) Bonus
- After 5 years of full-time employment, employees are eligible for a 4-week paid sabbatical
- $30 per month for personal cell phone use
- Director level and above, $2,400 annually
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
value-based caremanaged careMedicare AdvantageAccountable Care OrganizationsMedicare ACO REACHMedicare Shared Savings ProgramClinically Integrated Networksshared risk contractscapitation modelsdata analysis
Soft Skills
strategic thinkingentrepreneurial mindsetanalytical skillscommunication skillspresentation skillsleadership capabilitiesproblem-solving skillsorganizational skillstime-management skillsrelationship building
Certifications
Master’s degree in healthcare administrationMaster’s degree in public healthMaster’s degree in business administration