Full-Time

Healthcare Implementation Leader

Implementation, Healthcare Operations

Posted on 10/3/2025

Belong Health

Belong Health

51-200 employees

Assists insurers in delivering complex-need care

Compensation Overview

$135k - $185k/yr

Remote in USA

Remote

May require up to 50% travel for meetings with potential partners.

Category
Medical, Clinical & Veterinary (1)
Requirements
  • 5+ years of experience in healthcare implementation, program management, or strategic operations. Consulting experience within payer or provider organizations is a plus.
  • Proven track record in managing complex, multi-stakeholder projects in healthcare delivery, payer-provider integration, or health-tech.
  • Strong understanding of healthcare regulatory filings (e.g., Model of Care) and operational workflows.
  • Knowledge of industry trends, particularly in value-based care, Medicare Advantage, Dual Special Needs Plans, C-SNP Plans, CMS/CMMI programs, and Accountable Care Organizations.
  • Demonstrated expertise in vendor management, contract negotiation, and oversight.
  • Exceptional communication, leadership, and organizational skills, with experience engaging executive-level stakeholders.
Responsibilities
  • Develop and manage project plans to launch clinical programs tailored to partner populations.
  • Document operational requirements across various departments, including clinical operations, sales and marketing, product design, provider engagement, and technical/analytics delivery teams.
  • Assist in the preparation of necessary legislative and regulatory filings (e.g., NOIA, Model of Care).
  • Manage vendor relationships, including evaluation, selection, contracting, and oversight of SLAs and transition planning.
  • Align partners with the go-live plan, outlining implementation timelines, phase gates, and responsibilities.
  • Draft and oversee governance frameworks, including success criteria, KPIs, escalation paths, and issue resolution processes.
  • Prevent scope creep and oversee invoicing for implementation services as applicable.
  • Direct project management activities, including schedule development, capacity planning, task coordination with SMEs, and validation of acceptance criteria.
  • Provide regular project health updates, identify risks, and implement mitigation strategies to ensure timely and successful delivery.
  • Facilitate the formal transition from implementation to ongoing business and technical operations.
  • Support the handoff to Client Management teams, ensuring operational readiness through reviews with SMEs and partners.
  • Finalize first-year budget expectations linked to revenue (membership, RAF, premium), administrative costs, and medical loss ratio (MLR).
Desired Qualifications
  • Bachelor’s degree required, advanced degree in business, healthcare administration, or a related field preferred.
  • PMP or equivalent certification preferred.

Belong Health partners with local health plans and health systems to improve care for people with complex healthcare needs, focusing on underserved communities including Medicare and Medicaid populations. Its work involves collaborating with insurance leaders to design and launch new insurance solutions and by adding tools and care-management support to existing plans to better serve high-need patients. Unlike broad consultants or generic tech platforms, Belong Health concentrates on regionally tailored, patient-centered solutions through close collaboration with local plans and providers. Its goal is to expand access to comprehensive, supportive care while reducing overall costs by making care more coordinated and human-centered for complex-needs patients.

Company Size

51-200

Company Stage

Series A

Total Funding

$40M

Headquarters

Washington DC, District of Columbia

Founded

2021

Simplify Jobs

Simplify's Take

What believers are saying

  • SVMC partnered with Belong Health's ACO for MSSP post-OneCare Vermont closure in 2025.
  • NEA-led $40M Series A in December 2021 funds team doubling and platform expansion.
  • MVP Health Care launched Belong's Mental Health Connector in January 2023.

What critics are saying

  • OneCare Vermont closure exposes Belong to collapsing regional partnerships within 12-24 months.
  • NEA funding fails amid VC pullback, halting scaling in 6-12 months.
  • UnitedHealth Optum and Humana Conviva acquire plans, capturing D-SNP share in 24-48 months.

What makes Belong Health unique

  • Belong Health partners exclusively with regional payers for Medicare Advantage and Special Needs Plans.
  • Belong Medical Group delivers transitional care with virtual and community-based resources.
  • Healthcare Foundry platform coordinates medical, behavioral, and social services for complex patients.

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Benefits

Remote Work Options

Growth & Insights and Company News

Headcount

6 month growth

6%

1 year growth

7%

2 year growth

3%
Southwestern Vermont Medical Center
Apr 9th, 2026
Medicare Shared Savings Program: Belong Health and SVMC.

Medicare Shared Savings Program: Belong Health and SVMC. * April 9th, 2026 With the expiration of OneCare Vermont at the end of 2025, Southwestern Vermont Medical Center (SVMC) transitioned to a new partnership with Belong Health to participate in the Centers for Medicare and Medicaid Services Medicare Shared Savings Program (MSSP). Through MSSP, Medicare brings together providers in Accountable Care Organizations to offer eligible patients additional coordinated care and services to help them stay as healthy as possible. Below are some frequently asked questions about this partnership and its benefits to its patients. What is an ACO? An ACO, or "accountable care organization," is a team of doctors, hospitals and other healthcare providers who work together to coordinate care for patients. ACOs have agreed with Medicare to be accountable for care quality and cost. They were created to help patients have a better care experience. Is an ACO model new to SVMC? No, SVMC previously participated in an ACO through OneCare Vermont. With the closure of that program, SVMC partnered with Belong Health's ACO. All SVMC providers, practice sites and departments are part of the ACO. How will you benefit from SVMC's participation in an ACO? Southwestern Vermont Medical Center will help you get the right care at the right time. Healthcare can be confusing. Southwestern Vermont Medical Center has a care team who will work with you on your care. Its team may: * Help you know what care you need to have next. * Help you set up appointments. * Help increase access to healthcare providers, both in-person and online. * Make sure you only have the tests and appointments you need. * Connect you with local services or support you may need. * Make sure your medications are safe to take together. * Spot health problems before they become serious. * Answer any questions you have about your care. What changes to my health care should I expect to see as a member of the ACO? In addition to your regular health care providers, you may have access to care coordination services. Its care team will work with you to manage your health conditions and get the services you need. Team members may connect you with health care appointments and local resources as well. They can also help you understand and use your benefits. If I join the ACO, will I still be able to choose my health care providers, including specialists? Yes. You will still be able to see your primary care provider and other providers of your choice, including specialists. Joining the ACO will not restrict your physician network. The Medicare Shared Savings Program does not replace your Medicare or in any way change your Medicare benefits. You can choose or change your main doctor any time. Will joining the ACO cost me anything? There is no cost to you, your Medicare benefits will not change, and you can visit any health care provider or hospital that accepts Medicare. If I do not join the ACO, will I still be able to see my SVMC primary care provider? Yes. You will still be able to see your primary care provider, whether or not you join the ACO. What if I join the ACO and decide later that I do not want to participate anymore? If you join and decide later that you want to opt out, contact Belong Health ACO at 800-862-0608, or call Medicare at 800-MEDICARE (800-633-4227). TTY users should call 877-486-2048. What is the Medicare Shared Savings Program? The Medicare Shared Savings Program is a Medicare initiative that partners with health systems, clinics and providers to provide coordinated care management and healthcare navigation assistance for Medicare patients. The program is one of Medicare's innovative models aimed at keeping patients as healthy as possible through a value-based care approach. How do I participate in the Medicare Shared Savings Program? If you've been seeing your SVMC primary care provider regularly, you are likely already assigned to the ACO based on where you receive most of your care. There is no enrollment form or action needed on your part. Medicare automatically assigns beneficiaries to ACOs based on where they receive their primary care services. Questions? For questions about how the Medicare Shared Savings Program helps your health, contact your health care professional.

The Business Journals
Dec 15th, 2021
Philadelphia startup Belong Health raises $40M Series A led by top global firm NEA

Philadelphia-based Belong Health raises $40 million to double its team, landing one of the top VC firms in the world as the lead investor in a Series A round.

Belong Health
Dec 1st, 2021
New Enterprise Associates invested into Belong Health in $40M on Dec 1st 21'.

Belong Health, the first company dedicated to partnering with local and regional health plans and hospital systems to support the delivery of Medicare Advantage and Special Needs Plan products, today announced it has raised $40 Million in Series A funding led by New Enterprise Associates (NEA) with continued participation from seed investor, Maverick Ventures.

PR Newswire
Jun 14th, 2021
Maverick Ventures invests into Belong Health

With the closed Series Seed investment from lead investor Maverick Ventures, Belong Health is well positioned to launch its new partnered model.

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