S

SCAN

Not-for-profit Medicare Advantage plan for seniors

Director, Value-Based Care Partner Success

Customer SuccessConfirmed live in the last 24 hours
Full-timeLong Beach, CA, USA

About the Job

Requirements

  • At least 8 years of progressive healthcare experience in value-based care, provider partnerships, managed care, population health, or healthcare operations.
  • At least 5 years of leadership experience managing programs, teams, or strategic initiatives.
  • A bachelor's degree in Healthcare Administration or Business is required.
  • Experience working with risk-bearing provider organizations, medical groups, independent practice associations, accountable care organizations, or health systems.
  • Strong understanding of value-based reimbursement models, risk arrangements, provider economics, and population health management.
  • Demonstrated success leading cross-functional initiatives and provider-facing programs.
  • Strong analytical, financial, and executive communication skills.
  • Ability to build trusted, executive-level relationships with provider organizations and influence alignment on value-based care priorities.
  • Ability to translate performance data into actionable improvement strategies.
  • Ability to lead complex, cross-functional initiatives and drive accountability across clinical, operational, financial, and provider-facing teams.
  • Executive communication, facilitation, negotiation, and problem-solving skills in complex healthcare environments.

Responsibilities

  • Serve as the primary strategic partner to provider organizations participating in value-based care programs.
  • Partner with General Managers, Network Management, and Provider Relations teams to strengthen provider engagement and alignment.
  • Foster executive-level relationships with physician leaders, medical groups, health systems, and operational stakeholders.
  • Advise provider partners on performance improvement, population health strategies, and value-based care transformation.
  • Design, prepare, and facilitate Value-Based Care Joint Operating Committees.
  • Coordinate development of meeting content, performance reporting, strategic priorities, and action plans.
  • Support partnership governance related to risk pools, incentive structures, and shared accountability models.
  • Drive alignment on clinical, operational, quality, utilization, and financial performance objectives.
  • Design, maintain, and execute a comprehensive New Partner Playbook for value-based care organizations.
  • Lead cross-functional readiness activities to support onboarding of new provider partners, coordinating field readiness planning across operational and clinical teams.
  • Monitor implementation milestones and proactively address barriers to successful launch.
  • Partner with the Clinical Center of Excellence team to identify provider and member needs, prioritize population health opportunities, and translate insights into actionable initiatives.
  • Identify, evaluate, and advance solutions in the innovation pipeline that improve provider performance and member outcomes.
  • Promote provider partner adoption of care management, utilization management, transitions of care, and other population health programs.
  • Provide strategic recommendations regarding partner readiness, performance potential, and support requirements for potential value-based care partnerships.
  • Collaborate with Network Management, Finance, and Actuarial teams to inform value-based care strategy and contract design.
  • Lead complex initiatives requiring coordination among clinical, operational, analytics, finance, and provider-facing teams.
  • Build alignment across departments to ensure successful execution of provider partnership strategies.
  • Supervise and manage others, including hiring, conducting performance reviews, and taking corrective action.
  • Support achievement of SCAN’s vision and goals and perform other duties as assigned.

Desired Qualifications

  • A graduate or advanced degree, or equivalent experience; examples include an MBA, MHA, or MPH.
  • Medicare Advantage experience.
  • Experience with delegated models and shared-risk contracting.
  • Knowledge of quality programs, STARS, HEDIS, risk adjustment, and total cost of care management.

About the Company

SCAN

Not-for-profit Medicare Advantage plan for seniors

SCAN provides health coverage for seniors through Medicare Advantage and offers community programs like Independence at Home and Volunteer Action for Aging. Members enroll in SCAN’s Medicare Advantage plan to receive medical benefits, and SCAN also runs in-home care and community services that support aging in place, funded by the organization and partners. It differentiates itself as a not-for-profit with a long history (since 1977) focused on seniors and caregivers and backed by strong employee benefits and community engagement. The goal is to help seniors stay healthy and independent by improving access to care and strengthening the communities the organization serves.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Long Beach, CA
Founded
1977

Recently Posted Jobs

Explore more opportunities at SCAN

See more jobs