Senior Program Manager

Your Role

The Sr. Program Manager, Value-Based Care is responsible for operationalizing value-based care government programs and strategy. In this role you will play a pivotal role in the overall success of the organization, ensuring proper implementation, operationalization, and tracking of value-based care programmatics.

You will ensure program success through collaboration with cross-functional teams, regulatory compliance, and performance monitoring.

Primary Functions of the Sr. Program Manager, Value Based Care Program Include:

• Serve as an organizational subject matter expert (SME) and tactical lead for ACO REACH and other Center for Medicare and Medicaid Innovations (CMMI) programs; knowledgeable of emerging trends within CMMI models.
• Partner with colleagues from Market Operations, Finance, Clinical Programs, and other domains to develop and clarify business questions, think critically about solutions, and deploy cross-departmental efforts
• Develop tactical plans to ensure consistent deployment of ACO REACH education and program implementation across markets
• Lead program design efforts in population health data reporting and care delivery benefit enhancements across multiple external business partners
• Lead development of specialist and SNF networks and serve as primary contact for ACO preferred providers
• Identify opportunities and facilitate analyses to improve care delivery, support population health, and contextualize observed performance trends in Medicare REACH contracts
• Work with teams across Honest to conduct ROI analyses of existing ACO REACH programs
• Manage and facilitate periodic reports, as well as any necessary ad hoc reports, to provide insight into REACH performance
• Partner with teams across the organization to ensure programs meet regulatory requirements, are implemented according to plan, and trackable to provide insights into progress and program efficacy
• Maintain the value-based care program, including things like provider roster management, government program database entry, and tactical performance
• Support preparation of presentations, updates, and strategy briefs for senior leadership, government agencies, and external partners
• Assist the advocacy team in shaping responses to proposed rules or initiatives and translating operational insights into policy recommendations
• Perform other related responsibilities as assigned.

How You Qualify

You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.

• Bachelor’s degree in public health, healthcare administration, business, or related field required
• Master’s degree in business, public administration, or related field preferred
• 7+ years of experience or any combination of education and experience, which would provide an equivalent background, in managed care, quality improvement, or government program management
• 3+ years of experience in value-based care, population health, government programs, or quality improvement
• PMP or Lean Six Sigma certification preferred
• Deep knowledge of Medicare, ACOs, and/or CMS Innovation models
• Proven experience working cross-functionally and implementing, monitoring, and adjusting organizational-wide programs
• Strong project management skills, including the ability to manage multiple projects simultaneously, prioritize tasks, and deliver results
• Experience with project management tools and methodologies
• Strong analytics and problem-solving skills; experience with data interpretation and performance reporting
• Experience in value-based care and Medicare and/or Medicare Advantage policy, plan operations, data, and financial methodologies.
• Experience with Medicare Advantage and/or CMMI government programs (DCE, ACO REACH, MSSP, etc.)
• Excellent written and verbal communication skills, including ability to engage diverse audiences, both internal and external
• Advanced Microsoft Office Suite skills

The base pay range for this role is $129,700 - $152,300. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.