Value Based Care Performance Director - Medicare Advantage

Mass General Brigham (Enterprise Services)
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Nov 15, 2025
Responsible for managing and optimizing value-based care performance, ensuring financial and clinical outcomes align with the hospital's strategic goals. Develops initiatives to improve value-based contracts, analyze performance metrics, and collaborate with cross-functional teams to enhance care quality and financial efficiency. Does this position require Patient Care? No Essential Functions: -Oversees implementing and managing value-based care initiatives to improve financial performance and patient outcomes. -Analyzes performance data from value-based contracts, identifying trends, risks, and opportunities for improvement. -Collaborates with clinical and financial teams to develop strategies that meet value-based care objectives. -Leads efforts to optimize revenue through effective management of risk-adjusted payments and performance incentives. -Monitors quality and financial metrics, ensuring compliance with contractual obligations and regulatory standards. -Provides regular performance reports to senior leadership, highlighting key metrics and areas for improvement. -Manages relationships with payer partners, negotiating terms and managing expectations to support organizational goals. -Supports care management programs by providing financial insights and guidance on cost-effective strategies. -Drives continuous improvement efforts by implementing best practices in value-based care and reimbursement. Education Bachelor's Degree Healthcare Administration required or Bachelor's Degree Finance required or Bachelor's Degree Related Field of Study required or Master's Degree Related Field of Study preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Experience Experience in healthcare financial management or value-based care 5-7 years required and Experience in a leadership role 3-5 years required Knowledge, Skills and Abilities - Strong analytical skills for interpreting financial and clinical data in value-based care. - In-depth understanding of value-based payment models and healthcare reimbursement. - Excellent communication and collaboration skills for working with cross-functional teams and external partners. - Proven ability to lead initiatives that drive performance improvement in financial and clinical outcomes. - Proficiency in data analysis tools and healthcare financial reporting software. Physical Requirements Standing Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs - 35lbs Carrying Occasionally (3-33%) 20lbs - 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.