VBA Growth Program Manager - Intermountain, Midwest, Pacific NW

Job Title: VBA Growth Program Manager

Department: Commercial

Reports To: Jessica Rene

FLSA Status: Non-Exempt

DISCLAIMER:

Job descriptions are not meant to be all-inclusive and/or the job itself is subject to change. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.

Summary:

The Value-Based Agreement (VBA) Program Manager is responsible for overseeing the execution, performance, and ongoing optimization of value-based agreements across commercial, Medicare Advantage, and other payor partnerships. This role ensures that contractual requirements are met, operational workflows run smoothly, and performance outcomes support organizational financial and quality goals. The Program Manager collaborates directly with internal leadership, payor partners, clinical teams, analytics, finance, and operations to drive the success of assigned value-based care initiatives.

Essential Duties and Responsibilities:

•Serve as a lead for assigned value-based agreements, ensuring efficient execution of all contract provisions.

•Develop, maintain, and monitor program workflows, processes, and timelines supporting operational requirements.

•Coordinate program readiness for new contracts, expansions, and renewals, including internal education and resource alignment.

•Manage cross-functional integration between clinical, analytics, quality, finance, and contracting teams to support cohesive program delivery.

•Monitor financial and quality performance for each VBA, identifying trends, gaps, and opportunities for improvement.

•Partner with analytics teams to interpret performance dashboards, risk adjustment outcomes, utilization trends, and cost-of-care drivers.

•Prepare regular performance reports, recommendations, and executive-level summaries.

•Serve as a primary point of contact for payor partners on operational and programmatic matters.

•Support facilitation of recurring payor meetings, joint operating committees, and escalation pathways.

•Communicate performance updates, program changes, program risks, and operational needs to internal and external stakeholders.

•Support provider groups, consultants, and field operations teams in understanding VBA requirements, incentives, and performance goals.

•Assist in delivering educational content, toolkits, and resources to support improved provider engagement and performance.

•Collaborate with clinical and quality leaders to drive initiatives that improve patient outcomes and reduce cost of care.

•Ensure adherence to regulatory, privacy, and contractual compliance standards for all components of VBA operations.

•Support the integration of nationally recognized quality programs (e.g., HEDIS, Stars, commercial quality measures) into program workflows.

•Track and manage submission timelines, documentation requirements, and compliance deliverables.

•Identify operational inefficiencies and lead improvement initiatives that streamline VBA management.

•Recommend enhancements to data intake, reporting, provider communication, and cross-department workflows.

•Implement best practices in value-based care operations, provider engagement, and payer collaboration.

Measurable Goals/Objectives:

•Achieve 100% compliance with all contractual terms

•Achieve roster submission deadline compliance for all programs

•Achieve YoY improvement in contract optimization

•Achieve 100% on-time delivery of appeal and grievance notifications to payors

•Identify and implement as least one new process improvement annually

•Complete at least one new payor opportunity assessment and contractual modeling annually

•Support onboarding for all new participants and affiliates by annual deadlines

•Support execution of new VBAs annually and complete 100% of new payor onboarding requirements by stated deadlines

Supervisory Responsibilities:

•No direct supervisory responsibilities

Competencies: To perform the job successfully, an individual should demonstrate the following competencies:

•Strong understanding of VBC financial methodologies (shared savings, risk corridors, capitation, quality incentives, risk adjustment).

•Excellent analytical skills, with ability to translate data into actionable insights.

•Project management expertise; PMP certification is a plus.

•Exceptional communication and relationship-building skills with both internal teams and external partners.

•Ability to manage multiple priorities in a fast-paced environment.

•Proficiency in Excel, PowerPoint, and analytics/reporting tools.

•Safety and Security - Uses equipment and materials properly.

•Attendance/Punctuality - Is consistently at work and on time.

•Knowledge of medical records work procedures.

•Knowledge of computer applications.

•Knowledge of medical terminology.

•Knowledge of legal and ethical consideration related to patient information.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

Bachelor’s degree required; Master’s degree in Healthcare Administration, Public Health, Business, Finance, or related field preferred. 3–7 years of experience in value-based care, payor-provider partnerships, healthcare operations, population health, managed care, or ACO operations. Experience managing complex multi-stakeholder healthcare programs strongly preferred. Equivalent combination of education and experience considered.

Language Skills:

Ability to read and comprehend simple instructions, correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one situations to visitors, clients, and other employees of the organization.

Reasoning Ability:

Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.

Computer Skills:

MS Office Productivity Tools (Word, Excel, Outlook, PowerPoint)

Other Skills and Abilities:

High accuracy and extreme confidentiality a MUST. Detailed oriented and very organized. Ability to alphabetize and put information (materials, forms, etc.) into chronological order. Analyze medical records for completeness, schedule time and assignment effectively.

Physical Demands:

While performing the duties of this Job, the employee will have a combination of standing, sitting, bending and reaching. May work at a computer monitors for prolonged periods. The employee may lift and/or move up to 10 pounds.

Travel Requirements:

Travel required within the defined region up to 25%, with travel to headquarters quarterly (every 60 days preferred).