Value-Based Programs Lead (Medicaid)

For our client, we are seeking a Value-Based Programs Lead (Medicaid) to join the team of a leader in the Healthcare space.

This role will lead the development of value-based payment strategies that support Medicaid-focused provider relationships and broader care delivery goals. You will partner closely with finance and other internal stakeholders to shape models, evaluate performance, and improve outcomes across provider segments. The position combines data analysis, payment design, and operational execution to strengthen quality, cost efficiency, and provider performance in a managed care environment.

Location: Remote - US based candidates only, no visa sponsorship available

Compensation: $104,000 – $143,000 annually

Responsibilities

• Develop innovative value-based payment models for a variety of provider types.
• Ensure alignment of work scope with new value-based payment model development and compliance.
• Analyze data to identify opportunities for quality improvements and cost reductions.
• Create payment strategies and performance metrics aligned with segment goals.
• Design provider reporting packages to enhance performance understanding.
• Collaborate with finance to conduct value-based payment model impact analyses.
• Monitor key performance indicators to optimize value-based payment model design.

Qualifications

• Bachelor's degree in a relevant field.
• At least 5 years of experience in managed care operations and value-based care.
• Expertise in designing and implementing value-based payment models with specialty providers.
• Strong knowledge of Medicare and Medicaid managed care systems.
• Ability to analyze financial, utilization, and performance data effectively.
• Proficient in identifying and solving complex business problems.
• Excellent communication and presentation skills, especially with management.

Benefits

• Medical, dental, and vision insurance coverage.
• 401(k) retirement savings plan with employer contributions.
• Generous paid time off including personal holidays.
• Paid parental and caregiver leave options.
• Short-term and long-term disability insurance.
• Life insurance coverage and additional wellness resources.

Our client is an equal opportunity employer. We encourage you to apply even if you don’t meet every qualification—your background could be exactly what this team needs.