Jobs in the United States

25+ jobs

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Added 10 hours ago
Population Health and VBC Program Manager
ADELANTE HEALTHCARE INC
Phoenix, AZ
The Population Health and Value-Based Care Manager is responsible for developing and implementing strategies to optimize health outcomes for diverse populations served by Adelante…
Added 11 hours ago
PH
Director, Clinical Performance
Pearl Health
Remote, United States
- $165,000 to $200,000 USD / year
…for a portfolio of Pearl's client ACOs, combining hands-on analytics with clinician-to-clinician credibility to drive measurable performance improvement - working hand-in-hand with our…
Added 1 day ago
Actuarial Analyst II
The Harbor Health Team Inc
Remote, United States
…the intersection of traditional actuarial science and data analytics, this role offers the unique opportunity to work cross-functionally across our ACA Individual & Family Plans, Large…
Added 4 days ago
R
Senior Product Manager, HIE, AI Suspecting, and Care Gap Management
Reveleer
United States
- $140,000 to $160,000 USD / year
Reveleer is hiring a Senior Product Manager to lead product for both the HIE & AI Suspecting and Care Gap Manager domains within our Clinical Intelligence Suite of VBC solutions. The HIE…
Added 7 days ago
Manager, Value-Based Care
Premier Community Healthcare Grp.
Dade City, FL
Premier Community HealthCare Group is seeking a strategic, mission-driven Manager, Value-Based Care (VBC) to lead value-based performance across our managed-care and Accountable Care…
Added 10 days ago
AC
Staff Healthcare Analyst
Abby Care
San Francisco, CA
- $180,000 to $220,000 USD / year
Reporting to the Senior Manager of Data & Analytics, you will set the strategy and standards for how we measure risk, cost, and outcomes, and build the analytical models and studies that…
Added 10 days ago
AP
Program Specialist, CMMI Programs
Aledade PBC
Remote, United States
- $80,000 to $92,000 USD / year
Reporting directly to the Center for Medicare and Medicaid Innovation (CMMI) Program Manager, the Program Specialist will be a pivotal contributor to the operational excellence and…
Added 11 days ago
Director, Product Innovation
1upHealth
Remote, United States
…compliance and investing significantly in the payer data and analytics space. We're looking for a seasoned healthcare product leader to identify the biggest opportunities in that market and…
Added 14 days ago
Manager VBC Analytics
CVS Health
Remote, United States
…improving outcomes for the communities we serve. We are seeking a Manager, Medicaid Value-Based Care (VBC) Analytics to support value-based care partnerships across Aetna's Medicaid…
Added 14 days ago
Director, Project Management; Healthcare RCM Transformation
Virtix Health LLC
Remote, United States
…programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving…
Added 15 days ago
Manager, Quality & Value-Based Care
Together Women's Health, LLC
Grosse Pointe, MI
The Manager of Quality Performance & Reporting is responsible for leading the organization’s MIPS reporting, quality improvement initiatives, and payer quality incentive programs across…
Added 18 days ago
Product Manager, Product Management
Wellvana Integration Partners, LLC
TN
The Product Manager reports to the Director of Product Management and Innovation. This role serves as the product owner and is the primary liaison between internal stakeholders, end users,…
Added 18 days ago
AH
Senior Product Manager
Arbital Health
Remote, United States
- $185,000 to $215,000 USD / year
5+ years of experience in product management, actuarial, analytics, or a similar role, with at least 3 years as a product manager on B2B data, analytics, or financial software products
Added 18 days ago
Contract Manager, Managed Care
RHC Group Management LLC
Westwood, MA
The Contract Manager is responsible for the negotiation, implementation, and ongoing management of managed care agreements on behalf of the Bookmark Medical’s provider network. This role…
Added 19 days ago
Senior Technical Product Manager, Data Integrations/Pipeline
U.S. Renal Care, Inc.
Plano, TX
The Senior Technical Product Manager for Data Integrations /Pipeline is to focus on providing rich data to our
Added 19 days ago
TT
Manager, Business Development- Payor Partnerships
TRC Total Renal Care Inc
United States
- $95,000 to $135,000 USD / year
Manager, Payor Partnerships – Value-Based Care Business Development
Added 19 days ago
Senior Consultant, Health Care
COPE Health Solutions
New York City, NY
VBC Enablement helps health plans, provider organizations and health systems design, implement and operate effective value-based care models. Combining strategy, operational expertise,…
Added 19 days ago
Manager, Health Care Consulting
COPE Health Solutions
Downtown Los Angeles, CA
VBC Enablement helps health plans, provider organizations and health systems design, implement and operate effective value-based care models. Combining strategy, operational expertise,…
Added 19 days ago
AO
Senior Vice President, Payor Growth
Atlas Oncology Partners
Remote, United States
- $225,000 to $290,000 USD / year
- 10+ years healthcare experience, including contracting, med economics / analytics, strategy, and / or partnerships
Added 19 days ago
Sr. Manager, Clinical Innovation
Vytalize Health
Remote, United States
The Sr. Manager, Clinical Innovation will report to the VP of Clinical Innovation and sit within the VBC business unit, which is responsible for P&L performance of all VBC activities at…
Added 19 days ago
Clinical Data Product Manager
Trella Health
Remote, United States
We are looking for a Product Manager to join our Product team to own and grow a data domain spanning the full post-acute and value-based care continuum. You, as the Product Manager, will…
Added 19 days ago
Manager III, VBC Performance , Medicare Population Health Programs
Amazon.com Services LLC
Seattle, WA · San Francisco, CA
Amazon Health Services is seeking a Manager, Business Analysis to lead our VBC performance operations analytics team within Medicare Population Health Programs. This leader will own the…
Added 20 days ago
U
Contracting Analytics Specialist, Full Time- Days
UCM
Chicago, IL
- Full-time
Assists Analytics Manager with modeling and analyzing current, proposed, and final contract pricing terms for UCM hospitals, physicians, and ambulatory/ancillary providers to determine…
Added 20 days ago
Program Manager, Risk Adjustment & Stars
Alpine Physician Partners, LLC
Remote, United States
The Program Manager, Risk Adjustment & Stars, serves as the connective link between Alpine's technical teams (coding, data, analytics, IT) and its operational and business stakeholders…
Added 20 days ago
Actuarial Analyst, Experienced
BSC
Long Beach, CA · CA
Support VBC program reporting and analytics, including cost target setting, reconciliation, forecasting, and "what-if" modeling to inform strategy development

Aledade PBC

Program Specialist, CMMI Programs

Remote, United States

$80,000 to $92,000 USD / year

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Job details

Pay: $80,000 to $92,000 USD / year
Experience: 3+ years of progressive healthcare experience
Posting language: English
Posted: Oct 19, 2026

Original job description

Reporting directly to the Center for Medicare and Medicaid Innovation (CMMI) Program Manager, the Program Specialist will be a pivotal contributor to the operational excellence and strategic growth of our CMMI initiatives. This role is responsible for the intricate management and refinement of core program processes, ensuring seamless execution across all facets of CMMI models (LEAD & REACH). The Specialist will play a key role in analyzing program performance, identifying opportunities for optimization, and collaborating with diverse internal teams to implement innovative solutions that enhance engagement and outcomes within the CMMI model framework. This position is central to translating strategic vision into operational reality, driving the continuous improvement and successful scaling of CMMI models.

Candidates should be comfortable working remotely from anywhere within the US, across all US time zones. Primary Duties

Working and supporting day-to-day ACO REACH & LEAD processes and operations:

Manage Zendesk incoming/outgoing communications for the CMMI team, responsible for all Zendesk tickets, escalating tickets as needed to the appropriate person/team
Find and build out solutions in Monday.com for any CMMI process and operations needs (Growth, SVA, Contacts, Practice lists, Provider lists, CMS tickets, etc.)
Utilize Medicare reports from 4i (quality, financial, claims reduction files, SVA response files) to generate reports so actionable insights and opportunities for improvement can be identified
Utilize reports, calendars, and internal tools (Tableau, Snowflake) to build out internal and external decks for Contract and Resource Meetings and Performance and Resource Meetings
Utilize insights, opportunities, and calendars to draft and maintain the Aledade LEAD newsletter and its distribution list
Manage the Beneficiary Zoom Voicemail for the CMMI team, ensuring that beneficiary questions are answered and logged for tracking and documentation purposes in Monday.com

Serve as a trusted planner, organizer, and executor for the CMMI team:

Plan in Monday.com based on the CMMI programs calendar distributed by CMS so all deadlines are scheduled and met, both internally and externally
Maintain CMMI programs Google Drive folders, prioritizing organization and appropriate access
Act as a thought partner in opportunities for CMMI process development, needs, or gaps
Provide suggestions and recommendations to ambiguous problems that align with program goals
Think critically and move work forward without clearly defined or outlined next steps

Act as a researcher and advisor for the CMMI team's special projects and cross-functional initiatives:

Contribute to broader, interdepartmental projects and meetings, including Field Team trainings, support, and inbound questions, as well as Project Turnkey support and coordination
Communicate statuses on operations and keep stakeholders informed on any progress and roadblocks
Develop implementation plans, communications, and rollout of approved necessary BE/BEIs (Telehealth)
Provide details and insights during CMMI team meetings based on the CMS ACO LEAD newsletter, with emphasis on communicating when reports and funds are expected to be released, upcoming changes within the program, and important deadlines
Serve as a resource to the PTS team to assist in addressing practice needs tied to CMMI operations

Minimum Qualifications:

Bachelor’s degree in a relevant field
3+ years of progressive healthcare experience
Thrives in a fast-paced environment and manage multiple priorities
Familiar with project management tools such as Monday.com
Experience in data analytics using Excel or Google Sheets
Willingness to travel as needed to Aledade’s headquarters and other offsite meetings (less than 10% across the year anticipated)

Preferred KSA's:

Knowledge of CMS VBC programs
Can effectively adapt communication style based on audience needs
Frequently and effectively collaborates cross functionally
Exceptional written and verbal communications skills
Snowflake experience
Tableau experience
Self-starter with strong interpersonal skills
Proven ability to coordinate and facilitate new ideas into action while collaborating across multiple, dynamic, projects and teams

Physical Requirements:

Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.

Who We Are:

Aledade PBC, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.

What Does This Mean for You?

At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.

In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:

Flexible work schedules and the ability to work remotely are available for many roles

Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners

Robust time-off plan (21 days of PTO in your first year)

Two paid volunteer days and 11 paid holidays

12 weeks paid parental leave for all new parents

Six weeks paid sabbatical after six years of service

Educational Assistant Program and Clinical Employee Reimbursement Program

401(k) with up to 4% match

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And much more!

At Aledade PBC, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.

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More about this job

Skills

Zendesk
Monday.com
CMS
Tableau
Snowflake
Documentation
Google Drive
Prioritization
Project management
Data analysis
Microsoft Excel
Google Sheets
Communication skills
Interpersonal skills

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