Director, Value-Based Care Job at Carex Consulting Group (New York City)

Medical Director, At Home Program

The Medical Director will be joining Oak Street Health at a critical time in the...

Location

United States , St Louis, MO

Salary:

174070.00 - 374920.00 USD / Year

CVS Health

Expiration Date

May 14, 2026

Requirements

A passion for the geriatric population and a motivation to be a part of a fast-growing organization
Geriatric certification and/or other professional degrees (e.g., M.B.A, J.D., M.P.H) welcome but certainly not required
Experience with managed care and/or value-based practice
Experience using a metrics-driven approach to analyze cost, quality, and satisfaction data to drive clinical strategy and program redesign
An excitement for developing and implementing new processes
An understanding of the basics of managed care and a recognition that population health and a focus on the smart allocation of scarce resources can lead to high-value care (better care, lower cost)
An ability to remain calm in stressful situations
A commitment to older adults and to low-income patients
Comfort with ambiguity and passion for problem-solving
US work authorization

Job Responsibility

Leading At Home providers and ensuring their priorities and outcomes are in line with those of the organization
Providing timely and constructive feedback to providers so the medical group continues to improve performance for patients and colleagues
Helping providers master the data-driven tools and practices required to keep patients well and out of the hospital, when avoidable
Reviewing regular quality dashboards with providers, coaching on tools to improve quality outcomes
Coach providers on appropriate coding and documentation
Provide managed care experience/teaching to providers
Understanding and communicating provider performance/compensation plans and being able to answer questions and deliver results to direct reports
Serving as formal manager doing regular performance reviews and check-ins, approving paid-time-off requests, and managing miscellaneous human resource topics for providers in the market
Drive Culture: At Oak Street, we foster a culture of innovation and open dialogue, and we work with urgency. This requires passion and enthusiasm, active listening skills, and comfort with and commitment to regular change. Our Medical Directors are expected to support this culture and set an example for others to follow

What we offer

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Fulltime

Senior Medical Director

The Senior Medical Director will join Oak Street Health at a critical time in th...

Location

United States , Chicago

Salary:

184112.00 - 396550.00 USD / Year

CVS Health

Expiration Date

July 30, 2026

Requirements

M.D. / D.O. / DNP graduates
Board certified in Internal Medicine or Family Medicine
Minimum of 5 years of experience in outpatient practice
Minimum of 3 years of experience in a physician management role or role as medical director
Experience with managed care and/or value-based practice
Experience using a metrics-driven approach to analyze cost, quality, and satisfaction data
US work authorization

Job Responsibility

Lead and mentor the health center Medical Directors
Supervise center medical directors
Assist in offering constructive feedback to providers
Review quality dashboards with medical directors
Interview, hire, and retain providers
Develop physician leadership in providers
Support Organizational Strategy
Supervise the interdisciplinary Complex Care Teams
Supervise the Transitions Nurses
Participate in documentation and coding activities

What we offer

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources

Fulltime

Senior Medical Director

The Senior Medical Director will join Oak Street Health at a critical time in th...

Location

United States , Oklahoma City

Salary:

184112.00 - 396550.00 USD / Year

CVS Health

Expiration Date

Until further notice

Requirements

M.D. / D.O. / DNP graduates
Board certified in Internal Medicine or Family Medicine
Minimum of 5 years of experience in outpatient practice
Minimum of 3 years of experience in a physician management role or role as medical director
Experience managing a medical group of 20 or more providers
Extensive experience in clinical leadership roles
Experience with managed care and/or value-based practice
Experience using a metrics-driven approach to analyze cost, quality, and satisfaction data
US work authorization

Job Responsibility

Leading provider teams in the local market
Partnering with Regional Vice President to achieve operational and clinical excellence
Practicing primary care in clinics 2 1/2 days per week
Supervising and mentoring health center Medical Directors
Interviewing, hiring, and retaining providers throughout the region
Developing physician leadership in providers
Supporting organizational strategy through committees and projects
Supervising interdisciplinary Complex Care Teams
Supervising Transitions Nurses
Participating in documentation and coding activities

What we offer

Paid vacation and sick time
Generous 401K match with immediate vesting
Health benefits
Affordable medical plan options
Employee stock purchase plan
Wellness screenings
Tobacco cessation and weight management programs
Confidential counseling
Financial coaching
Flexible work schedules

Fulltime

Director, Commercial Contracting

The Director, Commercial Contracting on the Strategic Payer Partnerships team wi...

Location

United States , Arlington; Atlanta; Austin; Bethesda; Durham

Salary:

Not provided

Aledade, Inc.

Expiration Date

Until further notice

Requirements

12+ years in healthcare with health plans or provider groups working on contract negotiations within value-based care
Bachelor’s degree
Results-oriented with the ability to exercise influence to achieve goals rather than control
Proven track record of creating, maintaining, and enhancing relationships and communicating effectively with senior management
Passionate about driving the shift from fee-for-service to value based care
Expert sales, business development, growth professional at local and national level
Ability to travel

Job Responsibility

Negotiate commercial value-based care contracts with prospective payer partners
Track and report on ongoing payer discussions as well as key contract metrics such as renewal dates
Support the VP’s efforts to qualify and source market growth and expansion for multi-year risk arrangements
Proactively engage with payer partners in advance of renewals and scheduled renegotiations to improve contract terms
Develop a deep knowledge of Aledade’s existing Commercial contract terms, and hold responsibility for new and historical contracts
Develop and nurture relationships with key stakeholders and team members within Aledade and at payer partners
Actively promote a culture that aligns with Aledade and team values
Coach and mentor other team members

What we offer

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
Stock options

Fulltime

Center Medical Director

The Center Medical Director will lead the clinical team at an Oak Street Health ...

Location

United States , Chicago

Salary:

121514.00 - 374920.00 USD / Year

CVS Health

Expiration Date

May 12, 2026

Requirements

M.D., D.O., or A.P.N or P.A. graduates
Board certification in Internal Medicine or Family Medicine required for M.D. or D.O.
Board certification in Family, Adult, or Gerontology for A.P.N.
Experience in clinical leadership roles, leading and coaching providers to be the best they can be for their patients and their colleagues
Experience using a metrics-driven approach to the provision of medical care and/or quality projects
Passionate about their work and motivated to be a part of a fast-growing organization
Awareness of their leadership skills and potential for impact and eagerness to share those with a fast-growing team
Commitment to older adults and low-income patients
Comfort with ambiguity and a love for problem solving
Ability to remain calm in the midst of challenges and guide others to effective solutions

Job Responsibility

Lead the clinical team at the center
Provide primary care with 80% clinical time and 20% administrative time
Model excellent medical care and implement the care model
Serve as a mentor, coach, and advisor to providers
Drive implementation of OSH strategic initiatives
Onboard new providers
Provide evidence-based care to keep patients healthy and out of the hospital
Educate providers on clinical guidelines and the value-based full risk model of care
Conduct performance reviews and develop plans to achieve provider goals
Acknowledge and celebrate successes of care team members

What we offer

Paid vacation
Sick time
Investment/retirement 401K match options
Health insurance
Vision benefits
Dental benefits
Opportunities for leadership development
Continuing education stipends
Flexible work environments
High levels of responsibility and rapid advancement

Fulltime

Senior Medical Director

The Senior Medical Director will be responsible for leading provider teams in th...

Location

United States , Varies

Salary:

184112.00 - 396550.00 USD / Year

CVS Health

Expiration Date

Until further notice

Requirements

M.D. / D.O. / DNP graduates, Physicians will be board certified in Internal Medicine or Family Medicine
Board certified in Internal Medicine or Family Medicine
Fellowship training in Geriatrics and/or other professional degrees (e.g., M.B.A., J.D., M.P.H.) welcome but not required
Minimum of 5 years of experience in outpatient practice
Minimum of 3 years of experience in a physician management role or role as medical director, managing a medical group of 20 or more providers
Extensive experience in clinical leadership roles, leading and coaching physicians
Experience with managed care and/or value-based practice
Familiarity with payer-provider collaboration
Experience using a metrics-driven approach to analyze cost, quality, and satisfaction data
Excited by developing and implementing new processes

Job Responsibility

Supervising center medical directors and ensuring their priorities align with organizational goals
Offering constructive feedback to providers to improve performance
Reviewing quality dashboards and implementing initiatives to improve quality outcomes
Supporting medical directors in mastering data-driven tools to keep patients well
Developing a pipeline of internal clinical leaders
Supervising interdisciplinary Complex Care Teams and Transitions Nurses
Partnering with population health and quality teams to advance the care model
Participating in documentation and coding activities
Representing Oak Street Health to external partners.

What we offer

Collaborative and energetic culture
Fast-paced and innovative environment
Competitive benefits including paid vacation and sick time
Generous 401K match with immediate vesting
Health benefits
Affordable medical plan options
Employee stock purchase plan
No-cost programs including wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching

Fulltime

Market Manager

Market Managers are project managers and leaders in their markets who ensure pra...

Location

United States

Salary:

Not provided

Aledade, Inc.

Expiration Date

Until further notice

Requirements

Resident of Louisiana
Graduate of an accredited college or university in healthcare, health technology or information systems-related programs (significant and relevant work experience in lieu of educational requirements may be accepted)
Minimum 6-8+ years of experience with value-based care concepts including the triple aim, risk stratification, and accountable care
Minimum 6-8+ years of experience with relevant competencies including practice management, project management, account management, analytical problem solving, and strategic insight using healthcare analytical skills

Job Responsibility

Assists Executive Director on market strategy implementation
Manage practice transformation priorities aligned to and codified in ACO strategic plans and practice transformation plans (PTPs)
Regular practice calls and visits
ability to support and lead board meetings as appropriate
accountable for practice happiness initiatives
Ensure full implementation of all net-new practice programs and compliance requirements
Staff management, assists in new staff training and onboarding
Establish goals for and review KPIs with each member of their respective PTS team
ensure steps are taken to support professional development of PTS
Prioritizes and cascades company strategy autonomously & professionally

What we offer

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
Stock options

Fulltime

Director, Cost of Care Performance

At Pearl Health, you’ll help redefine how primary care succeeds in value-based c...

Location

United States , Seattle; New York City; Boston

Salary:

150000.00 - 195000.00 USD / Year

Pearl Health

Expiration Date

Until further notice

Requirements

Bachelor’s degree required
advanced degree (MHA, MBA, MPH, or related) preferred
8+ years of experience in healthcare operations, value-based care, or health plan management
5+ years of leadership experience managing cross-functional teams and high-impact initiatives
Deep understanding of total cost of care, utilization management, and value-based care models
Proven success translating analytical insights into operational strategy and measurable results
Experience with Medicare and/or Medicaid programs, including CMS regulations and CMMI models
Demonstrated experience managing vendors and external partnerships to drive performance
Strong communication and stakeholder management skills across clinical, technical, and business teams

Job Responsibility

Drive the roadmap for operational programs and partnerships that reduce unnecessary spend and utilization and improve care delivery across Pearl’s provider network
Partner with Data Science, Product, and Customer Success to size and prioritize strategic opportunities that impact total cost of care
Translate insights into scalable operational tactics that improve patient outcomes, decrease wasteful spending, and enhance provider experience
Lead efforts to identify, investigate, and mitigate fraud, waste, and abuse (FWA)
Develop and manage strategic vendor partnerships that advance Pearl’s total cost of care and utilization management objectives
Partner with Product and Growth teams to transform provider feedback and market learnings into product enhancements and operational improvements
Collaborate with Customer Success to design, roll out, and optimize provider incentive and engagement programs
Champion provider education through clear communication materials, guides, and training sessions that support success in value-based care models

What we offer

Eligible for a discretionary performance bonus and equity options
competitive benefits package

Fulltime

Director, Value-Based Care

Carex Consulting Group

Location:
United States , New York City

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
April 19, 2026

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