MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. 

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Title: Manager, Value-Based Payment

Location: MemorialCare Medical Foundation

Department: Value Based Care Administration

Status: Full Time

Shift: Days (8hr)

Pay Range*: $122,179.20/ann. – $183,248.00/ann.

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Position Summary

The Manager Value Based Payment Models is responsible for leading the implementation, administration, and performance of traditional Medicare and commercial alternative payment model initiatives across MemorialCare Medical Foundation. This role collaborates with clinical, operational, finance, contracting, analytics, and payer stakeholders to support program success, monitor performance metrics, and identify opportunities for improvement. The Manager serves as a subject matter expert on value-based reimbursement models and leads projects and initiatives that support organizational value-based care objectives. The position also provides day-to-day oversight of the Value Based Care Project Coordinator and contributes to population health and quality improvement efforts.

Essential Functions and Responsibilities of the Job

• Manage the implementation and ongoing administration of Medicare and commercial alternative payment model programs.
• Monitor program performance and identify opportunities to improve quality, utilization, financial, and operational outcomes.
• Partner with operational, clinical, contracting, finance, and analytics team to drive value-based care initiatives.
• Conduct analysis of emerging value-based payment models and reimbursement opportunities and provide recommendations to senior leadership.
• Lead cross-functional projects that support value-based care performance and operational effectiveness.
• Prepare reports, dashboards, and business analyses for leadership review and decision-making.
• Provide day-to-day supervision, coaching, and development of the Value Based Care Project Coordinator.
• Support compliance with contractual, regulatory, and organizational requirements.
• Participate in strategic planning discussions and provide operational recommendations related to value-based reimbursement initiatives.

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

Minimum Requirements

Qualifications/Work Experience:

• 5 years of progressive healthcare experience in value-based care, population health, managed care, healthcare operations, ACOS, or related areas.
• Experience leading projects, initiatives, or teams within a healthcare environment.
• Working knowledge of alternative payment models, payer-provider partnerships, risk-based reimbursement, and population health strategies.
• Strong analytical, project management, communication, and relationship management skills.
• Ability to work effectively with physicians, operational leaders, health plans, and cross-functional stakeholders.

Education/Licensure/Certification:

• Bachelor’s degree required in Healthcare Administration, Business, Nursing, Public Health, or related field; Master’s degree preferred.