SENIOR MANAGER OF VALUE-BASED PROGRAMS

Senior Manager Of Value-Based Programs

Whitman-Walker envisions a society where all people are seen for who they are, treated with dignity and respect, and afforded equal opportunity to health and wellbeing. Through care, advocacy, research, and education, we empower all people to live healthy, love openly, and achieve equality and inclusion. For over 50 years, we have been meeting the needs of our communities with the endless dedication of our diverse teams.

The Senior Manager of Value-Based Programs is responsible for coordinating value-based care initiatives across the organization to improve clinical outcomes, enhance patient experience, and manage financial performance. This role partners closely with clinical, operational, and external stakeholders to monitor program performance, identify and address care gaps, and implement data-driven strategies that advance value goals. The Senior Manager will oversee population health tools and workflows; support care teams in delivering proactive, patient-centered care; and ensures compliance with payer and regulatory requirements.

Primary Essential Duties

• Coordinate the strategy, implementation, and ongoing management of multiple value-based care programs (e.g., Medicare, Medicaid, commercial payer initiatives) to improve quality and financial performance.
• Monitor performance against program benchmarks, including clinical quality measures, utilization, and financial targets; identify gaps and develop action plans to address them.
• Collaborate with clinical, operations, and executive leadership to align population health initiatives with organizational goals and regulatory requirements.
• Oversee patient registries, risk stratification processes, payer panels, and care gap identification to ensure proactive outreach and intervention.
• Partner with care teams (providers, nurses, case managers, community health workers) to implement workflows and manage panels to improve patient outcomes.
• Supervise, directly or indirectly, staff carrying out patient-facing outreach, care coordination, or navigation activities connected to VBP contracts.
• Co-manages the Staff Value-Based Programs Committee, along with the VP of Population Health & Quality.
• Analyze data from the electronic medical record (EMR), payer-based claims dashboards, and other relevant sources to generate actionable insights.
• Support the design and optimization of workflows within the EMR or other data systems in use to improve documentation, reporting accuracy, and quality measure capture.
• Manage quality improvement initiatives, including Plan-Do-Study-Act (PDSA) cycles, to drive continuous improvement in patient care and operational efficiency.
• Engage with external partners, including payers and WWH's network partners, to strengthen care coordination and address social determinants of health.
• Train and support staff on population health tools, workflows, and program requirements.
• Represent WWH at external meetings, including meetings hosted by payers, network partners, government entities, or other VBP stakeholders.
• Ensure compliance with all value-based program requirements, including reporting, site visits, and audits.
• Participates in management meetings to act upon a variety of matters including personnel matters and provides updates and reports as requested.
• Supporting management in fact finding efforts concerning managerial actions or union grievance processing.
• Reviews and makes recommendations for changes to collective bargaining agreements and the Employee Handbook to ensure ongoing compliance.

Budget Responsibilities

None

Management Responsibilities

• Direct supervision of population health staff—non-licensed outreach, navigation, and care coordination roles
• Indirect supervision of population health staff—non-licensed outreach, navigation, and care coordination roles

Knowledge, Skills and Talents Required

• Strong knowledge of value-based care models, including quality metrics, risk adjustment, and cost analyses
• Proficiency in data analysis and interpretation, with experience using EMR, HIE, and payer (claims) platform data tools.
• Ability to translate complex data into clear, actionable strategies for clinical and operational teams.
• Experience with quality improvement methodologies and performance management.
• Excellent project management skills, with the ability to manage multiple initiatives simultaneously and meet deadlines.
• Familiarity with regulatory and reporting requirements such as HEDIS, UDS, MSSP, and other payer-specific models.
• Problem-solving mindset with the ability to identify barriers and implement practical solutions.
• Leadership skills, including the ability to motivate teams, manage change, and drive organizational performance.
• Excellent presentation skills, including the ability to clearly communicate complex data and population health concepts through effective use of data visualizations.
• Knowledge of principles of population health management such as: identification, stratification and targeted intervention and management of patient populations.
• Excellent communication skills, in person, in writing and via telephone to diverse audiences such as patients, clients, other employees and Board members.
• Demonstrated ability to work in a fast-paced, complex work environment with competing priorities.
• Strong organizational skills and ability to maintain important executive records an accurate, timely and confidential manner.
• Clear, concise written communication skills with good attention to grammar and punctuation.
• Knowledge of general office terminology, standards, practices and demands.
• Strong word processing, proofreading, and database management skills.
• Sensitivity to all areas of diversity, including HIV status, race, ethnicity, ability, age, sexual orientation and gender identity.

Education and Experience Required

• Bachelor's degree in public health, healthcare administration, nursing, or a related field is required; Master's degree in Public Health or related field preferred.
• Certification in Epic Cogito required.
• Three years of experience in population health, care management, or quality improvement programs preferred.
• Demonstrated experience working with value-based payment models (e.g., Medicare, Medicaid, or commercial contracts) and managing performance on quality measures such as UDS or HEDIS is required.
• Prior experience with Epic EMR preferred.
• Knowledge of Health Information Exchanges, such CRISP and Care Everywhere, preferred.

Working Conditions:

Working conditions for this position are normal for an office environment. Individual may be required to work evenings and/or weekends and organization events.

Physical Demands:

• Lifting: No more than 20 lbs. and infrequently.
• Movement: Standing and sitting for long periods.
• Visual: Long periods on computer.
• Concentration: Extended periods of engagement with computer systems where concentration is key to accuracy in data entry. Intermittent periods of engagement with a telephone system to respond to inquiries where concentration is key to task performance.
• Communication: Direct and indirect communication. Written and verbal competence.

The above job description is designed to indicate a general sense of the duties and expectations of this position. It is not to be interpreted as a comprehensive inventory of all duties and responsibilities required. As the nature of our business demands changes, so too may the duties and responsibilities of this position. You may be required to perform other duties as requested, directed, or assigned.