Vice President – Value-Based Care Performance

🔥 13 hours ago

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IKS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

☁️ SaaS

🤝 B2B

🤖 Artificial Intelligence

💰 Seed on 2006-12

SaaS • B2B • Artificial Intelligence

IKS Health is a healthcare technology company that provides an AI-driven care enablement platform and services to health systems, physician enterprises, ambulatory practices and specialty clinics. Their offerings include revenue cycle management, clinical documentation (ambient AI scribe, virtual medical scribing, transcription), denial prediction, medical coding and audits, patient access solutions, care coordination and value-based care optimization, combining agentic AI with human expertise to improve clinical workflows, reduce clinician burden, and enhance financial performance.

📋 Description

• Serve as the accountable executive for the financial and operational performance of client portfolios under global risk, shared savings, and pay-for-performance models. • Strategically deploy and implement IKS solutions including business intelligence, risk stratification, actuarial analytics, agentic engagement, care gap closure, HCC coding, and care management. • Drive revenue performance through optimizing risk adjustment programs, quality measures (e.g. HEDIS, CAHPS, MIPS), and patient engagement. • Analyse spend trends against contract and market performance, identify underperformance drivers, and lead high-impact initiatives to mitigate avoidable medical, behavioral, and pharmacy utilization. • Operationalize care model redesign and workflow transformation through engaging deeply in client change management. • Support the structuring and negotiation of complex risk contracts with payers and risk-bearing entities, and diligently ensure downstream governance. • Optimize network strategy through advising on high-value provider alignment, provider incentives, tiering strategies, and preferred specialists and facilities.

🎯 Requirements

• 12+ years of progressive leadership experience within various value-based care entities (e.g., risk-bearing provider group, MSO, ACO, health system, payvider). • Expertise in risk models across both Medicare (Medicare Advantage, ACO) and Medicaid. • Experience with commercial risk and/or rural healthcare delivery systems is a plus. • Firsthand understanding of inpatient and outpatient care delivery settings to be able to influence change transformation. • P&L accountability with a track record of successfully translating strategy into measurable financial performance. • Strong executive presence and communication skills, with ability to influence cross-functional stakeholders in executive leadership teams and at lower levels of the organization. • Proven analytical and operator skills to readily translate complex claims, clinical, and financial data into actionable strategies. • Self-starter with bias to action and disciplined self-accountability within complex organizational structures. • Ability to travel onsite to client locations, build engagement, and drive local execution (estimated 40% travel).

🏖️ Benefits

• healthcare • 401 (k) • paid time off