Manager, Value-Based Care Operations

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

👻 Ghost score 10%

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Curana Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

⚕️ Healthcare Insurance

Healthcare • B2B • Healthcare Insurance

Curana Health is a healthcare provider focused on senior primary care and on-site clinical services in skilled nursing and senior living communities. The company partners with operators, payors, and Medicare Advantage plans to implement value-based care models, offering physician-led care teams, medical director services, care coordination (including RPM and APCM), behavioral health, and palliative care. Curana emphasizes reducing hospital readmissions, falls, and polypharmacy while improving resident satisfaction through integrated, community-based care supported by technology and payor partnerships.

📋 Description

• Coordinate and monitor EMR and quality report delivery, including timely distribution and follow-up • Educate ACO participating group operators and providers on quality measures, performance metrics, and reporting expectations • Research and resolve quality reporting gaps and improve data accuracy with affiliate back-office teams • Compile and validate Social Determinants of Health data for regulatory and program reporting • Support Promoting Interoperability communications and follow-up • Pull, analyze, and distribute monthly EMR reports • Review, compile, and verify monthly quality and performance reporting packages • Ensure accurate, timely delivery of billing bifurcation reports • Investigate and resolve reporting discrepancies with EMR vendors and external teams • Communicate reporting issues, corrections, and status updates to stakeholders • Maintain and update the ACO Operations Manual • Identify, document, and implement new operational processes • Coordinate stakeholder input and process improvements across workstreams • Audit, maintain, and manage Specialty Building tracking processes and databases • Prepare external-facing materials and coordinate secure data submissions through SFTP • Review monthly invoices and volume reports and provide approval recommendations • Coordinate recurring compliance activities, including vendor, TIN, and board member listings • Support compliance reporting and documentation • Serve as trusted point of contact for ACO participating groups, providers, and vendors • Facilitate cross-department collaboration and deliver customer service while managing competing priorities

🎯 Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Health Information Management, or related field • 3–5 years of experience in healthcare operations, quality reporting, healthcare analytics, population health, value-based care, or a similar healthcare environment • Advanced Microsoft Excel skills, including large datasets, Pivot Tables, XLOOKUP/VLOOKUP, data validation, reconciliation, trend analysis, reporting, and data analysis • Hands-on experience with EMR/EHR systems and healthcare reporting data • Experience analyzing, validating, and distributing operational and quality reports • Experience working directly with external affiliates, providers, vendors, and internal stakeholders • Experience managing multiple projects, priorities, and deadlines in a fast-paced environment • Strong analytical, problem-solving, critical thinking, written communication, and verbal communication skills • Exceptional organizational skills and attention to detail • Ability to build and maintain productive relationships with providers, affiliates, vendors, and cross-functional stakeholders • Strong customer service orientation and ability to manage stakeholder expectations • Preferred: experience supporting ACOs, MSSP, population health, or value-based care programs • Preferred: experience supporting healthcare quality improvement and provider performance programs • Preferred: experience collaborating with EMR vendors and external healthcare organizations • Familiarity with CMS quality and reporting programs, including MIPS, PI, and SDOH • Knowledge of healthcare quality metrics, provider performance measurement, and regulatory reporting requirements • Understanding of operational process improvement and workflow optimization within healthcare environments • Must be able to work without visa sponsorship; company cannot provide sponsorship for a visa