VBC Program Manager

🔥 6 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $105k - $120k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Program Manager

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Vitae Health Systems

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2018

🏥 Healthcare

🤝 B2B

Healthcare • B2B

Vitae Health Systems is a provider of on-site, multi-specialty clinical services embedded within skilled nursing facilities (SNFs). The company places full-time clinicians — including APRNs, cardiologists, psychiatrists, psychotherapists, podiatrists, and neuropsychologists — directly into SNF care teams to deliver primary care, internal medicine, cardiology, psychiatry, psychotherapy, podiatry, and neuropsychological testing. Vitae emphasizes improving post-acute and at-risk patient outcomes, daily oversight of high-risk patients, staff education and clinical support, and operates across multiple states. It is noted as the Preferred APN Provider of SNF APN Services for Northwestern Medicine.

📋 Description

• Report to the Director of VBC Operations and lead VBC Operations Coordinators and a Patient Engagement Representative • Run weekly team huddles and monthly performance reviews covering beneficiary alignment, utilization, quality, and reported spend • Track LEAD quality measures and Prevention and Quality Plan milestones, reporting variances to leadership • Monitor admissions, readmissions, ED visits, and post-acute stays; ensure high-risk patients have assigned owners and documented actions • Review CMS reports and data feeds, flag variances, and escalate risks with recommended paths • Maintain the master calendar of CMS deadlines and deliverables, with named owners and follow-up • Oversee voluntary alignment against leadership targets and deadlines, including pre-submission reviews • Reconcile CMS alignment lists with census and EHR data and lead root-cause reviews on avoidable attrition • Reconcile Participant and Preferred Provider lists with HR and credentialing records at the TIN/NPI level • Verify beneficiary notifications and outreach are completed and documented according to CMS requirements • Coordinate VBC activities with operations managers at facility and NP levels • Partner with VBC clinical leadership on workflows, checklists, and handoffs • Support provider-facing scorecards, tip sheets, and trainings • Submit and sequence data requests, review data for reasonableness, and identify automation opportunities • Prepare performance summaries for senior leadership and ACO governance • Lead root-cause reviews and track action plans through closure • Facilitate quarterly PDSA improvement cycles involving Finance, clinical, and data partners • Build and maintain a VBC operating playbook • Coach the VBC operations team, set priorities and escalation thresholds, build SOPs, and resolve operational blockers

🎯 Requirements

• Bachelor’s degree in healthcare administration, public health, business, nursing, or a related field • 4+ years in value-based care, ACO operations, or population health (provider-side strongly preferred) • Direct experience in a CMS ACO model (ACO REACH, especially High Needs, MSSP, or LEAD) • Experience in post-acute, SNF, or long-term care • 2+ years managing staff • Track record running recurring operating cadences and hitting deadlines • Experience running structured improvement cycles (e.g., PDSA, Lean) and building playbooks • Working knowledge of CMS alignment (claims-based and voluntary), ACO quality measures, beneficiary protections and marketing requirements, and benchmark and settlement basics • Ability to drive follow-through across clinical, operational, and data teams without direct authority • Clear communicator who can explain data to clinicians and leaders, and is comfortable with financial and utilization reports, Excel, BI dashboards, and EHR data • Understanding of NP-led care teams (preferred) • Clinical background (e.g., RN) (preferred) • Master’s degree (preferred)

🏖️ Benefits

• Health Care Plan (Medical, Dental & Vision) • Retirement Plan (401k, IRA) • Life Insurance (Basic, Voluntary & AD&D) • Paid Time Off (Vacation, Sick & Public Holidays) • Family Leave (Maternity, Paternity) • Short Term & Long Term Disability • Training & Development • Work From Home • Free Food & Snacks • Wellness Resources • Limited travel to facility partners and team meetings