Manager of Population Health and Value Based Care (8471)

Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. We engage people in whole person's health through an integrated care delivery system, thus establishing a medical home for our patients. In caring for the whole person, we focus on overall wellness through physical health, mental health and substance use care. Our mission is to provide extraordinary care by empowered people through exceptional outcomes.

The Manager, Population Health & Value-Based Care provides operational and analytical leadership for Terros Health's population health programs, value-based care performance, Targeted Incentive Plan (TIP), and proactive care gap closure strategies. Reporting to the Vice President of Quality, this role oversees multidisciplinary functions responsible for risk stratification, value-based care program development, implementation and monitoring, and payer/regulator driven quality programs, and other diverse population level performance improvement. The Manager ensures that population health and value-based initiatives are aligned with organizational goals, payer expectations, reimbursement opportunities, and integrated care models across all Terros Health service lines.

HOPE ~ HEALTH ~ HEALING

The duties listed below are intended only as illustrations of the types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this classification.

Population Health Strategy & Program Leadership

Value-Based Care Performance & Payer Program Management

• Manages all value-based care (VBC) and TIP program activities, including attribution, measure tracking, incentive reporting, and payer collaboration.
• Monitors performance on VBC, TIP, and payer specific quality measures; develop action plans to close gaps and improve outcomes.
• Serves as the liaison with internal and external partners

Value-Based Care Performance & Payer Program Management

• Manages all value-based care (VBC) and TIP program activities, including attribution, measure tracking, incentive reporting, and payer collaboration.
• Monitors performance on VBC, TIP, and payer specific quality measures; develop action plans to close gaps and improve outcomes.
• Serves as the liaison with internal and external partners

Data Driven Performance Improvement

• Collaborates with Business Intelligence, Quality, and Clinical Operations to develop dashboards, registries, and actionable analytics.
• Translates data into operational strategies that improve outcomes for screenings, SDOH, chronic disease, and preventive care.
• Leads monthly performance reviews with clinics and service line leaders.

SDOH, Screening, and Preventive Care Initiatives

• Oversees SDOH screening workflows, referrals, and follow up processes.
• Ensures consistent implementation of preventive screenings (depression, HIV, cancer screenings, etc.) across all sites.
• Partners with community organizations to support social needs navigation.

Leadership & Supervision

• Provides direct leadership, coaching, and mentorship to team members to foster professional growth, excellence, and strong service delivery.
• Establishes performance expectations, conducts evaluations, and supports goal-setting for all supervised staff.
• Builds and maintains a collaborative, high-performing team through effective communication, training, and continuous improvement.
• Oversees workload distribution, resource planning, and staffing recommendations to ensure operational efficiency.
• Promotes a culture of accountability, customer service, and innovation across the organization.
• Supports career progression for high potential staff.

Benefits & Wellness

• Multiple medical plans - including a no premium plan for employees and their families

• Multiple dental plans - including orthodontia

• Financial well-being - 401(k) with a company match, interest free medical line of credit, financial education, planning, and support

• 4 Weeks of paid time off in the first year

• Wellness program

• Pet Insurance

• Group life and disability insurance

• Employee Assistance Program for the Whole Family

• Personal and family mental and physical health access

• Professional growth & development - including scholarships, clinical supervision, and CEUs

• Tuition discounts with GCU and The University of Phoenix

• Working Advantage - Employee perks and discounts

• Gym memberships

• Car rentals

• Flights, hotels, movies and more

• Bilingual pay differential

• Bachelor's degree in Public Health, Healthcare Administration, Nursing, Health Informatics, Business Administration, Social Work, or related field required.

• A minimum of 5 years of progressive experience in population health management, quality improvement, value-based care, healthcare operations, or related program management, including at least 2 years of leadership or supervisory experience.

• Experience working in a Federally Qualified Health Center (FQHC), integrated healthcare, behavioral health, primary care, Medicaid managed care, AHCCCS, or similar healthcare setting strongly preferred.

• Experience working with payer incentive programs, alternative payment models, Targeted Incentive Program (TIP) initiatives, or other value-based contracting arrangements preferred.

• Knowledge of healthcare quality measures, risk stratification methodologies, panel management, preventive care initiatives, chronic disease management, and social determinants of health (SDOH) programs.

• Demonstrated experience managing population health initiatives, care gap closure strategies, quality improvement programs, and/or value-based reimbursement models.

• Understanding of regulatory, payer, and quality reporting requirements impacting population health and value-based care programs.

• Strong analytical and problem-solving skills with experience utilizing healthcare data, dashboards, registries, and performance reporting tools to guide operational and clinical decision-making.

• Experience interpreting and presenting data to executive, operational, and clinical leaders to support strategic planning and performance improvement efforts.

• Strong analytical skills with experience using dashboards, registries, and quality reporting tools

• Demonstrated ability to lead teams, manage complex workflows, and drive performance improvement

• Must have a valid Arizona driver's license, be 21 years of age with a minimum of 4 years driving experience, and meet requirements of Terros Health's driving policy

• Must successfully pass a TB screening and criminal background check.

Physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.