SENIOR MANAGER OF VALUE-BASED PROGRAMS

About Whitman-Walker Health

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.

Core Whitman-Walker Primary Essential Duties

• Performs and behavesin accordance withWhitman-Walker's mission, cultural norms and core values of dignity, respect, affirmation, and humility.
• Maintain a respectful, non-judgmental, and compassionate manner with patients/clients/staff.
• Demonstrate excellent customer service byidentifyingand exceeding customer requirements.
• Adhere to Whitman-Walker policies and procedures, with special attention given to HIPAA requirements.
• Maintain data integrity through conscientious use of relevant tools and employing a system of checks and balances.
• Demonstrate organizational skills necessary to multi-task, meetdeadlinesand re-prioritize as needed.
• Participate in organizational quality and performance improvement activities.

Job Summary

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

• Coordinatethe strategy, implementation, and ongoing management of multiple value-based care programs (e.g., Medicare, Medicaid, commercial payer initiatives) to improve qualityand financialperformance.
• Monitor performance against program benchmarks, including clinical quality measures,utilization, and financial targets;identifygaps 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 workflowsand manage panels toimprove patient outcomes.
• Supervise, directly or indirectly, staff carrying out patient-facing outreach, care coordination, or navigation activities connected to VBPcontracts
• Co-manages the StaffValue-Based Programs Committee, along with the VP of Population Health & Quality
• Analyze data from the electronic medical record (EMR), payer-based claimsdashboards, andother relevant sourcesto generate actionable insights
• Support the design and optimization of workflows within the EMRor other data systems in useto improve documentation, reporting accuracy, and quality measure capture.
• Managequality improvement initiatives, including Plan-Do-Study-Act (PDSA) cycles, to drive continuous improvement in patient care and operational efficiency.
• Engage with external partners, including payersand 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, andaudits.
• 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 ofpopulation healthstaff-non-licensed outreach, navigation, and care coordination roles
• Indirect supervision ofpopulation healthstaff-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, andcost analyses
• Proficiencyin data analysis and interpretation, with experience usingEMR,HIE,and payer(claims)platform datatools.
• 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-specificmodels.
• Problem-solving mindset with the ability toidentifybarriers and implement practical solutions.
• Leadershipskills,includingthe 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 managementsuch as:identification, stratification and targeted intervention and management of patient populations.
• Excellentcommunication 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 tomaintainimportant executiverecordsan accurate,timelyand confidential manner.
• Clear, concise written communication skills with good attention to grammar and punctuation.
• Knowledge of general office terminology, standards,practicesand demands.
• Strong word processing, proofreading, and database management skills.
• Sensitivity to all areas of diversity, including HIV status, race, ethnicity, ability, age, sexualorientationand gender identity.

Education and Experience Required

• Bachelor's degree in public health, healthcare administration, nursing, ora relatedfield isrequired;Master's degree in Public Healthor related field preferred.
• Certification in Epic Cogitorequired.
• Threeyears 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 isrequired
• 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: Nomore than 20 lbs. and infrequently.
• Movement: Standingand sitting for long periods.
• Visual:Longperiodsoncomputer.
• Concentration: Extendedperiods 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: Directand indirect communication. Written and verbalcompetence.

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.