Medicare Value-Based Programs Manager

About the role

Bloom Healthcare is a pioneering value-based primary care and hospice practice at the forefront of transforming healthcare delivery for vulnerable patients. We bring high-touch, innovative medicine to those living at home with chronic conditions. Bloom’s model of care is proven to provide exceptional care to the homebound population, and Bloom Healthcare has generated outstanding quality results in CMS Innovation Center models compared to our peers.

Responsibilities

• Manage the day-to-day operations of the ACO while ensuring compliance with all Medicare regulatory and reporting requirements.
• Manage relationships with preferred providers, ensuring strong partnerships and close care coordination across the ACO network.
• Support development and implementation of operations for Bloom’s newest ACO value-based care model, such as the LEAD model, ensuring seamless integration into existing ACO processes.
• Conduct ongoing analysis of healthcare policies, regulations, and industry trends to support strategic planning and compliance efforts.
• Draft and refine key communications materials, including letters, website content, and reports.
• Create clear, effective presentations for diverse audiences, including internal leadership, partners, and external stakeholders, to convey ACO performance, strategies, and initiatives.
• Collaborate with the Senior Director of Population Health and Chief Medical Officer to analyze ACO data and identify opportunities for improvement in patient outcomes, cost efficiency, and care delivery.

Qualifications

• Bachelor's degree (Master's degree in public health, policy, or health administration is a plus but not required)
• Minimum 3-5 years of relevant work experience, with a minimum of 1-2 years in healthcare operations or policy.
• Expertise in Accountable Care Organizations (ACOs), value-based care, or population health management preferred.
• Strong analytical skills with experience using healthcare data to identify opportunities for improvement, optimize operations, and achieve better patient outcomes.
• Strong written and verbal communication skills, with experience drafting formal materials and delivering presentations to diverse audiences.
• Proven ability to manage special projects, develop new care models, and implement creative solutions to complex operational challenges.