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Evolent Managing Director, Value Based Care Operations in Dover, Delaware

Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing:

What You’ll Be Doing:

Evolent is looking for a Managing Director of Value-Based Operations to join our Primary Care Leadership Team. This role will be a key member of the leadership team for Evolent Care Partners (ECP), Evolent’s business unit focused on value-based care relationships with primary care practices. ECP launched as an internal start-up in 2020 with a wholly owned Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) spanning four states. In 2024, ECP spans 10 states and is accountable for over $1B in medical expenses via risk-based relationships with payers and primary care providers in MSSP, Medicare Advantage, and Commercial products. In 2023, the most recent year of data available, ECP generated over $64M of savings for Medicare in the Shared Savings Program.

The Managing Director will report to the SVP Primary Care / President of Evolent Care Partners and will play a key leadership role in both the strategy and operational aspects of ECP.

This leader will own ECP’s overall strategic planning efforts, as well as oversee several ECP functions core to clinical, quality, and financial outcomes. The leader will partner across cross-functional leaders within Evolent and ECP to develop a multi-year strategic roadmap for ECP, including plans for in-market growth and performance optimization. ECP’s overall strategic roadmap will include a plan for growth to new markets, geographies, and/or products, and will be developed in close collaboration with the ECP Growth and Business Development teams. The strategic plan will also include a comprehensive plan for optimizing performance across Medicare and Commercial contracts, including plans related to medical expense management, quality improvement, appropriate risk adjustment, and patient and provider engagement. Members of the ECP leadership team in clinical, performance, finance, policy and network will be close collaborators and contributors to the overall strategic plan development and implementation.

The Managing Director (MD) will have operational oversight for several key performance levers for ECP, with operational teams for each reporting in. The MD will lead our Quality program, with accountability for ECP’s Quality performance across contracts. The MD will partner with our Payor Operations and Analytics teams to ensure complete and comprehensive data and performance tracking. The MD will develop clinical and performance improvement strategies based on clinical guidelines, best practices, and provider input. Implementation of quality programs and interface with provider and payor partners will be done in close collaboration with ECP’s Clinical, Performance and Network teams. Additionally, the MD will oversee ECP’s Risk Adjustment program, with responsibility for developing our analytic and operational strategies that ensure ECP’s risk profile appropriately matches the complexity of the patients we serve. The MD will partner with our risk analytics team to track and measure risk adjustment metrics, understand payor contracts and CMS policies impacting risk adjustment, and manage the suite of internal programs and external partnerships used to ensure appropriate risk adjustment and coding.

Qualifications -

Bachelor’s degree in business or related field -

Minimum 10 years of progressive leadership and management experience

Leadership role within a value based primary care organization (ACO or Managed Services Organization) -

Experience with primary care risk models – shared savings and/or capitation -

Demonstrated experience driving and managing performance and achieving key financial targets

Comfort in ambiguity: you've worked in a startup environment or something similar where there wasn't always clarity about what you should do next -

Excellent written, computer, and oral communication skills

Experience with Medical Expense reporting and initiative development -

A strategic thinker and tactical executor who can move an idea from concept to reality -

Proven ability to interact with and influence clients and internal stakeholders - M.B.A. or equivalent graduate degree -

An accomplished executive with superior management skills and a successful track record of leading, developing, and mentoring leaders and future leaders -

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruiting@evolent.com for further assistance.

The expected base salary/wage range for this position is $. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

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