Value Based Care Practice Operations Manager

Value Based Care Practice Operations Manager

MFM Health is seeking a hands-on, execution-focused leader to support and advance our Value Based Care operations. This role is designed for an experienced operator who can step directly into active operational workstreams related to quality performance, risk adjustment, population health execution, and data analysis, validation, and manipulation. This position requires being on-site at our practice locations to work closely with clinical, operational, and administrative teams to execute key Value Based Care initiatives.

This is not a strategic advisory or planning role. MFM has a defined Value Based Care strategy and roadmap. This position is responsible for executing that plan, working directly in systems and data, coordinating across teams as needed, and materially reducing operational and analytical burden currently concentrated at the executive level.

What We Offer:

• Enhanced Benefits Package: Enjoy a comprehensive benefits package that includes discretionary paid time off to ensure a healthy work-life balance, a 401(k) plan with employer match, and a profit-sharing bonus structure that rewards your contributions to our practice's success.
• Professional Growth Environment: At MFM Health, we are committed to your professional development. We offer continuous opportunities for learning and career advancement in a supportive and collaborative environment.

Core Responsibilities:

Value Based Care Execution

• Execute day-to-day Value Based Care initiatives across quality, risk adjustment, efficiency, and population health programs
• Support year-end and ongoing quality measure closure, including hands-on reconciliation across EMR, payer portals, analytics platforms, and vendor tools
• Translate existing Value Based Care strategy into operational workflows and measurable outcomes
• Partner closely with clinical, care management, and operations teams to ensure initiatives are executed accurately and consistently
• Coordinate directly with external vendors and partners to resolve data, reporting, and workflow issues
• Identify operational friction points and implement practical process improvements aligned with existing strategy

Quality and Risk Adjustment Operations

• Actively work quality gaps through system-level validation and correction
• Support risk adjustment initiatives through chart review, diagnosis validation, and documentation workflows
• Ensure clinical evidence is appropriately captured, entered, and reflected in downstream reporting systems
• Monitor performance trends and support continuous improvement efforts tied to payer contracts

Data Analysis and Data Manipulation

• Perform hands-on data analysis and manipulation related to Value Based Care performance, quality measures, utilization, and financial outcomes
• Build, maintain, and validate operational and performance reports using raw data from multiple source systems
• Reconcile discrepancies between EMR data, payer reports, analytics platforms, and internal tracking tools
• Support ad hoc analytical requests tied to operational decision making and executive reporting
• Ensure data accuracy, integrity, and usability for leadership and management teams

Operational Partnership

• Serve as an embedded execution partner to the COO, reducing single-threaded dependency across VBC and data workstreams
• Take ownership of defined operational and analytical responsibilities with minimal oversight
• Provide clear, actionable insights grounded in hands-on work, not theoretical analysis
• Support leadership continuity and operational stability as MFM continues to grow and take on additional risk

Salary Range: $115K -$135K

Required Qualifications

• Demonstrated experience working directly in electronic health record systems (Athena preferred), healthcare analytics and population health platforms (ex. Arcadia), and AI-enabled solutions that support Value Based Care workflows (ex. Navina).
• Proven ability to navigate and enhance Value Based Care operations, population health, quality, or risk adjustment performance within a healthcare organization
• Strong working knowledge of quality measures, payer contracts, and VBC concepts, with real-world execution experience
• Advanced data analysis and data manipulation skills, including comfort working with raw data, spreadsheets, dashboards, and reporting tools
• Ability to independently execute complex, detail-oriented workstreams
• Comfort operating in ambiguity and solving problems through direct action
• Strong organizational and prioritization skills
• Experience supporting MSSP and other commercial risk-based contracts
• Experience supporting year-end quality reconciliation and reporting.
• Background in healthcare analytics, operations, and population health management

About MFM Health:

Our mission at MFM Health is to Make Lives Meaningfully Better. We are continually expanding our practice to provide quality, comprehensive, and compassionate care to patients on the North Shore and beyond. We are committed to hiring passionate individuals who are motivated to succeed in a collaborative, patient-centric culture. We pride ourselves on our commitment to excellence, offering services 365 days a year, drive-thru healthcare, and on-site specialty teams and ancillary services.

At MFM Health, we offer excellent benefits, top-notch training, and a vibrant work environment. We believe in celebrating our employees' successes and regularly gather for company-wide parties and events to foster strong team connections. Join us as we continue to grow, investing in our people, programs, and technology to deliver legendary patient service and further our reputation as the provider, practice, and employer of choice!