MASC Medical Recruitment Firm · 7 hours ago
Value-Based Care Program Manager
San Diego, CA
Full-time
Hybrid
Senior Level
$85K/yr - $120K/yr
5+ years expMASC Medical Recruitment Firm is seeking a Value-Based Care Program Manager to lead operational and strategic initiatives across their value-based care portfolio. The role involves driving performance, managing case management teams, and ensuring alignment between clinical excellence and payer expectations.
ConsultingHealth CareStaffing Agency
Responsibilities
Lead the development and execution of case management and wrap-around programs supporting ECM, transitional care, and high-risk population initiatives
Direct, coach, and mentor a multidisciplinary team (RN, LCSW, CHW, non-clinical navigators) to ensure accountability, engagement, and excellence in care delivery
Manage quality, utilization, and cost metrics across multiple payer contracts; identify performance trends and lead improvement initiatives
Design scalable workflows, standard operating procedures, and technology integrations that enhance care coordination and compliance
Serve as the primary operational liaison to health plans — representing the company and performance-improvement discussions
Partner with analytics to translate insights into action, shaping strategies around HEDIS, TCM, ECM, and STAR measures
Drive adoption of new initiatives, training, and policy updates across case management and quality teams
Provide executive-level reporting, dashboard interpretation, and performance summaries to support leadership decision-making
Qualification
Required
Bachelor's degree in Nursing, Social Work, Public Health, or Healthcare Administration
5+ years in healthcare management, including at least 3 years leading case management or population-health teams. (Managed a team of 5 or more)
Strong background in value-based care, risk adjustment, or health plan collaboration
Expertise in quality frameworks (HEDIS, NCQA, DHCS, CMS) and population health reporting
Exceptional leadership, analytical, and cross-functional communication skills
Demonstrated success building or scaling care management programs within Medi-Cal or Medicare settings
Preferred
Master's degree in Nursing, Social Work, Public Health, or Healthcare Administration
Preferred Certifications: RN, LCSW, Case Management, or CCM
Benefits
Medical, dental, and vision coverage
Retirement
Paid vacation
CME/licensure reimbursement
Hybrid/remote flexibility with periodic in-person collaboration
Company
MASC Medical Recruitment Firm
MASC Medical is a leading, nationwide full-service healthcare staffing firm headquartered in Fort Lauderdale, FL and with offices in Houston, TX.
2-10 employees
Funding
Current Stage
Early StageLeadership Team
Julius Holt
Managing Partner
Company data provided by crunchbase