About this role
Value-Based Care Program Manager
The Value-Based Care Program Manager is a key member of the leadership team. This role leads operational and strategic initiatives across our value-based care portfolio — driving performance, leading case management teams, and ensuring alignment between clinical excellence, quality outcomes, and payer expectations.
This position requires a balance of visionary leadership and tactical execution: you’ll build, refine, and scale case management-centric programs that deliver measurable results — while mentoring teams and collaborating with health plans, data teams, and executive leadership to advance our value-based mission.
Compensation & Benefits
$85,000 – $120,000 annually (DOE).
Medical, dental, and vision coverage; retirement; paid vacation; CME/licensure reimbursement.
Hybrid/remote flexibility with periodic in-person collaboration.
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.
Requirements
Bachelor’s degree in Nursing, Social Work, Public Health, or Healthcare Administration (Master’s preferred).
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 Certifications: RN, LCSW, Case Management, or CCM.
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Other facts
About MASC Medical
MASC Medical is a leading, nationwide full-service healthcare staffing firm headquartered in Fort Lauderdale, FL and with offices in Houston, TX.
Our expertise, resources, relationships, and proven strategies have allowed us to develop a proactive, and efficient approach that serves both healthcare providers and organizations.
Recognized as one of the best physician recruiting firms in the country, we proudly tailor our physician staffing services to physicians, mid-level providers, dentists, allied health, and executives.
What you'll do
- This role involves leading operational and strategic initiatives across the value-based care portfolio, focusing on driving performance, leading case management teams, and ensuring alignment between clinical excellence, quality, and payer expectations. Key duties include developing and executing case management programs, directing multidisciplinary teams, and managing quality and cost metrics across payer contracts.
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