H-1B Visa Value Based Care Jobs
Value Based Care roles sit at the intersection of clinical operations, data analytics, and population health strategy, all specialty occupation categories with strong H-1B visa sponsorship histories. Health systems, payer organizations, and ACOs regularly file H-1B petitions for these positions, and the 85,000-cap annual lottery applies unless your employer qualifies as cap-exempt.
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Get Access To All JobsWe’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
The Lead Director of Value-Based Contracting is responsible for establishing and maintaining productive value-based relationships with key network providers. Responsible to develop and manage the Keystone Value-based Network as outlined below:
- Accountable for building strategic relationships with our provider partners to develop innovative value-based solutions to meet total cost and quality goals.
-
Responsible for developing alternative payment models, identifying and planning new initiatives, and negotiating high value/risk contracts with the most complex arrangement structures, which requires:
-
understanding providers’ volume and cost structure
- working cross functionally to identify the levers and critical negotiation points
- aligning negotiation strategies and tactics with network accessibility, quality, compliance and financial performance goals
- In charge of complete value-based contracting cycle from planning, creating documents, negotiation and loading of executed arrangements.
- Works with Performance team, Clinical Transformation team, VBS Analytics team and other key internal teams to develop a value-based strategic plan and oversee contract performance with targeted provider groups to ensure we meet objectives for value-based provider agreements.
- Evaluates, helps formulate, and implements network strategic plans to achieve value-based contracting targets and manage medical costs through effective value-based contracting.
- Provides assistance and support to other departments, as needed, to obtain crucial or required information from providers, such as HEDIS, Credentialing, Grievance and Appeals, SIU, etc. Coordinates provider status information with member services and other internal departments.
- Leads work and deliverables of complex projects/programs, through assessment to implementation, that may impact multiple processes, systems, functions, and products across all lines of business.
- Facilitates and attends external provider meetings and negotiations, as needed.
Required Qualifications
- 10 years of related experience and comprehensive level of negotiating skills with successful track record negotiating value-based contracts with IPAs, large complex provider systems or groups, hospitals and large physician entities
- Experience reviewing medical claims data and developing executive summaries and identifying opportunities for mitigating medical cost trend
- Excellent analytical and problem-solving skills
- Strong communication, negotiation, and presentation skills
- Ability to work in a matrixed organization and gain consensus and share information to various interested parties.
Preferred Qualifications
- Familiar with legal terms in the context of provider contracting.
- Familiar with CMS Stars and HEDIS technical specifications and various measurable percentiles associated with the HEDIS measures.
- Experience with Commercial, Medicare and Medicaid contracting.
- Able to apply system thinking when managing multiple provider value-based initiatives
- Strong financial modeling background
- Must reside in the state of Georgia.
Education
- Bachelor’s degree preferred or a combination of professional work experience and education.
Pay Range
The typical pay range for this role is:
$100,000.00 - $231,540.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 08/29/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
The Lead Director of Value-Based Contracting is responsible for establishing and maintaining productive value-based relationships with key network providers. Responsible to develop and manage the Keystone Value-based Network as outlined below:
- Accountable for building strategic relationships with our provider partners to develop innovative value-based solutions to meet total cost and quality goals.
-
Responsible for developing alternative payment models, identifying and planning new initiatives, and negotiating high value/risk contracts with the most complex arrangement structures, which requires:
-
understanding providers’ volume and cost structure
- working cross functionally to identify the levers and critical negotiation points
- aligning negotiation strategies and tactics with network accessibility, quality, compliance and financial performance goals
- In charge of complete value-based contracting cycle from planning, creating documents, negotiation and loading of executed arrangements.
- Works with Performance team, Clinical Transformation team, VBS Analytics team and other key internal teams to develop a value-based strategic plan and oversee contract performance with targeted provider groups to ensure we meet objectives for value-based provider agreements.
- Evaluates, helps formulate, and implements network strategic plans to achieve value-based contracting targets and manage medical costs through effective value-based contracting.
- Provides assistance and support to other departments, as needed, to obtain crucial or required information from providers, such as HEDIS, Credentialing, Grievance and Appeals, SIU, etc. Coordinates provider status information with member services and other internal departments.
- Leads work and deliverables of complex projects/programs, through assessment to implementation, that may impact multiple processes, systems, functions, and products across all lines of business.
- Facilitates and attends external provider meetings and negotiations, as needed.
Required Qualifications
- 10 years of related experience and comprehensive level of negotiating skills with successful track record negotiating value-based contracts with IPAs, large complex provider systems or groups, hospitals and large physician entities
- Experience reviewing medical claims data and developing executive summaries and identifying opportunities for mitigating medical cost trend
- Excellent analytical and problem-solving skills
- Strong communication, negotiation, and presentation skills
- Ability to work in a matrixed organization and gain consensus and share information to various interested parties.
Preferred Qualifications
- Familiar with legal terms in the context of provider contracting.
- Familiar with CMS Stars and HEDIS technical specifications and various measurable percentiles associated with the HEDIS measures.
- Experience with Commercial, Medicare and Medicaid contracting.
- Able to apply system thinking when managing multiple provider value-based initiatives
- Strong financial modeling background
- Must reside in the state of Georgia.
Education
- Bachelor’s degree preferred or a combination of professional work experience and education.
Pay Range
The typical pay range for this role is:
$100,000.00 - $231,540.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 08/29/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
See all 60+ H-1B Visa Value Based Care Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new H-1B Visa Value Based Care Jobs.
Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Value Based Care
Map your role to a specialty occupation
Value Based Care titles vary widely, Care Transformation Analyst, Population Health Manager, Quality Improvement Specialist. Pull the O*NET occupation profile for your specific role to confirm the bachelor's-degree requirement before your employer files the LCA.
Target cap-exempt employers first
Hospitals affiliated with universities, federally qualified health centers, and nonprofit research institutions can file H-1B petitions outside the annual lottery. Value Based Care teams are expanding at these organizations, so prioritize them if you've already used a lottery slot.
Search verified sponsors on Migrate Mate
Use Migrate Mate to filter Value Based Care roles by employers with confirmed H-1B LCA filing history. This surfaces health systems and payer organizations that have already navigated the specialty occupation classification for roles like yours.
Verify prevailing wage level before accepting an offer
DOL wage levels for Value Based Care roles differ by SOC code and metro area. Run the OFLC Wage Search using your job's SOC code and work location before you accept an offer, your employer's LCA must certify at least the prevailing wage for that level.
Ask about premium processing at the offer stage
USCIS premium processing upgrades adjudication to 15 business days. For Value Based Care contract roles or positions with a hard start date tied to a payer contract cycle, confirm whether your employer will elect premium processing before you give notice at a current job.
Document clinical and technical credentials together
Value Based Care petitions often require evidence of both healthcare domain knowledge and analytical competency. Compile degree transcripts, professional certifications like CPHQ or PMP, and a credential evaluation for foreign degrees before your employer drafts the I-129 support letter.
H-1B Visa Value Based Care: Frequently Asked Questions
Do Value Based Care roles qualify as H-1B specialty occupations?
Yes, provided the position requires at least a bachelor's degree in a specific field such as health informatics, public health, nursing, healthcare administration, or a related discipline. Roles that accept any bachelor's degree regardless of field are harder to qualify. Your employer documents the degree requirement in the LCA and I-129 petition, and USCIS evaluates whether the role meets the specialty occupation standard.
Which types of employers sponsor H-1B visas for Value Based Care positions?
Health systems, managed care organizations, accountable care organizations, and health technology vendors are the most active sponsors. Migrate Mate lets you filter specifically for employers with H-1B LCA filing history in Value Based Care and population health roles, so you're applying to organizations that have already navigated the specialty occupation classification for similar positions.
How does the H-1B cap affect my timeline for starting a Value Based Care role?
Cap-subject H-1B petitions are filed in April for an October 1 start date, meaning you could wait up to six months after an offer. If your employer is a nonprofit hospital, university health system, or federally qualified health center, they may be cap-exempt and file year-round. Clarify your employer's cap status during offer negotiations so you can plan your transition accordingly.
Can I switch Value Based Care employers mid-H-1B without losing my status?
Yes, H-1B portability under AC21 lets you change employers after your petition has been pending for 180 days, as long as the new role is in the same or a substantially similar occupational classification. For Value Based Care professionals, a move from a payer to a provider organization typically qualifies if the core job duties remain comparable. Your new employer files an H-1B transfer petition before your last day.
What SOC codes are commonly used for Value Based Care H-1B petitions?
Employers most often file under Health Services Manager (SOC 11-9111), Medical and Health Services Manager, or Health Informatics Specialist (SOC 15-1211) depending on whether the role is operationally or analytically oriented. The SOC code determines the prevailing wage level your employer certifies on the LCA. Verify which code matches your actual job duties using O*NET before your employer submits the LCA to DOL.