Remote Value Based Care Jobs
Remote Value Based Care jobs are open across the U.S. in managed care, population health, and health plan sectors, with roles ranging from care coordination analysts to senior VBC strategy leads. Companies hiring remotely right now include agilon health, Humana, and Centene. Find a role that fits below and apply directly.
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Humana Healthy Horizons is looking for a Value-Based Programs Lead who will support successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. You will lead the beginning-to-end operational support of specialty Medicaid value-based payment (VBP) models in alignment with segment strategy and goals. The Value-Based Programs Lead will be a subject matter expert in VBP and have advanced technical knowledge and experience.- Develop new innovative VBP models for range of provider types, such as behavioral health, maternity, specialists, and social determinants of health, creating glide paths to move providers from volume to value.
- Align scope of work with roadmap for new VBP model development to ensure compliance with Medicaid contractual requirements and RFP commitments.
- Analyze financial, utilization, and performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care.
- Creation of VBP payment strategies and model design, such as developing payment model logic, performance metrics and benchmarks, and financial terms, which align with segment goals.
- Design and contribute to development of provider reporting packages to help providers understand their overall and detailed performance.
- Partner with finance team to conduct impact analysis and modeling for new VBP models.
- Collaborate with team members and matrixed teams to operationalize and rollout of new VBP models. Contribute to developing solutions to operational gaps.
- Monitor VBP model performance KPIs to identify opportunities to enhance model design based on internal and external feedback and performance data.
- Ability to translate strategy into models that can be piloted and scaled across markets.
Use your skills to make an impact
Required Qualifications
- Bachelor's degree.
- Minimum five (5) years of experience in managed care operations, provider reimbursement and analytics, and value-based care.
- Two (2) or more years of direct experience designing, structuring, and implementing value-based payment (VBP) strategies and models for specialty providers, including pay-for-performance, bundled payments, accountable care, shared savings, and shared-risk arrangements.
- Experience using financial, utilization, quality, and performance data to directly design and model VBP arrangements, including establishing baselines and benchmarks, identifying cost and utilization opportunities, setting performance targets, and developing incentive, shared-savings, and risk methodologies.
- Experience operating in matrixed environment.
- Expertise in Medicare and/or Medicaid managed care.
- Ability to identify, structure and solve complex business problems.
- Excellent interpersonal, organizational, written, and oral communication and presentation skills with proven experience writing and delivering presentations to members of the management team.
Preferred Qualifications
- Master's degree.
- Expertise in VBP financial modeling and impact analysis.
- Direct experience working for a Medicaid managed care health plan.
Additional Information
- Workstyle: This is a remote position.
- Travel: This role may require up to 10% travel for onsite meetings, which could include locations outside your state of residence.
- Typical Workdays and Hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$104,000 - $143,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-08-2027
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Become a part of our caring community
Humana Healthy Horizons is looking for a Value-Based Programs Lead who will support successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. You will lead the beginning-to-end operational support of specialty Medicaid value-based payment (VBP) models in alignment with segment strategy and goals. The Value-Based Programs Lead will be a subject matter expert in VBP and have advanced technical knowledge and experience.- Develop new innovative VBP models for range of provider types, such as behavioral health, maternity, specialists, and social determinants of health, creating glide paths to move providers from volume to value.
- Align scope of work with roadmap for new VBP model development to ensure compliance with Medicaid contractual requirements and RFP commitments.
- Analyze financial, utilization, and performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care.
- Creation of VBP payment strategies and model design, such as developing payment model logic, performance metrics and benchmarks, and financial terms, which align with segment goals.
- Design and contribute to development of provider reporting packages to help providers understand their overall and detailed performance.
- Partner with finance team to conduct impact analysis and modeling for new VBP models.
- Collaborate with team members and matrixed teams to operationalize and rollout of new VBP models. Contribute to developing solutions to operational gaps.
- Monitor VBP model performance KPIs to identify opportunities to enhance model design based on internal and external feedback and performance data.
- Ability to translate strategy into models that can be piloted and scaled across markets.
Use your skills to make an impact
Required Qualifications
- Bachelor's degree.
- Minimum five (5) years of experience in managed care operations, provider reimbursement and analytics, and value-based care.
- Two (2) or more years of direct experience designing, structuring, and implementing value-based payment (VBP) strategies and models for specialty providers, including pay-for-performance, bundled payments, accountable care, shared savings, and shared-risk arrangements.
- Experience using financial, utilization, quality, and performance data to directly design and model VBP arrangements, including establishing baselines and benchmarks, identifying cost and utilization opportunities, setting performance targets, and developing incentive, shared-savings, and risk methodologies.
- Experience operating in matrixed environment.
- Expertise in Medicare and/or Medicaid managed care.
- Ability to identify, structure and solve complex business problems.
- Excellent interpersonal, organizational, written, and oral communication and presentation skills with proven experience writing and delivering presentations to members of the management team.
Preferred Qualifications
- Master's degree.
- Expertise in VBP financial modeling and impact analysis.
- Direct experience working for a Medicaid managed care health plan.
Additional Information
- Workstyle: This is a remote position.
- Travel: This role may require up to 10% travel for onsite meetings, which could include locations outside your state of residence.
- Typical Workdays and Hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$104,000 - $143,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-08-2027
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
See All 8 Remote Value Based Care Jobs
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Find Remote Value Based Care JobsRemote Value Based Care Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in remote value based care jobs.
- Experience with value-based payment models such as ACO, PCMH, or bundled payments
- Proficiency analyzing claims data, HEDIS measures, or population health dashboards
- Bachelor's or master's degree in health administration, public health, or a clinical field
- Familiarity with care management platforms and electronic health record systems
- Knowledge of CMS quality reporting programs and Medicare Advantage or Medicaid contracts
- Strong cross-functional communication skills for working with clinical and finance teams
Tips for Your Remote Value Based Care Job Search
Apply early to remote roles that fit
Migrate Mate lists remote value based care openings from across the U.S. in one place, so you can find roles that match your background and apply directly without sorting through unrelated postings.
Show async communication skills upfront
Remote value based care teams run on written handoffs and documentation. Highlight your proficiency with care management platforms, shared dashboards, and structured written updates in your application materials to signal you can operate without daily in-person touchpoints.
Demonstrate self-directed quality improvement work
Remote employers in value based care want evidence you can own a quality initiative from identification to reporting without in-person oversight. Quantify outcomes you drove independently, such as changes in HEDIS scores or utilization rates, to prove self-direction at the work level.
Prepare for remote case presentation interviews
Many remote value based care interviews include a live case or data walk-through over video. Practice narrating population health analyses clearly on screen, sharing your screen confidently, and fielding follow-up questions from distributed panels before your first interview call.
Remote Value Based Care Jobs: Frequently Asked Questions
How do I get a remote value based care job?
Target health plans, accountable care organizations, and digital health companies that run distributed teams, as these employers post the most remote value based care openings. Remote hiring managers screen for fluency with population health data platforms, strong written communication for async handoffs, and the ability to manage quality improvement workflows without in-person oversight. Demonstrating experience with risk stratification tools or payer-provider partnerships gives candidates a clear edge.
Which companies hire remote value based cares?
Remote value based care roles are posted by agilon health, Humana, and Centene and others right now, based on current remote listings on Migrate Mate as of November 2026. These employers tend to be remote-first health plans, managed care organizations, and digital health platforms running distributed clinical and operations teams.
Can you get a remote value based care job with no experience?
Yes, but remote entry-level roles in value based care are competitive because employers expect you to work independently from day one without on-site mentorship. Digital health startups and health plan operations teams sometimes hire entry-level analysts or care coordinators remotely. Showing familiarity with HEDIS measures, quality metrics, or population health concepts through coursework, certifications, or volunteer health work can open doors when direct experience is limited.
Do you need a degree for remote value based care jobs?
Not always. Many remote value based care roles, particularly in care coordination and quality improvement, list a degree as preferred rather than required. Remote employers in this space weigh demonstrated knowledge of value based payment models, hands-on experience with clinical data systems, and results from past quality or cost-reduction initiatives heavily alongside or instead of formal credentials.
See All 8 Remote Value Based Care Jobs
Find roles that match your experience and apply in just a few clicks.
Find Remote Value Based Care Jobs