Value Based Care Jobs
Value Based Care jobs are open across health systems, payer organizations, accountable care organizations, and managed care, from analyst and coordinator to director and VP, with specializations in population health, care management, and quality improvement. Find a role that fits from the openings below and apply directly.
Find Value Based Care JobsOverview
Showing 5 of 12+ Value Based Care jobs
INTRODUCTION
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
ROLE AND RESPONSIBILITIES
The Director of VBC Compliance is responsible for leading and operationalizing Optum Health's compliance program supporting VBC initiatives across several teams and matrix partners in achieving our VBC objectives. This role directly oversees compliance activities and initiatives related to VBC, provider network contracting and compensation structures, risk adjustment and quality, affordability, and clinical strategies. The Director will lead day-to-day compliance operations while maturing the compliance program infrastructure, governance model, monitoring capabilities, and team structure. This is a highly cross-functional leadership role requiring expertise in managed care compliance, Anti-Kickback Statute, CMS Medicare Advantage regulations and requirements, network oversight, risk adjustment, quality, and value-based care payer contracting.
This position reports to the Optum Health Vice President, Compliance, and partners closely with other Optum Health compliance leaders, enterprise compliance teams, legal, audit, and business stakeholders.
You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
- Create and implement comprehensive compliance strategy, risk assessment, and detailed compliance workplan in collaboration with enterprise compliance and business partners
- Partner with enterprise compliance teams to deliver an effective compliance program designed to detect, prevent, and correct compliance issues across Optum Health including:
- Support annual and ongoing compliance risk assessment
- Develop, implement, and update as needed policies, procedures, processes, and best practices with enterprise compliance team across Optum Health to promote compliance with applicable laws and contractual obligations
- Develop, implement, and update as necessary, training, awareness and educational materials and programs to support compliance and ethics agendas with enterprise compliance team
- Develop, implement, and update, as necessary, routine monitoring to ensure ongoing compliance with laws, regulations, policies, and procedures
- Partner with enterprise compliance audit team to develop and oversee annual audit plan, scope of audits, and overall audit execution including subsequent corrective actions, if needed
- Partner with enterprise compliance investigations team to enable them to conduct investigations timely and effectively and support disciplinary guidelines in partnership with the human resources team and business teams
- Oversee compliance obligations across VBC operational functions, including but not limited to:
- Risk Adjustment
- Quality
- VBC & payer strategy
- Network operations
- Healthcare economics
- Medical expense management
- Provider experience & engagement
- Clinical value & affordability
- Manage and develop a team of compliance professionals, including performance management, coaching, employee development, and workload prioritization
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
BASIC QUALIFICATIONS
- Bachelor's degree; advanced degree preferred (JD, MHA, MPH, MBA, or related field)
- 7+ years of progressive healthcare compliance experience within managed care, health plans, delegation oversight, Third Party Administrators, healthcare consulting, or law firm environments
- 5+ years of experience supervising and leading a team including performance management and talent development
- Experience working with and problem solving with senior executives and a proactive executive with a proven history of driving results in a heavily matrixed environment
- Proven solid verbal and written communication skills and an ability to seek to understand new business proposals, identify risks, and propose risk mitigation solutions
PREFERRED QUALIFICATIONS
- CPA, CHC, CCEP, or other relevant certifications
- Experience with Medicare Advantage, Medicaid, and/or Commercial health plan and compliance programs including practical application of OIG and CMS Managed Care Manual Chapter 21 requirements and FDR requirements
- Experience working with key healthcare laws and regulations: Medicare Advantage and Medicaid regulations and manuals, False Claims Act, Anti-kickback Statute, and Stark Law
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $134,600 to $230,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
APPLICATION DEADLINE: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
INTRODUCTION
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
ROLE AND RESPONSIBILITIES
The Director of VBC Compliance is responsible for leading and operationalizing Optum Health's compliance program supporting VBC initiatives across several teams and matrix partners in achieving our VBC objectives. This role directly oversees compliance activities and initiatives related to VBC, provider network contracting and compensation structures, risk adjustment and quality, affordability, and clinical strategies. The Director will lead day-to-day compliance operations while maturing the compliance program infrastructure, governance model, monitoring capabilities, and team structure. This is a highly cross-functional leadership role requiring expertise in managed care compliance, Anti-Kickback Statute, CMS Medicare Advantage regulations and requirements, network oversight, risk adjustment, quality, and value-based care payer contracting.
This position reports to the Optum Health Vice President, Compliance, and partners closely with other Optum Health compliance leaders, enterprise compliance teams, legal, audit, and business stakeholders.
You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
- Create and implement comprehensive compliance strategy, risk assessment, and detailed compliance workplan in collaboration with enterprise compliance and business partners
- Partner with enterprise compliance teams to deliver an effective compliance program designed to detect, prevent, and correct compliance issues across Optum Health including:
- Support annual and ongoing compliance risk assessment
- Develop, implement, and update as needed policies, procedures, processes, and best practices with enterprise compliance team across Optum Health to promote compliance with applicable laws and contractual obligations
- Develop, implement, and update as necessary, training, awareness and educational materials and programs to support compliance and ethics agendas with enterprise compliance team
- Develop, implement, and update, as necessary, routine monitoring to ensure ongoing compliance with laws, regulations, policies, and procedures
- Partner with enterprise compliance audit team to develop and oversee annual audit plan, scope of audits, and overall audit execution including subsequent corrective actions, if needed
- Partner with enterprise compliance investigations team to enable them to conduct investigations timely and effectively and support disciplinary guidelines in partnership with the human resources team and business teams
- Oversee compliance obligations across VBC operational functions, including but not limited to:
- Risk Adjustment
- Quality
- VBC & payer strategy
- Network operations
- Healthcare economics
- Medical expense management
- Provider experience & engagement
- Clinical value & affordability
- Manage and develop a team of compliance professionals, including performance management, coaching, employee development, and workload prioritization
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
BASIC QUALIFICATIONS
- Bachelor's degree; advanced degree preferred (JD, MHA, MPH, MBA, or related field)
- 7+ years of progressive healthcare compliance experience within managed care, health plans, delegation oversight, Third Party Administrators, healthcare consulting, or law firm environments
- 5+ years of experience supervising and leading a team including performance management and talent development
- Experience working with and problem solving with senior executives and a proactive executive with a proven history of driving results in a heavily matrixed environment
- Proven solid verbal and written communication skills and an ability to seek to understand new business proposals, identify risks, and propose risk mitigation solutions
PREFERRED QUALIFICATIONS
- CPA, CHC, CCEP, or other relevant certifications
- Experience with Medicare Advantage, Medicaid, and/or Commercial health plan and compliance programs including practical application of OIG and CMS Managed Care Manual Chapter 21 requirements and FDR requirements
- Experience working with key healthcare laws and regulations: Medicare Advantage and Medicaid regulations and manuals, False Claims Act, Anti-kickback Statute, and Stark Law
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $134,600 to $230,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
APPLICATION DEADLINE: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
See All Value Based Care Jobs
Jump back to the full list of openings and apply to any value based care role that fits.
Find Value Based Care JobsValue Based Care Job Market
A snapshot from current openings nationwide, updated as new roles post.
Who's Hiring
- CVS Health3
- DaVita2
- Optum2
- Kaleida Health1
- Nc Health Affiliates1
Top Industries Hiring
- Healthcare & Medical Services8
- Consulting & Professional Services2
- Education1
- Insurance1
What Employers Look For
The qualifications that appear most often in value based care jobs.
- Bachelor's degree in health administration, public health, nursing, or a related clinical field
- Experience with value based care models such as ACOs, bundled payments, or capitation contracts
- Proficiency with population health management platforms and EHR data
- Knowledge of HEDIS, Stars ratings, or other quality measurement frameworks
- Ability to analyze claims data and clinical outcomes to identify gaps in care
- Strong cross-functional communication skills for working with clinical and administrative teams
Tips for Your Value Based Care Job Search
Quantify outcomes in your resume
Hiring managers in value based care want to see results, not responsibilities. Tie your experience to measurable outcomes like reduced readmissions, improved HEDIS scores, or cost savings from care coordination initiatives you contributed to directly.
Target employers by care model
ACOs, Medicaid managed care plans, and Medicare Advantage insurers each use different value based care frameworks. Tailor your application materials to the specific model the employer uses, whether that is shared savings, capitation, or bundled payments.
Apply early to roles that fit
Migrate Mate lists value based care openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Get familiar with quality measurement tools
Many postings require hands-on experience with HEDIS, Stars ratings, or CAHPS reporting. If you have worked with any of these, call them out explicitly in your resume rather than burying them under generic phrases like 'quality improvement experience.'
Prepare for competency-based interview questions
Interviewers often probe your ability to work across clinical and administrative teams. Prepare specific examples of times you aligned physician behavior with cost or quality targets, since that cross-functional skill is a consistent focus in value based care interviews.
Negotiate using total compensation context
Many value based care roles at payers and health systems include performance bonuses tied to quality metrics. Ask about the bonus structure and how targets are set so you can evaluate the full offer, not just the base.
Value Based Care Jobs: Frequently Asked Questions
Which companies are hiring the most value based cares?
The companies hiring the most value based cares right now include CVS Health, DaVita, and Optum, with the largest share of openings in Colorado, New Mexico, and New York, based on current listings on Migrate Mate as of June 2026. Health systems, Medicare Advantage plans, and accountable care organizations make up the bulk of active employers in this space.
How many value based care jobs are remote?
About 33% of value based care openings are fully remote or hybrid as of June 2026, with remote work most common in analytics, care management, and payer-side roles that rely on data platforms rather than in-person patient interaction. Roles embedded in clinical settings or tied to specific provider networks are more likely to require on-site presence.
How do you become a value based care professional?
Start with a foundation in health administration, public health, nursing, or a clinical field, then build direct experience with quality improvement, care coordination, or health plan operations. Gaining familiarity with population health tools, claims data analysis, and quality frameworks like HEDIS or Stars ratings makes you competitive. Many professionals enter through roles in care management, utilization review, or provider contracting before moving into dedicated value based care positions.
Can you get a value based care job with limited experience?
Yes, entry-level and coordinator-level value based care roles are available, particularly at health systems and Medicaid managed care organizations. Employers filling these positions look for candidates with relevant coursework, internship experience in health plan or hospital operations, or a clinical background in nursing or social work. Demonstrating familiarity with quality reporting concepts and a willingness to work across clinical and administrative teams goes a long way when direct experience is limited.
What does the value based care interview process look like?
The process typically starts with a recruiter or HR screen focused on background and fit, followed by a panel or series of interviews with clinical operations leaders, data or analytics managers, and sometimes a physician champion or medical director. Expect competency-based questions about cross-functional collaboration, data-driven decision making, and specific experience with quality improvement or cost reduction initiatives. Some employers include a case study or analytical exercise to assess how you approach care gap or utilization problems.
Where can I find and apply to value based care jobs?
You can find and apply to value based care jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your experience and apply directly to each one that fits.
See All Value Based Care Jobs
Jump back to the full list of openings and apply to any value based care role that fits.
Find Value Based Care Jobs