Value Based Care Jobs in Georgia
Value Based Care jobs in Georgia are in strong demand, concentrated in managed care organizations, large health systems, and insurance payers across Atlanta, Augusta, and Savannah. Employers like Elevance Health, Kaiser Permanente, and Piedmont Healthcare have built substantial value-based care operations in the state, hiring at every level from care coordinators and population health analysts to senior program directors. The most consistent openings center on care management, quality improvement, and clinical integration roles tied to Medicaid and Medicare Advantage programs. Scan the live roles below and apply to whichever ones fit.
Find Value Based Care JobsOverview
Showing 5 of 13+ Value Based Care jobs
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 Georiga.
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 Georiga.
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 13 Value Based Care Jobs in Georgia
Find roles in Georgia that match your experience and apply in just a few clicks.
Find Value Based Care JobsValue Based Care Jobs by City in Georgia
Where Georgia roles are concentrated, by current openings.
Value Based Care Job Market in Georgia
A snapshot from current Georgia openings, updated as new roles post.
Who's Hiring
What Georgia Employers Look For
The qualifications that appear most often in value based care jobs across Georgia.
- Bachelor's degree in healthcare administration, nursing, public health, or a related clinical field
- Experience with value-based payment models such as ACOs, PCMH, or Medicare Advantage
- Proficiency in population health platforms and electronic health record systems
- Strong knowledge of quality metrics including HEDIS, STARS, and CMS reporting requirements
- Demonstrated ability to collaborate with clinical teams on care coordination and utilization management
- Familiarity with Georgia Medicaid managed care programs and state health equity initiatives
Value Based Care Jobs in Georgia: Frequently Asked Questions
How do you become a value based care in Georgia?
Most value based care roles in Georgia require a bachelor's degree in healthcare administration, nursing, social work, or public health, though clinical roles may require an active Georgia nursing or clinical license through the Georgia Composite Medical Board or Georgia Board of Nursing. Employers typically look for experience with managed care or care coordination. Certifications such as the Certified Case Manager credential strengthen applications significantly for senior positions.
Which companies hire value based cares in Georgia?
Employers hiring value based cares in Georgia right now include Upperline Health, Upperline, and CVS Health, based on current listings on Migrate Mate as of August 2026. Georgia's concentration of large managed care organizations, integrated health systems, and payer-provider partnerships makes it one of the more active hiring markets for value-based care professionals in the Southeast.
Which Georgia cities have the most value based care jobs?
Atlanta, Georgia, and Tifton have the most value based care openings in Georgia. Atlanta dominates because it is home to major payer headquarters, large integrated health systems, and the state Medicaid managed care contractors, while Augusta and Savannah generate demand through their regional hospital systems and growing managed care networks serving surrounding communities.
Are there remote value based care jobs in Georgia?
Yes, and more than most healthcare fields, since value based care is primarily an analytical and coordination-focused discipline rather than a hands-on clinical role. About 100% of value based care openings tied to Georgia are remote or hybrid as of August 2026, reflecting how broadly payers and health systems have adopted flexible work arrangements for population health and quality improvement staff. Roles in data analytics, care management, and quality reporting tend to be the most remote-eligible.
How can I get hired as a value based care in Georgia with little or no experience?
The most realistic entry path is applying for care coordinator or population health associate roles at Georgia's large Medicaid managed care plans, where many organizations run structured onboarding cohorts for candidates with a healthcare degree but limited direct experience. Piedmont Healthcare, Wellstar Health System, and Georgia's Medicaid contractors regularly post entry-level quality improvement and care management associate openings. A Certified Case Manager credential in progress or experience in adjacent roles like medical coding, prior authorization, or patient navigation gives candidates a measurable edge.
Where can I find and apply to value based care jobs in Georgia?
You can find and apply to value based care jobs in Georgia on Migrate Mate, which lists current Georgia openings across health systems, payers, and managed care organizations. Search the listings, find the roles that match your background and target location, and apply directly to the ones that fit.
See All 13 Value Based Care Jobs in Georgia
Find roles in Georgia that match your experience and apply in just a few clicks.
Find Value Based Care Jobs