| Job Title | Location | Description | Date Posted |
|---|
| VP Medical Management - Managed Care | Remote | Vice President Medical Management - Managed Care
This role is the key clinical leader for Managed Care Services within the Population Health Services Organization, responsible for providing the clinical vision, strategy, and agenda. Reporting directly to the System VP, Population Health Physician Executive, this role will drive clinical excellence, accountability, and alignment across the contracted physician networks, impacting key performance indicators related to utilization and cost, quality, and both member and provider experience. This role requires a physician leader with a strong understanding of managed care operations, who can collaborate effectively with diverse stakeholders to deliver uniform and cohesive clinical services across the managed care populations. This leader will have direct oversight of the Medical Director of Utilization Management (UM) and the Medical Director of Physician Engagement and Quality, as well as providing clinical leadership and guidance to other physician medical directors within the UM department, ensuring the realization of the clinical vision and strategic objectives.
The position has three primary domains of responsibility:
1) Establish clinical strategy to be scaled across the Managed Care organization.
2) Drive advancement of clinical excellence, clinical performance / accountability, and clinical alignment across physicians in the networks.
3) Partner with Managed Care operations teams to bring uniform and cohesive clinical services across all provider and patient populations.
Job Requirements
We are seeking a strategic and dynamic Physician Executive to drive the evolution and success of our Managed Care services and provider partnerships. This role is crucial for optimizing clinical and operational strategies, fostering growth, and transforming healthcare delivery.
Key Responsibilities Include:
-
- Develop and execute progressive clinical and operational strategies to optimize services, drive organizational growth, and innovate Managed Care models.
- Provider Engagement & Relations
- Lead the development of strong, collaborative relationships with independent community physicians, hospital-based providers, and other groups.
- Align providers with common clinical visions, strategic incentives, and quality improvement initiatives, focusing on population health management.
- Operational & Clinical Oversight
- Provide strategic guidance for Managed Care Provider Relations, Customer Service, and Clinical Oversight functions.
- Oversee and manage the medical director capacity to support Managed Care Services and approve all contracted relationships.
- Ensure a culture of open communication and collaboration among medical directors and all partnering clinicians.
- Team Leadership & Development
- Mentor and lead administrative and clinical teams to scale provider relations, ensuring performance and compliance standards are met.
- Strategic Partnerships
- Collaborate closely with the Managed Care COO to ensure contract compliance and successful management of the managed care population.
- Build effective relationships with partners, payers, businesses, and the community.
- Policy & Performance
- Participate in setting organizational policy, maintain a visible presence with key stakeholders, and continuously improve departmental performance in alignment with budget and strategic plans.
| 10/21/2025 |
| Medical Director Managed Care Physician Engagement | Central California | *** This position will be hybrid work from home and in-clinic, requiring up to 50% travel to provider offices primarily in the Bakersfield/Central CA region.
The Medical Director of Physician Engagement is responsible for developing and driving implementation of physician and APP focused strategies that aim to drive new business, network expansion and the enhancement of population health, health equity, and integrated care programs. This role serves as the strategic liaison, responsible for engaging physicians/APPs across the markets in critical business and clinical initiatives. This role oversees all physician/APP engagement teams as well as provider relations teams focused on network education, frontline communication, issue resolution, and network expansion. They partner with Network Management and Contracting leadership to support the development of Physician/APP relationships needed to enhance the networks. They collaborate with Clinical Analytics, Clinical Strategy, and Quality Management to develop and enhance member health and wellness programs, while also working with health plan leadership to explore opportunities for pilot programs or grants to build healthier communities.
This role ensures the integrity of innovative care solutions while staying current with best clinical practices and aligning with the CommonSpirit mission. The role involves close collaboration with cross-functional stakeholders across the enterprise to align and drive toward shared goals.
Minimum Qualifications:
- 7 years experience practicing medicine
- 5 years experience in a value-based or managed care setting
- 2 years experience in medical administration, preferably with an IPA
- Current California MD/DO license; Board Certification required, preferably in primary care
- Management experience in healthcare setting
- Knowledge of clinical standards, NCQA, CMS guidelines, and Medicaid/Medicare programs, and benefit systems is preferred
- Stars and Risk adjustment knowledge
| 10/17/2025 |
| Consultant, Healthcare Strategy & Finance | Multiple Locations: Birmingham, AL, USA • Atlanta, GA, USA • Tysons, VA, USA • Charlotte, NC, USA • Richmond, VA, USA • Greenville, SC, USA • Raleigh, NC, USA • Nashville, TN, USA • Indianapolis, IN, USA • Cincinnati, OH, USA |
The Strategy & Finance Healthcare Consulting team empowers healthcare leaders to deliver quality care, invest in growth, and address workforce challenges-all while meeting the unique needs of their communities. In a rapidly evolving landscape, the team brings deep expertise across the care continuum to guide strategic and financial planning. Their practical, data-driven approach helps organizations navigate regulatory shifts, payment reform, and operational complexity with confidence and clarity. What You Will Do:
- Guide the strategic vision and direction of healthcare organizations to drive profitability and sustainable growth.
- Conduct preliminary research and analyze existing data to understand key issues and inform decision-making.
- Identify, assess, and recommend solutions across a broad range of strategic and operational engagements.
- Perform comprehensive performance assessments, including financial, operational, and clinical benchmarking, as well as economic analysis.
- Evaluate strategic recommendations within financial, organizational, and operational frameworks to ensure feasibility and successful implementation.
- Continuously learn and develop technical expertise relevant to our consulting practice and the healthcare clients we serve.
- Collaborate effectively both independently and within team environments.
- Build and maintain relationships with healthcare professionals across service lines to stay informed about the firm's offerings and support coordinated business development efforts.
- Support engagement teams on both client-facing and internal projects, including client and engagement management, data analysis, solution implementation, and delivery of results.
Minimum Qualifications
- Bachelor's or Master's Degree in a Business or Healthcare discipline
- Intermediate to Advanced skill sets in Microsoft Office products (Word, Excel and PowerPoint)
Preferred Qualifications:
- MBA, MHA, MPH, or MPA
- 1+ year(s) of relevant experience in the healthcare industry
#LI-BHAM, #LI-ATL, #LI-IND, #LI-CLTSP, #LI-RAL, #LI-CIN, #LI-GVSC, #LI-NASH, #LI-RICH, #LI-TYS #LI-BM
With a legacy spanning more than 100 years, Forvis Mazars is committed to providing a different perspective and an unmatched client experience that feels right, personal and natural. We respect and reflect the range of perspectives, knowledge and local understanding of our people and clients. We take the time to listen to deliver consistent audit and assurance, tax, advisory and consulting services worldwide.
We nurture a deep understanding of our clients’ industries, delivering greater insight, deeper specialization and tailored solutions through people who listen to understand, are responsive and consult with purpose to deliver value.
About Forvis Mazars, LLP
Forvis Mazars, LLP is an independent member of Forvis Mazars Global, a leading global professional services network. Ranked among the largest public accounting firms in the United States, the firm’s 7,000 dedicated team members provide an Unmatched Client Experience® through the delivery of assurance, tax, and consulting services for clients in all 50 states and internationally through the global network. Visit forvismazars.us to learn more.
Forvis Mazars, LLP is an equal opportunity/affirmative action employer. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status, gender identity, or other protected classifications.
It is Forvis Mazars, LLP standard policy not to accept unsolicited referrals or resumes from any source other than directly from candidates.
Forvis Mazars, LLP expressly reserves the right not to consider unsolicited referrals and/or resumes from vendors including and without limitation, search firms, staffing agencies, fee-based referral services, and recruiting agencies.
Forvis Mazars, LLP further reserves the right not to pay a fee to a recruiter or agency unless such recruiter or agency has a signed vendor agreement with Forvis Mazars, LLP.Any resume or CV submitted to any employee of Forvis Mazars, LLP without having a Forvis Mazars, LLP vendor agreement in place will be considered the property of Forvis Mazars, LLP.
| 10/07/2025 |
| Consultant, Healthcare Finance & Strategy - Value Based Care | Multiple Locations: Birmingham, AL, USA • Atlanta, GA, USA • Tysons, VA, USA • Charlotte, NC, USA • Richmond, VA, USA • Greenville, SC, USA • Raleigh, NC, USA • Nashville, TN, USA • Cincinnati, OH, USA |
The Finance & Strategy Healthcare Consulting team empowers healthcare leaders to deliver quality care, invest in growth, and address workforce challenges-all while meeting the unique needs of their communities. In a rapidly evolving landscape, the team brings deep expertise across the care continuum to guide strategic and financial planning. Their practical, data-driven approach helps organizations navigate regulatory shifts, payment reform, and operational complexity with confidence and clarity. What you will do:
- Guide the vision and direction of healthcare organizations to drive profitability and growth
- Perform preliminary research and examine existing data related to the issue
- Recognize, analyze, and recommend solutions while working with various alternative payment models
- Perform performance assessments to include financial, operational and clinical benchmarks and economic analysis
- Evaluate strategic recommendations within financial, organizational, and operational frameworks to ensure the feasibility of successful performance in alternative payment models
- Learn and develop new technical knowledge specific to our consulting practice and the clients we serve across the value-based care practice
- Work both individually and in a team environment
- Establish and maintain relationships with the healthcare practitioners in other service lines within the firm to maintain an understanding of all of the firm's service offerings and coordinate practice development efforts accordingly
- Demonstrate strong analytical capabilities, including the ability to compile and assess large data sets, while identifying potential data concerns or issues
- Utilize prior experience with the operationalization and analysis of total cost of care/Accountable Care Organization (ACO), episodic, and capitated payment models in the development of client deliverables
Minimum Qualifications:
- Bachelor's degree from an accredited university in a business or healthcare discipline
- 1+ years of experience in the healthcare industry
Preferred Qualifications:
- MBA, MHA, MPH, or MPA
- Experience with Tableau or Power BI
- Advanced skills with Microsoft Excel and PowerPoint
- Experience advising healthcare providers regarding Medicare alternative payment models
#LI-BHAM, #LI-ATL, #LI-OAK, #LI-CLTSP, #LI-RAL, #LI-CIN, #LI-GVSC, #LI-NASH, #LI-RICH, #LI-TYS #LI-BM
With a legacy spanning more than 100 years, Forvis Mazars is committed to providing a different perspective and an unmatched client experience that feels right, personal and natural. We respect and reflect the range of perspectives, knowledge and local understanding of our people and clients. We take the time to listen to deliver consistent audit and assurance, tax, advisory and consulting services worldwide.
We nurture a deep understanding of our clients’ industries, delivering greater insight, deeper specialization and tailored solutions through people who listen to understand, are responsive and consult with purpose to deliver value.
About Forvis Mazars, LLP
Forvis Mazars, LLP is an independent member of Forvis Mazars Global, a leading global professional services network. Ranked among the largest public accounting firms in the United States, the firm’s 7,000 dedicated team members provide an Unmatched Client Experience® through the delivery of assurance, tax, and consulting services for clients in all 50 states and internationally through the global network. Visit forvismazars.us to learn more.
Forvis Mazars, LLP is an equal opportunity/affirmative action employer. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status, gender identity, or other protected classifications.
It is Forvis Mazars, LLP standard policy not to accept unsolicited referrals or resumes from any source other than directly from candidates.
Forvis Mazars, LLP expressly reserves the right not to consider unsolicited referrals and/or resumes from vendors including and without limitation, search firms, staffing agencies, fee-based referral services, and recruiting agencies.
Forvis Mazars, LLP further reserves the right not to pay a fee to a recruiter or agency unless such recruiter or agency has a signed vendor agreement with Forvis Mazars, LLP.Any resume or CV submitted to any employee of Forvis Mazars, LLP without having a Forvis Mazars, LLP vendor agreement in place will be considered the property of Forvis Mazars, LLP.
| 10/07/2025 |
| Value-Based Care (VBC) Program Manager | Charlotte, NC | The Value-Based Care (VBC) Program Manager supports the operations of Tryon’s Accountable Care Organization (ACO) and Clinically Integrated Network (CIN). This position is responsible for coordinating administrative, operational, and relationship management functions that drive success for value-based programs. Key responsibilities include ensuring compliance with payer requirements, and supporting internal teams in performance improvement initiatives related to risk adjustment, quality, and member engagement. Program Manager will ensure scope and objectives are aligned with organization’s strategic objectives, mission, values and goals.
The ideal candidate is highly organized, detail-oriented, a critical thinker, and capable of working cross-functionally to ensure successful execution of value-based care initiatives. This is a mid-level role, appropriate for candidates with managerial experience in healthcare administration, population health operations, or managed care environments. Manager will oversee and coordinate activities of the VBC team, including risk adjustment and quality functions, ensuring tasks are completed efficiently and effectively. There will be significant interaction with clinicians.
(This is a full-time position located in Charlotte, NC. Occasional local travel may be required to attend meetings or support provider and beneficiary engagement efforts.)
Job Responsibilities may include, but not limited to:
ACO & CIN Administration
- Maintain an organized library of active payer contracts and program documents.
- Coordinate the completion and timely submission of all administrative requirements for ACO and CIN participation, such as attestations, TIN alignment, and annual renewal documentation.
- Preparation for and potential attendance at CIN committee meetings including sub-committees that are created as the CIN grows.
- Develop communications on updates to a variety of stakeholders, including senior Tryon leaders
- Ensure all deliverables are compliant with ACO and CIN regulations.
Roster & Beneficiary Management
- Work with internal teams and payer partners to maintain the accuracy of both provider and beneficiary rosters.
- Coordinate and track beneficiary notifications and communications, including CMS-required ACO beneficiary notices.
Program Monitoring & Support
- Leads project and program planning and execution, in consultation with applicable stakeholders; leads functional teams and partners through program implementation, ensuring program goals are reached. Monitor productivity and completion rates of key VBC workflows (e.g., risk adjustment coding, quality gap closure, and member engagement).
- Develop and execute against detailed project plans meeting key milestones and deadlines.
- Assist in the development, dissemination, and tracking of workflows, educational materials, and communication tools to support VBC performance.
- Collaborate with clinicians, VBC leadership, and payers to align on workflows and program requirements.
- Serve as a point of contact for operational questions from internal teams regarding VBC program functions and payer requirements.
- Assist with meeting preparation, documentation, and follow-ups related to ACO/VBC operations.
- Ensure all project/program deliverables are compliant with applicable standards and regulations.
Qualifications:
- Bachelor’s degree in healthcare administration, public health, or related field.
- Experience managing a team.
- 4+ years of experience in a healthcare setting (ACO, CIN, payer, or provider group preferred).
- Familiarity with CMS programs and value-based care concepts (risk adjustment, quality metrics, attribution).
- Project management experience (PMP or equivalent preferred).
- Excellent organization, communication, and time-management skills.
- Proficiency in Excel, SharePoint, and EHR/population health platforms (AthenaHealth preferred).
Physical Requirements:
- Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
- Must be able to lift and support weight of 35 pounds.
- Ability to concentrate on details.
- Use of computer for long periods of time.
| 09/19/2025 |
