VP of Value-Based Care Operations - Remote (US)

Vice President of Value-based Care Operations - Remote (US)

Position Type: Full-time, exempt

Compensation: TBA

Job Location: Remote (US)

Company Overview

Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. Theoria serves facilities across the United States with a multitude of services to improve the quality of care delivered, refine facility processes, and enhance critical relationships. We offer a broad scope of services including multispecialty physician services, telemedicine, remote patient monitoring, and more. We currently operate primary care clinics and provide medical services to skilled nursing facilities in numerous states across the nation. 

As a leading edge, innovative, and quality driven physician group, we continue to expand nationally.  In pursuit of this, we continue to seek talented individuals to join our amazing team and care for our population. We wish to extend a warm welcome to all candidates interested in making a difference in healthcare delivery by joining the Theoria team

Our extensive network includes multispecialty physician services and remote patient monitoring (RPM), covering skilled nursing facilities across the country. In our national push for expansion, we're scouting for the brightest healthcare professionals eager to drive change and deliver superior care. Join us for a rewarding career that promises professional growth, flexibility, and the chance to shape the future of healthcare

Shift Structure 

• Monday-Friday, 8 hour shift (Typically 9 am - 5 pm but can vary)

Essential Functions and Responsibilities                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

• Operational Leadership in Value-Based Care
• Lead the operational execution of Theoria Medical’s value-based care strategy, ensuring alignment with CMS GUIDE Model, ACOs, Medicare Advantage, and other VBC frameworks.
• Oversee key initiatives, including risk stratification, care coordination workflows, and provider engagement strategies to drive improved patient outcomes and financial performance.
• Develop and manage operational performance metrics, identifying areas for process improvement, cost reduction, and quality enhancement.
• Optimize patient engagement strategies to increase adherence to value-based care programs and initiatives.
• Strategic Oversight of GUIDE Model & Post-Acute Care Initiatives
• Partner with the VP of Clinical Operations to ensure seamless execution of GUIDE Model requirements, including care navigation and respite service implementation.
• Lead cross-functional teams in data analytics, provider education, and operational efficiency efforts to enhance Theoria Medical’s position in VBC programs.
• Ensure compliance with CMS and payer requirements, tracking key performance indicators (KPIs) tied to reimbursement and quality benchmarks.
• Drive operational excellence in post-acute care coordination, managing provider workflows to reduce hospital readmissions and improve care transitions.
• Expansion of ACO, Hospital & Payer Partnerships
• Develop and execute strategies to integrate Theoria Medical’s services into value-based contracts with ACOs, Hospitals, Medicare Advantage plans, and payer networks.
• Identify and engage strategic partners to position Theoria Medical as a premier post-acute care provider.
• Monitor financial performance under risk-based contracts, working closely with finance and analytics teams to optimize shared savings and quality incentives.
• Serve as the operational lead in contract negotiations, data reporting, and VBC program implementation.
• Data-Driven Decision Making & Performance Optimization
• Oversee the collection, analysis, and reporting of operational and financial data to measure the success of VBC initiatives.
• Utilize predictive analytics and technology solutions to enhance care delivery, streamline workflows, and improve provider efficiency.
• Develop operational best practices to enhance provider engagement, patient adherence, and overall quality performance within Theoria Medical’s VBC framework.

Requirements and Qualifications

• Required: Bachelor’s or Master’s degreeBachelor’s or Master’s degree 
• Preferred: Bachelor’s or Master’s degree in Healthcare Administration, Public Health, Business Administration, or a related field. 
• 5+ years of operational leadership experience in healthcare, with a strong emphasis on value-based care models, ACOs, or post-acute care.
• Demonstrated success in developing ACO partnerships and value-based care strategies.
• Deep understanding of CMS models (GUIDE, MSSP, Medicare Advantage, ACOs, and value-based reimbursement frameworks).
• Experience with provider engagement and care coordination workflows in post-acute or transitional care settings.

Physical Requirements

• Must be punctual or on time and adhere to the company's Time and Attendance policy.
• Must be able to remain sitting for the majority of their shift.

Compensation and Benefits

• PTO
• 401k with employer match
• Health insurance
• Employer Paid - Life Insurance Policy

Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation.  Employer retains the right to change or assign other duties to this position.

#LI-SM1
#LI-Remote