Director of Value-Based Reimbursement (VBR) & CNI

Director of Value-Based Reimbursement (VBR) & Clinically Integrated Network (CIN)
Location: Southfield, MI (On-site with local travel as needed)
Employment Type: Full-Time 

Shape the Future of Healthcare Value and Integration with EPIC Health 

At EPIC Health, we are redefining healthcare through innovation, collaboration, and a relentless focus on patient outcomes. As a mission-driven organization, we are committed to advancing value-based care models that promote better health, lower costs, and a superior experience for patients, providers, and payers. 

We believe high-quality care begins with strong systems, smart strategy, and integrated teams—and we’re building just that. 

Position Summary 

We are seeking an experienced and strategic Director of VBR and CIN to lead the development, execution, and optimization of our value-based care contracts and our Clinically Integrated Network (CIN). This role will oversee all aspects of performance-based reimbursement models, payer relationships, provider engagement, and population health strategies to ensure financial sustainability and clinical excellence. 

Key Responsibilities 

Value-Based Reimbursement (VBR): 

• Lead the strategic development and implementation of VBR programs including shared savings, capitation, bundled payments, and risk-based models.
• Manage payer negotiations and contract performance for Medicare, Medicaid, and commercial payers.
• Monitor financial and clinical performance metrics and ensure alignment with contractual obligations.
• Collaborate with finance, analytics, and clinical teams to track ROI and optimize contract performance.

Clinically Integrated Network (CIN): 

• Drive the growth and governance of the CIN, ensuring alignment with regulatory requirements and value-based goals.
• Onboard providers into the CIN with a focus on engagement and performance accountability.
• Lead clinical integration initiatives that support care coordination, data sharing, and evidence-based care delivery.
• Ensure provider alignment with quality metrics, incentive programs, and population health targets.

Leadership & Strategy: 

• Collaborate with executive leadership to design and implement strategic plans that support organizational goals in VBR and CIN.
• Lead multidisciplinary teams and oversee project execution across departments.
• Serve as a subject matter expert on market trends, CMS initiatives, payer models, and policy updates.

Qualifications 

• Bachelor’s degree required; Master’s in Health Administration, Public Health, Business, or related field preferred.
• Minimum 4–5 years of experience in both VBR (value-based reimbursement) and CIN (clinically integrated networks) with proven leadership and operational success.
• Strong knowledge of healthcare contracting, risk adjustment methodologies, and payer-provider relations.
• Familiarity with MACRA, MSSP, ACO models, and commercial VBR arrangements.
• Exceptional analytical, communication, and stakeholder engagement skills.
• Experience working within health systems, MSOs, ACOs, or physician groups preferred.

What We Offer 

• Competitive salary and performance-based incentives
• Comprehensive benefits package including health, dental, vision, disability, life insurance
• 401(k) Retirement Plan
• Generous PTO and Paid Holidays
• Opportunity to lead transformative initiatives that directly impact patients and providers
• A collaborative, mission-driven culture focused on innovation and long-term impact