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
Why EPIC Health?
At EPIC Health, we don't just deliver care-we transform lives. As a physician-led, patient-first healthcare system, we serve Michigan's most vulnerable communities with compassionate, coordinated, and culturally responsive care. You'll join a leadership team committed to advancing healthcare excellence through strategy, execution, and empathy.
Apply Today
Ready to shape the next generation of healthcare delivery? Join a leadership team that's all-in on better outcomes for our patients and our communities.
👉 Apply now at www.epichs.org
Background check required for this position.
