About this role
The Practice Transformation Manager (Value-Based Care) serves as a high-impact individual contributor responsible for advancing value-based care performance across the Accountable Care Organization (ACO) and affiliated Independent Practice Association (IPA) within the San Jose/Santa Clara County market. Reporting directly to the Vice President, Strategy and Partnerships, this role serves as a strategic advisor and primary liaison to providers, practice leaders, and internal stakeholders. The position exercises substantial independent judgment and discretion in evaluating provider and market performance, identifying opportunities for operational and clinical improvement, developing provider engagement strategies, and recommending solutions that impact quality, utilization, risk adjustment, provider satisfaction, regulatory compliance, and financial performance. The Manager independently leads complex initiatives, influences provider and organizational decision-making, and partners with regional and national value-based care teams to drive sustainable performance improvement and successful execution of organizational priorities. Provider Engagement & Performance Improvement Serve as the primary strategic liaison for ACO and IPA providers, fostering strong relationships that drive engagement, satisfaction, compliance, and performance. Independently assess provider, practice, and market performance to identify improvement opportunities and develop strategies aligned with value-based care. Conduct in-person and virtual meetings with physicians, provider groups, practice administrators, and clinical staff to present performance data, communicate priorities, and influence operational and clinical improvements. Develop and implement provider engagement, onboarding, education, and adoption strategies for value-based care initiatives and new technologies. Build and maintain trusted relationships with key provider stakeholders to advance long-term IPA and ACO objectives. Monitor provider performance using quality, utilization, referral management, risk adjustment, operational, and financial metrics. Partner with coding, clinical, and operational teams to support HCC documentation and risk adjustment initiatives. Lead provider change management and practice transformation by evaluating workflows, identifying performance barriers, and recommending solutions that improve operations and patient outcomes. Analyse practice operations and recommend improvements to Annual Wellness Visit workflows, scheduling, quality programme execution, referral management, and other value-based care initiatives. Evaluate performance improvement initiatives and adjust strategies based on outcomes, market conditions, and organisational priorities. Strategic Leadership & Cross-Functional Collaboration Independently manage complex projects and initiatives involving multiple departments, provider organisations, and external stakeholders. Use independent judgement to prioritise projects, evaluate alternatives, resolve operational challenges, and recommend solutions that significantly impact provider and organisational performance. Serve as a liaison among Value-Based Care, Operations, Business Development, Quality, Coding, Finance, and other internal teams to ensure alignment and successful execution of strategic initiatives. Provide data-driven analysis, recommendations, and presentations to leadership on provider performance, operational effectiveness, and market opportunities. Collaborate with regional and national ACO leadership to support organisational priorities and market performance objectives. Identify, develop, and share best practices across provider networks and markets to improve organisational effectiveness and value-based care outcomes. Serve as a subject matter expert on provider engagement, practice transformation, value-based care operations, and Market Representative activities that support ACO performance. Partner with leadership to align performance improvement initiatives with broader ACO and organisational objectives. Other duties as assigned.