Director of Healthcare Operations – Value-Based Care (ON SITE) at Middleton Family Medicine Urgent Care LLC – Danvers, Massachusetts

MFM Health is seeking a hands-on, performance-driven leader to execute and advance our value-based care strategy across the organization. The Director of Healthcare Operations - Value-Based Care will be responsible for driving operational performance across analytics and reporting, population health, risk adjustment, care management, utilization management, and provider performance support.

This role is operational in nature. Executive leadership defines strategy and maintains payer relationships. This leader ensures that workflows, provider engagement, documentation practices, and patient management processes produce real, sustained results at the practice level.

The ideal candidate has successfully managed value-based initiatives at the practice level and has a demonstrated record of improving RAF performance, driving quality metric gains, and reducing total cost of care within an ambulatory setting. This individual is comfortable working directly with providers and practice teams to identify performance gaps, obtain and organize relevant data, and implement practical workflow changes that lead to measurable improvement. They understand how to embed performance accountability into daily care delivery and translate expectations into consistent operational execution.

Primary Accountabilities:

1. Execution of Value-Based Performance Initiatives
   • Lead day-to-day execution of MFM Health's value-based care objectives across all participating departments and locations.
   • Obtain, organize, and analyze performance data related to quality, utilization, documentation, and patient outcomes.
   • Maintain and refine performance reporting tools to ensure timely visibility into provider-level and practice-level results.
   • Identify operational gaps and implement corrective action plans.
   • Ensure consistent follow-through from performance review to workflow change.
2. Primary and Specialty Care Workflow Optimization
   • Integrate value-based workflows into routine, collaborative primary and specialty care operations.
   • Standardize preventive care, annual wellness visits, chronic disease management, and follow-up processes.
   • Strengthen coordination between primary care, specialty providers, and clinical support teams.
   • Implement structured processes that support timely screenings, referrals, and transitions of care.
   • Reduce variation in workflows that impact quality and performance outcomes.
3. Quality and Care Gap Closure
   • Drive sustained improvement across HEDIS, MSSP, and payer-specific quality measures.
   • Develop and implement structured care gap identification and outreach processes.
   • Monitor provider-level and practice-level quality performance and address underperformance directly.
   • Partner with clinical leadership to improve preventive screening rates and chronic disease control.
   • Ensure accountability for closing identified gaps in care.
4. Risk Adjustment and Documentation Improvement
   • Strengthen prospective documentation practices to accurately reflect patient complexity.
   • Identify documentation opportunities through review of available reports and clinical data.
   • Provide targeted provider education and feedback to improve RAF performance where applicable.
   • Support compliant coding practices and audit readiness.
   • Monitor documentation trends and implement corrective workflows when gaps are identified.
5. Utilization and Patient Management
   • Analyze emergency department visits, admissions, readmissions, and referral patterns to identify drivers of avoidable utilization.
   • Implement targeted operational interventions to reduce unnecessary utilization.
   • Align care management resources with high-risk and rising-risk patient populations.
   • Improve transitional care processes following hospital discharge.
   • Support proactive patient outreach and chronic condition oversight.
6. ​​​​​​​Provider and Practice Engagement
   • ​​​​​​​Develop and maintain provider-level performance scorecards.
   • Conduct structured performance reviews with physicians and practice leaders.
   • Provide practical coaching on documentation, quality workflows, and patient management.
   • Reinforce accountability for value-based performance at the individual and practice level.
   • Foster a culture of ownership, transparency, and continuous improvement.

• Bachelor’s degree in Healthcare Administration, Business, Public Health, or related field. Master’s degree strongly preferred.
• 7 or more years of progressive healthcare operations leadership experience, preferably in ambulatory or multi-site practice environments.
• 3 or more years of hands-on experience executing value-based care initiatives, including shared savings programs, ACO participation, Medicare Advantage, or quality incentive arrangements.
• Demonstrated success improving quality performance, RAF accuracy, and utilization metrics in a primary care or multi-specialty setting.
• Experience working directly with performance data, obtaining and organizing relevant reports, and using insights to drive operational change.
• Proven ability to work directly with physicians and practice leaders to implement workflow redesign and performance accountability.
• Experience improving documentation integrity and supporting risk adjustment initiatives.
• Familiarity with EHR reporting tools, population health platforms, and performance dashboards.
• Strong analytical capability paired with operational execution skills.
• Ability to lead cross-functional initiatives across clinical, administrative, and care management teams.

• Operational execution and follow-through
• Ambulatory practice leadership
• Analytical capability with practical application
• Provider engagement and coaching
• Process improvement and workflow redesign
• Accountability and performance orientation

• Improvement in quality benchmarks and care gap closure
• Documentation accuracy and RAF performance where applicable
• Reduction in avoidable emergency department visits and admissions
• Improved chronic disease management outcomes
• Provider performance engagement and accountability
• Value-based incentive achievement

As MFM Health expands its value-based contract participation, disciplined execution across analytics, population health, documentation integrity, and provider performance is critical. This role ensures that strategic objectives translate into measurable operational improvement and sustainable performance under evolving reimbursement models.

Enhanced Benefits Package: Enjoy a comprehensive benefits package that includes discretionary paid time off to ensure a healthy work-life balance, a 401(k) plan with employer match, and a profit-sharing bonus structure that rewards your contributions to our practice's success.