Company:
AHI agilon health, inc.
Job Posting Location:
Remote - USA
Job Title:
VP, Cost of Care Performance
Job Description:
Key Responsibilities
Enterprise Clinical & Cost of Care Strategy
- Define and lead the multi-year specialty clinical strategy to optimize total cost of care performance within sub-capitated and risk-based partnerships.
- Establish enterprise frameworks for specialty program design, performance governance, and financial accountability.
- Partner with Finance and Actuarial teams to align clinical initiatives with medical cost trend targets, margin objectives, and long-range financial plans.
- Serve as executive sponsor for Renal, Oncology, and Palliative Care strategies, ensuring measurable impact on utilization, quality, and risk-adjusted performance.
Risk & Sub-Capitated Performance Oversight
- Oversee enterprise performance of sub-capitated specialty programs, including reconciliation, contract adherence, and margin optimization.
- Implement standardized operating models, dashboards, and governance structures to ensure disciplined execution and transparency.
- Drive continuous improvement initiatives focused on utilization management, site-of-care optimization, and high-cost case management.
- Identify emerging risk trends and proactively design mitigation strategies.
Provider Incentive & Alignment Strategy
- Architect enterprise physician incentive models that align clinical outcomes, quality performance, specialty cost management, and engagement in value-based care.
- Oversee operational execution of incentive measurement, attribution, and reconciliation in partnership with Finance and Market Operations.
- Advance physician engagement strategies that strengthen adoption of specialty clinical pathways and evidence-based protocols.
Cross-Functional & Market Leadership
- Lead cross-functional collaboration across Finance, Technology, Quality, Medical Affairs, Business Optimization & Integration (BOI), and Market Operations to ensure integrated program deployment.
- Provide executive guidance to markets on specialty program implementation, scalability, and performance remediation.
- Foster best-practice dissemination across markets through governance forums, clinical councils, and knowledge-sharing platforms.
- Serve as a senior representative of agilon’s clinical and cost of care strategy in executive, board-level, and external partnership discussions.
Growth & Innovation
- Support new market development and partnership strategy by shaping specialty cost models and clinical integration frameworks.
- Identify opportunities for innovation in specialty risk management, alternative payment models, and care delivery redesign.
- Contribute to enterprise strategic planning and long-term value-based care roadmap development.
Qualifications
- 15+ years of progressive leadership experience in healthcare delivery, managed care, value-based care, or risk-bearing organizations.
- Deep expertise in specialty cost management, sub-capitated arrangements, and global risk economics.
- Demonstrated experience leading enterprise-scale clinical transformation initiatives.
- Strong financial acumen with the ability to connect clinical strategy to margin performance and total cost of care outcomes.
- Proven success influencing executive stakeholders and physician leaders in highly matrixed organizations.
- Experience working with high-risk, high-complexity senior populations strongly preferred.
- Bachelor’s degree required; advanced degree strongly preferred (MBA, MPH, MHA, MD, DO, RN, or equivalent).
Leadership Competencies
- Enterprise thinker with the ability to balance strategy and execution.
- Executive presence with board-level communication capability.
- Data-driven decision maker with strong performance management orientation.
- Skilled in change leadership and physician alignment within value-based models.
- Collaborative, outcomes-focused, and mission-driven.
Location
Flexible location with remote capability. Travel 20–40% depending on market needs and enterprise initiatives.
Location:
Remote - OH
Pay Range:
$220,400.00 - $275,400.00
Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.