Provider Performance, Quality & Value-Based Care Supervisor

Job Title: Clinical Supervisor

Location: RWJ - 379 Campus Dr,

Somerset

Department Name: ACO

Req #: 0000248542

Status: Salaried

Shift: Day

Pay Range: $86,000.00 - $112,000.00 per year

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Summary

This role is responsible for advancing provider performance, quality outcomes, and value-based care success.

The successful candidate will oversee strategic programs that directly influence physician and engagement, regulatory quality performance, operational efficiency, and financial outcomes.

The role serves as the system lead for QPP/MIPS, provider incentive programs, APP performance initiatives, Centers of Excellence, access/governance programs, and enterprise value-based care strategies.

This individual will partner closely with leadership, service line leaders, employed physicians, Epic/IT teams, analytics, finance, operations, and external vendors to drive measurable improvement across quality, utilization, growth, and margin performance.

This is an ideal opportunity for a proven candidate ready to expand enterprise influence and take ownership of system-wide strategic initiatives.

Qualifications

Required:

• Bachelors degree required
• 8+ years of progressive healthcare experience
• Experience with Epic, provider analytics, payer performance reporting, or physician enterprise operations
• Demonstrated success leading enterprise-wide initiatives with measurable impact
• Deep expertise in physician/provider operations, quality, or population health
• Strong understanding of QPP/MIPS, provider incentives, and value-based reimbursement models n and presentation skills
• Ability to move seamlessly between strategy and execution
• Strong business acumen with comfort owning metrics and financial performance
• Experience leading through complexity, ambiguity, and organizational change

Preferred:

• Master s degree preferred (MBA, MHA, MPH, or related field)

Essential Functions

Enterprise Quality & Regulatory Performance

• Serve as the health system lead for QPP/MIPS strategy, readiness, performance, and submission execution
• Drive year-over-year improvement in quality scores, provider participation, and reimbursement outcomes
• Partner with service line leadership, physicians, Epic teams, and reporting vendors to ensure strong operational execution and data integrity
• Interpret CMS and regulatory changes and translate requirements into scalable organizational strategies

Provider Incentive & Performance Programs

• Lead enterprise provider incentive programs aligning compensation with quality, provider engagement, accountability, performance and productivity
• Manage physician compensation quality components and ensure alignment with strategic priorities

Value-Based Care

• Lead system strategies across Medicare Advantage, Medicaid, MSSP/ACO, and Commercial risk/value contracts
• Drive improvements in total cost of care, quality ratings, risk adjustment, utilization management, and shared savings performance
• Develop targeted interventions to close care gaps, improve chronic disease outcomes, and optimize preventive care delivery

Population Health Strategy

• Lead initiatives focused on key priorities including:
  • Preventive screenings
  • Chronic disease management
  • Medication adherence
  • Transitions of care
  • Clinical documentation improvement
  • Patient engagement
  • Care coordination and navigation

Data, Analytics & Executive Reporting

• Own performance reporting across quality, utilization, and financial outcomes
• Partner with analytics teams to develop dashboards, scorecards, and executive summaries
• Translate complex data into actionable insights for clinicians, operators, and senior leadership
• Identify risks and opportunities early and mobilize action plans quickly

Relationship Leadership & Influence

• Build trusted partnerships with physicians, administrators, finance, operations, and executive teams
• Influence without authority across a complex matrixed environment
• Lead change management efforts that improve provider adoption and sustained results
• Represent the organization in external payer, vendor, and strategic partner relationships

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey-whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer