Primary Care Capitation Advanced Value-Based Payment Program Manager

nc; North Carolina; Hybrid; USD 70,000 - 123,000; Full time

Benefits offered by this job

Hybrid work option

Public service benefits

Paid vacation and sick leave

Job summary

The Primary Care Capitation Advanced Value-Based Payment Program Manager at the North Carolina Department of Health and Human Services will act as the day-to-day operational lead for the Medicaid Primary Care Capitation Pilot under the Rural Health Transformation Program.

This role translates policy into actionable operating plans, establishing statewide infrastructure and providing fiscal oversight to ensure pilot success.

Qualifications

• Strong understanding of Medicaid policy and operations.
• Knowledge of value-based payment and capitation programs.
• Ability to lead program design, implementation, and oversight, including developing workplans, managing timelines, tracking risks/issues, and coordinating decision-making.
• Skill in directing cross-functional teams and aligning stakeholders to ensure statewide implementation of complex initiatives.

Responsibilities

• Lead the day-to-day operational management for the Medicaid Primary Care Capitation Pilot.
• Translate policy and program goals into actionable operating plans.
• Establish and manage statewide implementation infrastructure and provide programmatic and fiscal oversight.
• Coordinate statewide with RHTP Regional Hubs, vendors, providers, associations, and internal teams to ensure compliant implementation.

Skills

Medicaid policy

Value-based payment

Program design

Cross-functional leadership

Stakeholder management

Job description

Agency

Division

Job Classification Title

Program Manager I (NS)

Position Number

Grade

NC20

About Us

North Carolina State Government is one of the state's largest employers, with over 76,000 employees all working toward a common goal: a safer and stronger North Carolina. We are a large organization comprised of various agencies, offices, and universities, each providing important public services.

Eligible state employees are entitled to comprehensive benefits, including a variety of leave options, professional development opportunities, insurance, and more. To learn more about the benefits of being a North Carolina state employee, visit the N.C. Office of State Human Resources' website .

Permanent, temporary, and time-limited state government jobs can be found from the mountains to the coast. Find your next opportunity today!

Description of Work

The Primary Care Capitation Advanced Value-Based Payment Program Manager will serve as the day-to-day operational lead for the Medicaid Primary Care Capitation Pilot under North Carolina's Rural Health Transformation Program within the Division of Health Benefits. This role translates policy and program goals into actionable operating plans, establishes and manages statewide implementation infrastructure, and provides programmatic, and fiscal oversight to ensure successful delivery of pilot outcomes. The Program Manager exercises full delegated authority for assigned initiatives, directs multi-disciplinary staff across business units and vendor partners, and coordinates statewide with the RHTP Regional Hubs, vendors, providers, associations, and internal Division of Health Benefits teams to ensure consistent, compliant, and effective implementation of the capitation model.

Knowledge Skills and Abilities/Management Preferences

Salary Grade Range: $70,478.00 - $123,336.00

Recruitment Range: $70,478.00 - $123,336.00

Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement.

The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred:

• Strong understanding of Medicaid policy and operations.
• Knowledge of value‑based payment and capitation programs.
• Ability to lead program design, implementation, and oversight, including developing workplans, managing timelines, tracking risks/issues, and coordinating decision‑making.
• Skill in directing cross‑functional teams and aligning stakeholders to ensure consistent statewide implementation of complex initiatives, along with strong ability to build and maintain effective working relationships with internal teams, external stakeholders, vendors, and state leadership.
• Ability to develop clear and effective guidance, training materials, communications, and decision‑ready presentations for leadership and external partners.

The Posting Will Close At 11:59 P.M. The Night Before The End Date

The Position Is Time-Limited

This Position Is 100% Federally Funded

This Role Is Eligible To Be Hybrid

About the Rural Health Transformation Program

NC Rural Health Transformation Program is a statewide program led by NCDHHS to transform rural health care delivery, improve health outcomes, and ensure sustainable access to care for nearly 3 million rural North Carolinians. The program is funded over five years by the Centers for Medicare & Medicaid Services (CMS).

The main goals of the program are to:

• Catalyze innovative health care models for rural communities by changing the way providers work together to care for patients in rural NC.
• Transform the rural care experience, building community‑based clinical, behavioral, and social supports close to home.
• Create a sustainable rural health delivery system through underlying systems changes in rural workforce pipelines and care team models, and rural provider financial models.

Compensation and Benefits

The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high‑quality, low-cost benefits on a pre‑tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees. Visit website for State Benefits

Supplemental Contact Information

The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders. We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job. For more information about DHHS: https://www.ncdhhs.gov/ .

DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiri