Value Based Care Administrator - Biltmore Campus (Asheville, NC)

MAHEC01 MAHEC; Asheville (NC); In loco; USD 105.000 - 160.000; Tempo pieno

Descrizione del lavoro

MAHEC in Asheville, NC seeks a Value Based Care Administrator to lead population health initiatives, optimize value-based reimbursement programs, and align multidisciplinary teams around quality and performance goals. This role influences organizational strategy and improves patient care across Western North Carolina.

You will partner with clinical, operational, financial, quality, and analytics leaders to drive contract performance, regulatory compliance, and continuous improvement, serving as

Competenze

• Bachelor-level degree required or higher in a healthcare-related field.
• Minimum 5 years of healthcare operations/quality improvement/population health experience.
• Experience with quality metrics, payer programs, and healthcare performance.

Mansioni

• Provide operational leadership for value-based care programs and population health initiatives.
• Collaborate with clinical, operational, financial, quality and analytics leaders to meet performance targets.
• Develop dashboards, scorecards, and reports for leadership and operational teams.
• Support administration of value-based contracts, accountable care arrangements, and data submissions.
• Ensure regulatory compliance and drive continuous improvement across programs.

Conoscenze

Healthcare operations

Quality improvement

Population health

Value-based care

Contract administration

Formazione

Bachelor's degree in Healthcare Administration, Public Health, Nursing, Business Administration, Health Informatics, or related field

Descrizione del lavoro

Join MAHEC in advancing a healthcare model that prioritizes better outcomes, healthier communities, and more coordinated patient care. The Value Based Care Administrator will play a pivotal role in leading population health initiatives, optimizing value-based reimbursement programs, and aligning multidisciplinary teams around shared quality and performance goals. This position offers an exciting opportunity to influence organizational strategy, drive meaningful improvements in patient care, and contribute to MAHEC's mission of delivering exceptional healthcare throughout Western North Carolina.

Position Summary

The Value Based Care Administrator provides operational leadership for MAHEC's value-based care programs and population health initiatives. This position oversees the implementation, monitoring, and optimization of strategies designed to improve quality outcomes, patient experience, care coordination, health equity, and total cost of care under value-based reimbursement models. The Administrator collaborates with clinical, operational, financial, quality and analytics leaders to achieve performance targets across payer contracts, accountable care programs, and population health initiatives. This role serves as the primary operational liaison between MAHEC, payer partners, and external stakeholders to support contract performance, regulatory compliance and continuous improvement.

Essential Duties and Responsibilities

Operational Leadership

• Support implementation and execution of MAHEC's value-based care strategy and operational priorities
• Monitor performance across payer contracts, including quality, utilization, risk adjustment, patient experience and financial metrics.
• Lead operational initiatives designed to improve outcomes and achieve value-based contract objectives. Facilitate value-based care governance activities, workgroups, and performance review meetings
• Identify operational improvement opportunities and implement corrective action plans to improve performance.

Population Health Management

• Partner with clinical and operational leaders and care teams to advance population health management programs.
• Support identification and prioritization of high-risk populations and care gap analysi.
• Coordinate initiatives focused on preventive care, chronic disease management, health equity, and social determinants of health.
• Collaborate with clinical teams to develop workflows that promote proactive proactive patient outreach, care coordination and patient engagement activities.
• Monitor population health program effectiveness and recommend enhancements to improve outcomes.
• Oversee Attribution through review of beneficiary assignments and guide correction and updates as needed.

Quality and Performance Improvement

• Monitor quality measure performance across Medicare, Medicaid, commercial and other value-based programs.
• Collaborate with analytics, quality and clinical leaders to develop performance improvement plans.
• Analyze quality, utilization, cost and population health data to identify trends and opportunities.
• Develop and maintain dashboards, scorecards, and reports for leadership and operational teams.
• Present findings and actionable recommendations to stakeholders and leadership.
• Ensure data integrity and timely reporting to internal and external stakeholders.

Payer and Contract Support

• Serve as an operational lead for value-based payer relationships.
• Support administration of value-based contracts, accountable care arrangements, and alternative payment models.
• Monitor compliance with contractual obligations, reporting requirements and performance benchmarks.
• Coordinate payer audits, evaluations, and data submissions.
• Support financial performance reviews related to incentives, quality payments and shared savings opportunities.

Compliance and Regulatory Oversight

• Ensure adherence to applicable federal, state, payer, and accreditation requirements.
• Maintain knowledge of evolving value-based payment models and healthcare regulations.
• Support organizational compliance related to quality reporting and population health programs.
• Participate in organizational committees and workgroups as assigned.

Leadership and Team Development

• May supervise care management, population health, project management, or administrative staff as assigned.
• Establish performance expectations and provide coaching, development and continuous performance feedback.
• Assists with hiring, onboarding, and performance management activities.
• Foster collaboration across departments to achieve value-based care goals.

Required Qualifications

Education

• Bachelor's degree in Healthcare Administration, Public Health, Nursing, Business Administration, Health Informatics, or related field.

Experience

• Minimum of five (5) years of healthcare operations, quality improvement, population health, practice administration, or value-based care experience.
• Experience working with quality metrics, payer programs, and healthcare performance