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 SummaryThe 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 ResponsibilitiesOperational 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 QualificationsEducationBachelor'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 reporting.
- Demonstrated experience leading multidisciplinary projects and initiatives.
Knowledge, Skills, and Abilities- Knowledge of value-based reimbursement models, population health management, and quality improvement methodologies.
- Understanding of healthcare analytics, quality measures, and utilization management.
- Strong project management and organizational skills.
- Excellent communication and stakeholder engagement skills.
- Ability to analyze complex data and translate findings into actionable recommendations.
- Proficiency with electronic health records, reporting tools, and Microsoft Office applications.
- Ability to manage multiple priorities in a rapidly changing healthcare environment.
Preferred Qualifications- Master's degree in Healthcare Administration, Public Health, Business Administration, Nursing, or related discipline.
- Certification in healthcare quality, project management, population health, or healthcare administration.
- Experience with accountable care organizations (ACOs), Medicare Shared Savings Program (MSSP), Medicare Advantage, Medicaid managed care, or commercial value-based contracts.
- Experience using healthcare analytics and dashboard platforms.
KEY COMPETENCIES: Effectively and respectably communicate with other individuals, whether it be a colleague, patient, or patient's family member and appropriately enumerate information in a manner easily understood by all parties. We do this to foster a culture of understanding between all parties, especially in complex and difficult situations, to ultimately provide the best care possible to our patients and their families. Ability to make the most appropriate decision in a given situation and then taking the next steps to ensure appropriate and timely completion. This requires conflict resolution skills, critical thinking skills, confidence in your ability to make the right decision in most situations. This also includes ability to prioritize your workday appropriately to ensure the most important tasks are completed on time. Having the drive to keep yourself abreast and up to date on the new breakthroughs in your area of expertise and communicating them to the rest of the team, as appropriate. This also includes keeping up with your licensure and yearly training requirements within your area expertise along with MAHEC's organizational training. Finally, the ability to apply the depth of knowledge maintained and gained through this process in real life scenarios as appropriate. Showing the ability to meet difficult situations with grace, professionalism, and understanding. Within your area of expertise, showing respect and showing empathy where appropriate with your colleagues, patients, and their family at all times, even when its most difficult to do so. This is done, in part, by effective listening, being your authentic self, showing responsibility and dependability, and being patient with others. Adherence to MAHEC's founding principles and incorporating them every day. This includes, among others, having integrity and accountability, reverence for other cultures and equitable practices, ability to manage change, and displaying a clear understanding of organizational dynamics. Doing these things creates a culture where people want to do the best for each other and gives personal ownership towards the goal of helping people in their time of need. Having an analytical mind and ability to work autonomously to solve complex problems that may arise. The wherewithal to think logically through a difficult problem and come to an appropriate resolution for a given issue. This helps to drive continuous improvement by thinking through where we can improve in a novel way. Measures success by understanding where we are currently and where we want to go and then applying those new ideas to affect positive change. SCHEDULE:- Regular attendance on-site is an essential function of this position. Position may include some virtual work. Typical business hours are Monday - Friday, 8:00 am to 5:00 pm (or flexed to best meet the needs of the clients and/or the Division); 40 hours per workweek; weekend, holiday, or evening coverage is occasionally required. Work hours will need to be flexible in order to respond to special work assignments, or evening activities, as requested by the team leader. This position participates in a on-call rotation for active patients.
COMPENSATION: - $89,200 annually, exempt + MAHEC's full time Total Rewards package
At MAHEC
, we strive to equip all team members with Total Rewards (pay + benefits) to honor their service, support their health, manage their financial security, build their career, and thrive.
MAHEC is a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program. Employees who meet federal requirements may be eligible to have remaining student loan balances forgiven after 10 years of qualifying payments while working full-time at MAHEC.
If you are interested in this role, and you have related experience and qualifications, we encourage you to apply or reach out to [redacted] for support in your job search process. You could be the talent we are seeking for this or other opportunities
All MAHEC employees and learners will be required to receive the Flu vaccine or have an approved exemption.
MAHEC does not provide employment-based US visa sponsorship, now or in the future. All new employees must provide valid, original I-9 documents on their first day of work.
MAHEC Talent Management is located at 121 Hendersonville Road, Asheville, NC 28803.
