Director of Value Based Care

RALEIGH MEDICAL GROUP PA•Raleigh, NC

23h•Hybrid

About The Position

Raleigh Medical Group, PA is seeking a strategic and dynamic Director of Value Based Care to lead initiatives focused on delivering high-quality, cost-conscious care across our organization. This executive-level role oversees population health, care management, and quality programs while partnering closely with clinical leadership, Accountable Care Organizations (ACOs), and operational teams to advance value-based care models. The Director of Value Based Care plays a critical role in shaping innovative care delivery strategies, optimizing incentive programs, and ensuring regulatory compliance—all while improving patient outcomes and supporting organizational growth.

Requirements

Master’s degree in nursing, social work, psychology, healthcare administration, or related field (strongly preferred)
10+ years of experience in healthcare quality improvement, population health, or value-based care
At least 5 years of leadership experience in care management, quality programs, or incentive-based models
Proven experience working with ACOs, population health programs, and regulatory frameworks
Strong analytical, leadership, and strategic planning skills
Excellent communication and relationship-building abilities
General knowledge of medical and health care terminology.
Management and leadership principles.
Knowledge of Quality programs models, processes, and tools and their use in a health care setting.
Familiar with ways to stay abreast of current QP and regulatory trends
Skill in consistently meeting requirements of ACOs, Pop-Health Programs, regulators and accreditors
Skill in effective application of quality measures, clinical guidelines and process management initiatives
Ability to promote the importance of QP concepts as relates to the practice’s mission and goals
Standards of the healthcare industry.
Strong analytical and problem-solving skills.
Excellent verbal and written communication skills
The use of MS Word, Excel, medical office PM and EHR software programs and technology.
Use of office equipment including phone, scanner, computer, fax machine and photocopier.
HIPAA standards.
Exercising a high degree of initiative, judgment, discretion, and decision-making to achieve organizational objectives.
Analyzing situations accurately and taking effective action.
Time management, problem solving, multitasking, organizing, and prioritizing.
Understanding and following written and oral instruction.
Providing leadership and coaching as relates to Quality programs
Organizing workload, establishing priorities, and meeting deadlines.
Communicating effectively both orally and in writing with Clinicians, Directors and others both inside and outside the practice.
Exhibiting a professional manner in dealing with others and working to maintain constructive working relationships with all departments and levels of staff
Maintaining confidentiality of sensitive information.
RN
Three years of experience in a healthcare setting, including three years of Pop-Health/Quality Programs.
1 year of management/supervisory experience

Nice To Haves

Experience in a physician-led or independent practice environment
Familiarity with Athena EHR or similar systems
Experience designing and leading Chronic Condition Management (CCM) and Transition of Care (ToC) programs
Experience in a physician based practice

Responsibilities

Lead strategic and operational planning for value-based care, ensuring alignment with quality programs and regulatory requirements
Drive engagement with Accountable Care Organizations (ACOs), including collaboration on initiatives, monitoring performance, and ensuring adherence to quality standards
Partner with Clinical Directors, Population Health teams, and operational leaders to implement and sustain care models
Oversee quality program performance, including tracking, reporting, and implementation of corrective actions
Collaborate with Health IT and EHR leadership to optimize data systems supporting population health and quality initiatives
Provide ongoing education, coaching, and support to clinicians and staff on quality program requirements and best practices
Monitor and manage incentive programs and revenue opportunities related to value-based care
Oversee Chronic Condition Management (CCM) and support Transition of Care (ToC) initiatives
Analyze performance data to identify trends, gaps, and opportunities for improvement
Maintain compliance with HIPAA and healthcare regulatory standards
Foster strong cross-functional relationships across departments and external partners