Primary Care Capitation Advanced Value-Based Payment Program Manager
About The Position
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.
Requirements
- Bachelor's degree from an appropriately accredited institution and three (3) years of program experience related to the area of assignment, including one year of supervisory program experience OR An equivalent combination of training and experience.
Nice To Haves
- 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.
- 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.
Responsibilities
- Serve as the day-to-day operational lead for the Medicaid Primary Care Capitation Pilot.
- Translate policy and program goals into actionable operating plans.
- Establish and manage statewide implementation infrastructure.
- Provide programmatic and fiscal oversight to ensure successful delivery of pilot outcomes.
- Exercise full delegated authority for assigned initiatives.
- Direct multi-disciplinary staff across business units and vendor partners.
- Coordinate statewide with RHTP Regional Hubs, vendors, providers, associations, and internal Division of Health Benefits teams to ensure consistent, compliant, and effective implementation of the capitation model.
Benefits
- Health insurance options
- Standard and supplemental retirement plans
- NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis)
- Paid vacation leave
- Paid sick leave
- Paid community service leave
- Paid parental leave
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What This Job Offers
Job Type
Full-time
Career Level
Manager
