ROOTS Hub Director (Remote NC)

Vaya Health• Remote, NC, US, NC

1d•$79,354 - $103,160•Remote

About The Position

The Rural Health Transformation Program (RHTP) is a statewide program administered by the NC Department of Health and Human Services (DHHS) and funded by the US Centers for Medicare & Medicaid Services (CMS). Its purpose is to create sustainable improved access and outcomes for NC citizens living in rural communities. The ROOTS Hub Director reports to the Executive Vice President and Chief Operating Officer and provides strategic direction for Hub Lead operations, including fiduciary oversight, grantmaking, compliance, reporting, and implementing the Hub Action Plan in NC DHHS defined region 3. The role focuses on rural counties within region 3 but allows for cooperation with urban counties if priorities align. The position is responsible for daily operations, ensuring program effectiveness, and directly supervises ROOTS Hub Connectors, Lead Implementation team, Performance Reporting Analyst, Financial Analysts, and Quality Improvement Specialist. The Director collaborates with NCDHHS, Hub Governing Body, Regional Decision Councils, Technical Advisory Panel, and region 3 lead anchors (App State/AppWell/Office of Rural Promise, Partners Behavioral Health Management, Cabarrus Health Alliance, and Catawba County Public Health), as well as tribal representatives, to tailor NCRHTP initiatives to meet region 3's rural health needs and achieve NCRHTP performance objectives. These objectives include building rural community hubs, creating models for expanded primary care and chronic disease management, building a robust workforce, and ensuring fiscal sustainability for rural health providers. The Director plays a critical role in the overall effectiveness of the RHTP, overseeing implementation, monitoring, reporting, and administrative tasks for launching and operating the NC RHTP. The position requires high emotional intelligence, discretion, independent judgment, strong communication skills for diverse stakeholders, project management, performance improvement skills, and experience managing large-scale plans and budgets.

Requirements

Bachelor’s degree required.
Must reside in North Carolina and be hired no later than June 1, 2026.
Minimum of two (2) years of experience project managing large and complex engagements.
Minimum of two (2) years of experience coordinating across different types of stakeholders.
Minimum of two (2) years of experience in an organization or field that demonstrates an understanding of the healthcare systems, Medicaid and/or Medicare payer systems, clinical and social needs on communities’ and/or populations’ access to health services.
Ability to lead, coach and support direct reports and lead by influence for indirect reports and partner agencies.
Knowledge of daily operations of the RHTP.
Knowledge of the RHTP initiatives, NC DHHS contract requirements and Hub Lead Plan.
Knowledge of healthcare systems, payers, partners and components needed to develop and implement a cohesive RHTG strategy.
Proficiency in evaluating and communicating successes and barriers with the RHTP initiatives.
Ability to pay close attention to detail and translate that into meaningful follow up/next steps.
Initiative-taking, collaborator, self-starter and able to work independently with little or no direction.
Elevated level of knowledge of Microsoft Office applications and adept at learning software applications.
Ability to exercise discretion and make independent decisions without supervisory input on matters of significance.
Knowledge of the interaction between mental health, physical health, and social determinants of health and quality health outcomes/well being.
Strong customer service skills paired with a positive demeanor – a “can do” attitude.
Prior demonstrated success in stakeholder relations.
Prior project management experience.
Ability to manage multiple priorities in a demanding environment.
Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others.
Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists, and fingers.
Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.
Mental concentration is required in all aspects of work.

Nice To Haves

Master’s degree preferred.
Minimum of two (2) years of experience serving or working on behalf of Medicaid and/or Medicare beneficiaries.
Population health experience and experience with physical health, behavioral health, I/DD and TBI populations preferred.
Certifications in use of project management methodologies preferred.
Certification in quality and process improvement preferred.

Responsibilities

Serve as Vaya’s RHTP liaison with the Department and other awarded ROOTS Hub Lead entities on RHTP program-related roles and responsibilities.
Oversee and ensure the successful implementation and compliance with NC DHHS scope of work and Vaya’s RHTP plan for Initiatives 1, 2, 4, and 5 in NC DHHS defined region 3.
Coordinate within the organization and with lead anchor partners to ensure all RHTP responsibilities and requirements are met.
Track Vaya’s RHTP plan’s compliance and performance against program-related deadlines and milestones.
Submit program-related reports to the Department by required deadlines.
Support subrecipients, implementation partners, and community-based organizations in understanding contracting, invoicing, documentation, reimbursement, reporting, and compliance expectations.
Provide leadership and coordination of the internal RHTP team.
Partner closely with the project team, finance department, lead anchors, and community stakeholders to ensure the milestones and deliverables for RHTP.
Facilitate Hub governance operations, including preparation of agendas, meeting materials, decision logs, feedback-to-decision documentation, escalation items, and follow-up actions for the Hub Governing Body, Regional Decision Council, and related advisory or review functions.
Oversee the operational administration of the Hub’s intake, screening, merit review, technical advisory review, regional recommendation, and final funding approval processes, including coordination of reviewer rosters, scoring tools, conflict-of-interest documentation, recommendation packets, and procedural integrity.
Maintain the Region 3 ROOTS risk register and oversee risk identification, mitigation, corrective action tracking, and escalation of fiscal, operational, compliance, partner performance, or implementation risks.
Coordinate with Finance, Legal, Contracts, Compliance, and program staff to support subaward execution, invoice review, budget-to-actual monitoring, reimbursement documentation, and partner fiscal accountability.
Ensure Hub implementation reflects community voice, rural priorities, lived experience, disproportionately burdened communities, and regional needs assessment findings, including documentation of how community feedback informs Hub priorities and implementation decisions.
Maintain the project plan and provide regular updates to supervisor and Vaya leadership regarding RHTP successes and challenges.
Provide and coordinate RHTG trainings as needed.
Attend and/or lead RHTP related meetings.
Maintain all plans associated with RHTG initiatives 1, 2, 4, and 5.
Serve as RHTP Subject Matter Expert (SME) as requested.
Participate in community health assessments to support the development of needed services.