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

Mahec • Asheville, NC

2d • Hybrid

About The Position

The Value Based Care Administrator provides operational leadership for MAHEC’s value-based care programs and population health initiatives. The position oversees implementation, monitoring, and optimization of strategies 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, and serves as the primary operational liaison between MAHEC, payer partners, and external stakeholders.

The role supports MAHEC’s value-based care strategy, monitors payer-contract performance, leads improvement initiatives, and facilitates governance and performance reviews. It partners with care teams on population health programs, high-risk population identification, care gap analysis, preventive care, chronic disease management, health equity, social determinants of health, outreach, and care coordination. The Administrator also monitors quality and financial performance, develops reports and dashboards, supports payer contracts and audits, ensures compliance with applicable requirements, and may supervise assigned staff.

Regular on-site attendance is an essential function, with some virtual work possible. Typical hours are Monday through Friday, 8:00 a.m. to 5:00 p.m., or flexed to meet client or divisional needs. The position is 40 hours per workweek; occasional weekend, holiday, or evening coverage may be required, along with flexibility for special assignments and evening activities. The position participates in an on-call rotation for active patients. Compensation is $89,200 annually, exempt, plus MAHEC’s full-time Total Rewards package.

Requirements

• Bachelor’s degree in Healthcare Administration, Public Health, Nursing, Business Administration, Health Informatics, or a related field.
• At least five 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 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.
• Regular on-site attendance is an essential function; some virtual work may be included.
• Ability to work flexibly for special assignments or evening activities, and participate in an on-call rotation for active patients.
• All employees and learners must receive the flu vaccine or have an approved exemption.
• New employees must provide valid, original I-9 documents on their first day of work.

Nice To Haves

• Master’s degree in Healthcare Administration, Public Health, Business Administration, Nursing, or a related discipline.
• Certification in healthcare quality, project management, population health, or healthcare administration.
• Experience with accountable care organizations (ACOs), the Medicare Shared Savings Program (MSSP), Medicare Advantage, Medicaid managed care, or commercial value-based contracts.
• Experience using healthcare analytics and dashboard platforms.

Responsibilities

• Support implementation and execution of MAHEC’s value-based care strategy and operational priorities.
• Monitor payer-contract performance across quality, utilization, risk adjustment, patient experience, and financial metrics.
• Lead operational initiatives 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.
• 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 analysis.
• Coordinate initiatives focused on preventive care, chronic disease management, health equity, and social determinants of health.
• Collaborate with clinical teams to develop workflows for proactive patient outreach, care coordination, and patient engagement.
• Monitor population health program effectiveness and recommend enhancements.
• Review beneficiary assignments and guide corrections and updates to attribution.
• 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.
• 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.
• 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.
• May supervise care management, population health, project management, or administrative staff as assigned.
• Establish performance expectations and provide coaching, development, and continuous performance feedback.
• Assist with hiring, onboarding, and performance management activities.
• Foster collaboration across departments to achieve value-based care goals.

Benefits

• MAHEC’s full-time Total Rewards package.
• Public Service Loan Forgiveness qualifying employer; employees meeting federal requirements may be eligible for forgiveness of remaining student loan balances after 10 years of qualifying payments while working full-time at MAHEC.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior