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

Mountain Area Health Education Center - MAHEC • Asheville, NC

3d • Onsite

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 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. The role serves as the primary operational liaison between MAHEC, payer partners, and external stakeholders to support contract performance, regulatory compliance, and continuous improvement.

The position supports MAHEC’s value-based care strategy, monitors payer contract performance, leads initiatives to improve outcomes, and coordinates governance and performance review activities. It partners with care teams on population health programs, high-risk populations, care gaps, preventive care, chronic disease management, health equity, and patient engagement. The role analyzes performance data; develops dashboards, scorecards, and reports; supports payer contracts, audits, and submissions; and helps ensure regulatory and contractual compliance. It may supervise care management, population health, project management, or administrative staff as assigned.

Regular on-site attendance is an essential function, though some virtual work may be included. Typical hours are Monday through Friday, 8:00 a.m. to 5:00 p.m., or flexed to meet client or division needs, for 40 hours per workweek. Weekend, holiday, or evening coverage is occasionally required; hours may be flexible for special assignments or 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. MAHEC is a qualifying employer for the Public Service Loan Forgiveness Program, subject to federal eligibility requirements. Employees must receive the flu vaccine or have an approved exemption. MAHEC does not provide employment-based U.S. visa sponsorship.

Requirements

• Bachelor’s degree in Healthcare Administration, Public Health, Nursing, Business Administration, Health Informatics, or a related field.
• At least five years of experience in healthcare operations, quality improvement, population health, practice administration, or value-based care.
• 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 attendance on-site is an essential function; ability to work occasional weekend, holiday, or evening coverage and participate in an on-call rotation for active patients.
• Must receive the flu vaccine or have an approved exemption.
• Must provide valid, original I-9 documents on the first day of work; MAHEC does not provide employment-based U.S. visa sponsorship.

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), 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, including quality, utilization, risk adjustment, patient experience, and financial metrics.
• Lead operational initiatives to improve outcomes and meet value-based contract objectives; facilitate 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.
• Oversee attribution by reviewing beneficiary assignments and guiding corrections and updates as needed.
• 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.
• Communicate effectively and respectfully with colleagues, patients, and patients’ families, conveying information in an understandable manner.
• Make appropriate decisions and ensure timely completion of follow-up actions; resolve conflicts, think critically, and prioritize work.
• Maintain current healthcare knowledge, licensure, and required annual training, and apply knowledge in practice.
• Demonstrate professionalism, empathy, effective listening, responsibility, and dependability in interactions with colleagues, patients, and families.
• Adhere to MAHEC’s organizational values, including integrity, accountability, cultural respect, equity, adaptability, and ownership.
• Work autonomously and analytically to solve complex problems and drive continuous improvement.

Benefits

• MAHEC’s full-time Total Rewards package.
• Potential eligibility for Public Service Loan Forgiveness after 10 years of qualifying payments while working full-time at MAHEC, subject to federal requirements.

What This Job Offers

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