Administrator - Value Based Care

Administrator - Value Based Care

Job Summary:
The Administrator, Value-Based Care (VBC) supports the operations of Tryon’s Accountable Care Organization (ACO), Clinically Integrated Network (CIN), and Direct to Employer (DTE) initiatives. This position is responsible for coordinating administrative, operational, and relationship management functions that drive success for value-based initiatives. Key responsibilities include managing relationships with clients (clinicians, employers, internal stakeholders) and supporting internal teams in performance improvement initiatives related to risk adjustment, quality, care management, pharmacy, and member engagement.

The ideal candidate is highly organized, detail-oriented, a critical thinker, and capable of working cross-functionally to ensure successful execution of value-based initiatives. This role will work closely with the Senior Director of VBC and is appropriate for candidates eager to gain valuable healthcare experience and grow into a leadership position.

(This is a full-time position located in Charlotte, NC. Occasional local travel may be required to attend meetings or support client, provider, and beneficiary engagement efforts.)

Job Responsibilities may include, but not limited to:

ACO & CIN Administration

• Maintain an organized library of active payer contracts and program documents.
• Coordinate the completion and timely submission of all administrative requirements for ACO and CIN participation, such as attestations, TIN alignment, and annual renewal documentation.
• Preparation for and potential attendance at CIN committee meetings including sub-committees that are created as the CIN grows.
• Develop communications on updates to a variety of stakeholders, including senior Tryon leaders.

Roster & Beneficiary Management

• Work with internal teams and payer partners to maintain the accuracy of both provider and beneficiary rosters.
• Coordinate and track beneficiary notifications and communications, including CMS-required ACO beneficiary notices.

Program Monitoring & Support

• Support project and program planning and execution, in consultation with applicable stakeholders.
• Assist in the development, dissemination, and tracking of workflows, educational materials, and communication tools to support program performance.

• Collaborate with clinicians, VBC leadership, and payers to align on workflows and program requirements.
• Serve as a point of contact for operational questions from internal teams regarding VBC program functions and payer requirements.
• Serve as client management point of contact for DTE clients, supporting day-to-day account servicing, issue resolution, and solution design.
• Assist with meeting preparation, documentation, and follow-ups.

Qualifications:

• Bachelor’s degree in healthcare administration, public health, or related field.
• 2+ years of experience in a healthcare operations or consulting (ACO, CIN, or provider group preferred).
• Excellent organization, communication, and time-management skills.
• Proficiency in Microsoft Office Suite and EHR platforms (AthenaHealth preferred).

Preferred:

• MHA or similar degree.
• Familiarity with CMS programs and value-based care concepts (risk adjustment, quality metrics, attribution).
  
  

Physical Requirements:

• Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
• Must be able to lift and support weight of 35 pounds.
• Ability to concentrate on details.
• Use of computer for long periods of time.