Value Based Care Program Manager

Value Based Care Program Manager

Job Summary:
The Value-Based Care (VBC) Program Manager supports the operations of Tryon’s Accountable Care Organization (ACO) and Clinically Integrated Network (CIN). This position is responsible for coordinating administrative, operational, and relationship management functions that drive success for value-based programs. Key responsibilities include ensuring compliance with payer requirements, and supporting internal teams in performance improvement initiatives related to risk adjustment, quality, and member engagement. Program Manager will ensure scope and objectives are aligned with organization’s strategic objectives, mission, values and goals.

The ideal candidate is highly organized, detail-oriented, a critical thinker, and capable of working cross-functionally to ensure successful execution of value-based care initiatives. This is a mid-level role, appropriate for candidates with managerial experience in healthcare administration, population health operations, or managed care environments. Manager will oversee and coordinate activities of the VBC team, including risk adjustment and quality functions, ensuring tasks are completed efficiently and effectively. There will be significant interaction with clinicians.

(This is a full-time position located in Charlotte, NC. Occasional local travel may be required to attend meetings or support 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
• Ensure all deliverables are compliant with ACO and CIN regulations.

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

• Leads project and program planning and execution, in consultation with applicable stakeholders; leads functional teams and partners through program implementation, ensuring program goals are reached. Monitor productivity and completion rates of key VBC workflows (e.g., risk adjustment coding, quality gap closure, and member engagement).
• Develop and execute against detailed project plans meeting key milestones and deadlines.
• Assist in the development, dissemination, and tracking of workflows, educational materials, and communication tools to support VBC 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.
• Assist with meeting preparation, documentation, and follow-ups related to ACO/VBC operations.
• Ensure all project/program deliverables are compliant with applicable standards and regulations.

Qualifications:

• Bachelor’s degree in healthcare administration, public health, or related field.
• Experience managing a team.
• 4+ years of experience in a healthcare setting (ACO, CIN, payer, or provider group preferred).
• Familiarity with CMS programs and value-based care concepts (risk adjustment, quality metrics, attribution).
• Project management experience (PMP or equivalent preferred)
• Excellent organization, communication, and time-management skills.
• Proficiency in Excel, SharePoint, and EHR/population health platforms (AthenaHealth preferred).
  
  

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.