Value Based Care Manager - CMS TEAM Program

ID 2025-35254
Location
CHAPS Building
Work Location
US-NC-Greensboro
Department : Name
VBCI Assets
Category
OTHER
Position Sub-Category
OTHER
Position Type
Full Time (40 hours/week)
Employment Type
Employee
Exempt/NonExempt
Exempt
FTE
1.00
Workforce Status
Hybrid I
Work Hours
40.00
Provider Schedule (specific schedule)
Monday-Friday, 8:00am-5:00pm
On call Required
No

Overview

 

The Value Based Care Manager will provide crucial support to the Director of Operations and the VBCI Senior Leadership Team. This role is essential in ensuring key milestones are met, critical deliverables are on schedule, and efficient execution of strategic initiatives occurs. The position will assist in managing project plans and implementation of programs, coordinating interdepartmental activities, and driving projects that enhance patient care and organizational efficiency.

 

We are seeking a dynamic and experienced Manager to lead the implementation and day-to-day operations of our new CMS TEAM (Transforming Episode Accountability Model) program. This role is critical in driving success within an innovative value-based care model that holds health systems accountable for the quality and cost of care across defined clinical episodes. The ideal candidate will bring a strong background in CMS programs, care model operations, and performance improvement. They will be responsible for building cross-functional workflows, engaging clinicians and operational leaders, ensuring compliance with CMS requirements, and overseeing data-driven strategies to meet quality and cost targets. Success in this role requires a mix of healthcare regulatory knowledge, team leadership, project management, and the ability to translate complex policy into actionable practice.

 

STRONGLY PREFERRED SKILLS and EXPERIENCE

 

  • CMS Programs & Regulations 
  • Prior experience implementing or managing CMS models (e.g., MSSP, ACO REACH, Bundled Payments, Primary Care First, or other Innovation Center models). 
  • Deep understanding of CMS quality metrics, financial benchmarks, and compliance requirements. 
  • Care Model Implementation or Operations 
  • Operational leadership in care management, population health, or clinically integrated networks (CINs). 
  • Proven ability to build and operationalize workflows supporting patient identification, risk stratification, care coordination, and reporting. 
  • Cross-Functional Team Leadership 
  • Led multidisciplinary teams including clinicians, analysts, IT, and administrative staff. 
  • Experience driving change management across clinical and administrative stakeholders. 
  • Performance Management 
  • Experience developing KPIs, dashboards, and tracking tools to monitor program success. 
  • Experience with corrective action plans for underperformance. 

 

Responsibilities

 

 
Operational Support:
- Assist the Director of Operations in planning, organizing, and overseeing VBCI operations.
- Monitor and evaluate operational performance metrics and assist in identifying areas for improvement.
- Coordinate and support the implementation of operational policies and procedures.
Project Coordination:
- Manage and track progress of ongoing projects, ensuring they align with organizational goals.
- Organize project meetings, prepare agendas, and manage deliverables and other project related milestones.
- Facilitate communication between departments to ensure project milestones are met.
Administrative Duties:
- Prepare reports, presentations, and correspondence for the Director of Operations.
- Manage and prioritize incoming requests and communications to the Director.
Problem-Solving:
- Address operational issues and assist in developing solutions to improve processes.
- Provide support in troubleshooting and resolving day-to-day operational challenges.
Interdepartmental Coordination:
- Serve as a liaison between various departments and the Director of Operations.
- Facilitate smooth communication and collaboration across teams.
Compliance and Quality Assurance:
- Assist in ensuring compliance with regulatory requirements and organizational policies.
- Support quality assurance initiatives to enhance patient care and operational efficiency.

Qualifications

 

EDUCATION:
Required: Bachelors degree in Healthcare Administration, Business Administration, or related field; relevant experience may be considered in lieu of degree.

 

EXPERIENCE:
Required: 3 years proven experience in a similar operational or administrative role Required, preferably within a healthcare or clinical setting.

 

LICENSURE/CERTIFICATION/REGISTRY/LISTING:
Valid Driver's License *If driving Cone Health vehicle, must have 5 years of driving experience and MVR must be approved by Risk Management.

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