Administrator - Value Based Care

Job Description

Job Description

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

Program Monitoring & Support

Qualifications :

Preferred :

Physical Requirements :

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