Value Based Care Manager Jobs (NOW HIRING)

Title:

Director of Value Based Care

Location:

Raleigh, NC

Department:

Administration

Shift:

Monday - Friday

Director of Value Based Care – Administration
Raleigh, NC |Hybrid

Drive high-quality, cost-effective care that transforms patient outcomes.

Raleigh Medical Group, PA is seeking a strategic and dynamic Director of Value Based Care to lead initiatives focused on delivering high-quality, cost-conscious care across our organization. This executive-level role oversees population health, care management, and quality programs while partnering closely with clinical leadership, Accountable Care Organizations (ACOs), and operational teams to advance value-based care models.

The Director of Value Based Care plays a critical role in shaping innovative care delivery strategies, optimizing incentive programs, and ensuring regulatory compliance—all while improving patient outcomes and supporting organizational growth.

• Lead strategic and operational planning for value-based care, ensuring alignment with quality programs and regulatory requirements
  • Drive engagement with Accountable Care Organizations (ACOs), including collaboration on initiatives, monitoring performance, and ensuring adherence to quality standards
  • Partner with Clinical Directors, Population Health teams, and operational leaders to implement and sustain care models
  • Oversee quality program performance, including tracking, reporting, and implementation of corrective actions
  • Collaborate with Health IT and EHR leadership to optimize data systems supporting population health and quality initiatives
  • Provide ongoing education, coaching, and support to clinicians and staff on quality program requirements and best practices
  • Monitor and manage incentive programs and revenue opportunities related to value-based care
  • Oversee Chronic Condition Management (CCM) and support Transition of Care (ToC) initiatives
  • Analyze performance data to identify trends, gaps, and opportunities for improvement
  • Maintain compliance with HIPAA and healthcare regulatory standards
  • Foster strong cross-functional relationships across departments and external partners

Required:

• Master’s degree in nursing, social work, psychology, healthcare administration, or related field (strongly preferred)
  • 10+ years of experience in healthcare quality improvement, population health, or value-based care
  • At least 5 years of leadership experience in care management, quality programs, or incentive-based models
  • Proven experience working with ACOs, population health programs, and regulatory frameworks
  • Strong analytical, leadership, and strategic planning skills
  • Excellent communication and relationship-building abilities

Preferred:

• Experience in a physician-led or independent practice environment
• Familiarity with Athena EHR or similar systems

• Experience designing and leading Chronic Condition Management (CCM) and Transition of Care (ToC) programs

• Established, physician-led private practice
• Opportunity to lead transformational healthcare initiatives
• Collaborative, mission-driven leadership team
• Direct impact on patient outcomes and community health

• Group Health, Dental, and Vision coverage
• FSA and HSA options
• Generous Paid Time Off (PTO)
• 401(k) Retirement Plan with employer matching
• Company-paid Life, Short-Term & Long-Term Disability
• Competitive compensation package

EEO Statement:

Raleigh Medical Group, PA is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, or national origin, or any other characteristic protected under applicable federal, state, or local law.

Competencies

• General knowledge of medical and health care terminology.
• Management and leadership principles.
• Knowledge of Quality programs models, processes, and tools and their use in a health care setting. Familiar with ways to stay abreast of current QP and regulatory trends
• Skill in consistently meeting requirements of ACOs, Pop-Health Programs, regulators and accreditors
• Skill in effective application of quality measures, clinical guidelines and process management initiatives
• Ability to promote the importance of QP concepts as relates to the practice's mission and goals
• Standards of the healthcare industry.
• Strong analytical and problem-solving skills.
• Excellent verbal and written communication skills
• The use of MS Word, Excel, medical office PM and EHR software programs and technology.
• Use of office equipment including phone, scanner, computer, fax machine and photocopier.
• HIPAA standards.
• Exercising a high degree of initiative, judgment, discretion, and decision-making to achieve organizational objectives.
• Analyzing situations accurately and taking effective action.
• Time management, problem solving, multitasking, organizing, and prioritizing.
• Understanding and following written and oral instruction.
• Providing leadership and coaching as relates to Quality programs
• Organizing workload, establishing priorities, and meeting deadlines.
• Communicating effectively both orally and in writing with Clinicians, Directors and others both inside and outside the practice.
• Exhibiting a professional manner in dealing with others and working to maintain constructive working relationships with all departments and levels of staff
• Maintaining confidentiality of sensitive information.

Physical requirements

• Sitting for approximately 80% percent of the day.
• Occasionally standing for 80% of the day.
• Requires walking, lifting, bending, reaching, and stooping on a daily basis.
• Occasionally lifting and moving up to 25 pounds.
• Fine motor skills.

Required education

• RN

• Three years of experience in a healthcare setting, including three years of Pop-Health/Quality Programs.
• 1 year of management/supervisory experience

Preferred education and experience

• Experience in a physician based practice