LOCATION: Remote – must live or near the following North Carolina counties: Alexander, Anson, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly, or Union. This person is required to maintain residency in North Carolina or within 40 miles of the NC border. This work may require travel across these counties.
GENERAL STATEMENT OF JOB
The Rural Health Transformation Program (RHTP) is statewide program administered by the NC Department of Health and Human Services (DHHS). The purpose of the RHTP is to create sustainable improved access and outcomes to NC citizens living in rural communities. This program is funded by the US Centers for Medicare & Medicaid Services (CMS).
The ROOTS Hub Initiative 5 Lead reports to the ROOTS Hub Initiatives Manager. The ROOTS Hub Initiative 5 Lead is responsible for supporting the implementation and operational oversight of Initiative 5 within NCDHHS’ defined region 3 comprised of Alexander, Anson, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly and Union counties. The ROOTS Hub Initiative 5 Lead focuses on advancing value-based payment readiness, healthcare sustainability, and innovative financing models for rural primary care providers and rural health systems. ROOTS Hub activities will focus on rural counties within region 3, while this does not preclude cooperation or expansion of efforts to urban counties where priorities align, funding will be prioritized for rural counties.
This position collaborates with healthcare providers, payers, finance teams, implementation partners, and community stakeholders to support operational transformation, value-based care readiness, fiscal sustainability, and data-informed healthcare delivery improvements within rural communities. The ROOTS Hub Initiative 5 Lead serves as a strategic implementation partner to the ROOTS Hub Initiatives Manager and supports operational planning, stakeholder engagement, reporting, governance activities, community engagement, and implementation monitoring related to Initiative 5 objectives and deliverables.
The ROOTS Hub Initiative 5 Lead is responsible for close collaboration with the ROOTS Hub Initiatives Manager and coordination with region 3 lead anchors (App State/AppWell/Office of Rural Promise, Partners Behavioral Health Management, Cabarrus Health Alliance and Catawba County Public Health), tribal representatives where applicable and tailoring NCRHTP initiatives and activities to meet region 3’s rural health needs and the NCRHTP performance objectives:
- Build rural community hubs
- Create models and capacity for expanded primary care and prevention and chronic disease management
- Build a robust workforce and care team models
- Ensure fiscal sustainability of rural health providers through innovative fiscal models
The ROOTS Hub Initiative 5 Lead will play a critical role in ensuring the effectiveness of the Rural Health Transformation Program. This position requires the following skills: high degree of emotional intelligence, discretion, independent judgment, strong written and verbal communication skills tailored to a wide range of stakeholders and community partners, strong project management and performance improvement skills, and experience in contributing to large scale multi-pronged implementation plans and budgets.
ESSENTIAL JOB FUNCTIONS
Initiative Leadership and Operational Oversight:
- Lead day-to-day implementation activities related to Initiative 5 priorities, action plans, and deliverables
- Support rural provider readiness for value-based care and alternative payment models
- Coordinate sustainability planning and operational transformation activities
- Monitor initiative milestones, deliverables, and operational performance
- Coordinate implementation activities among healthcare, behavioral health, and social service partners
- Identify implementation barriers and recommend operational improvements
- Establish ROOTS Hub that connects medical, behavioral health, and social services to improve availability and access to healthcare in rural communities
- Coordinate within the organization and with lead anchor partners to ensure all Initiative 5 RHTP responsibilities and requirements are met
- Supporting the ROOTS Hub Initiatives Manager to track Vaya’s RHTP plan’s compliance and performance against program-related deadlines and milestones
- Support development of program-related reports as outlined by Requirements from NC DHHS
- Support region 3 anchors and RHTP subrecipients, implementation partners, and community-based organizations in understanding contracting, invoicing, documentation, reimbursement, reporting, and compliance expectations
Stakeholder Engagement and Technical Assistance:
- Build and maintain collaborative relationships with healthcare providers, public health agencies, community organizations, and implementation partners
- Facilitate meetings, trainings, and technical assistance activities related to value-based care transformation
- Support regional strategy development and implementation planning
- Support incorporation of community feedback and regional health priorities into implementation activities
- Facilitate collaboration among providers, community organizations, and regional partners
- Participate in community engagement activities and ensure community voice is incorporated into implementation planning
- Partner closely with project team, finance department, lead anchors and community stakeholders to ensure the milestones and deliverables for RHTP
- Foster relationships with rural communities and disproportionately burdened populations
- Supporting project plan and providing regular updates to ROOTS Hub Initiatives Manager regarding RHTP successes and challenges
- Attend and/or lead RHTP Initiative 5 related meetings
Reporting, Performance Monitoring and Quality Improvement:
- Track implementation progress, performance measures, and operational outcomes
- Support preparation of reports, presentations, and implementation updates
- Identify implementation risks and recommend improvement strategies
- Support compliance with NCDHHS reporting and operational requirements
Strategic Collaboration:
- Collaborate with other Initiative Leads and ROOTS Hub staff to ensure alignment across initiatives
- Participate in Hub governance and planning activities
- Serve as Initiative 5 subject matter expert as requested
KNOWLEDGE, SKILLS, & ABILITIES
- Knowledge of value-based care, healthcare financing, rural healthcare systems, and population health principles
- Strong project management and operational planning skills
- Ability to coordinate across healthcare systems and stakeholder groups
- Strong analytical, facilitation, and communication skills
- Ability to interpret operational and performance data
- Ability to manage multiple priorities and deadlines
- Knowledge of Medicaid, Medicare, and healthcare reimbursement structures preferred
- Proficiency in Microsoft Office applications
EDUCATION & EXPERIENCE REQUIREMENTS
Bachelor’s degree in public health, healthcare administration, business administration, finance, or related field required. Master’s degree preferred.
- Minimum of two (2) years of experience project managing large and complex engagements
- Minimum of two (2) years of experience coordinating across different types of stakeholders
- Minimum of two (2) years of experience in an organization or field that demonstrates an understanding of the healthcare systems, Medicaid and/or Medicare payer systems, clinical and social needs on communities’ and/or populations’ access to health services.
Preferred work experience:
- Minimum of two (2) years of experience serving or working on behalf of Medicaid and/or Medicare beneficiaries. Population health experience and experience with physical health, behavioral health, I/DD and TBI populations preferred.
Preferred licensure/certification:
- Certifications in use of project management methodologies preferred
- Certification in quality and process improvement preferred
PHYSICAL REQUIREMENTS
- Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
- Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists, and fingers.
- Sedentary work with lifting requirements up to ten pounds, sitting for extended periods of time.
- Mental concentration is required in all aspects of work.
- This work may require travel across the award site(s).
RESIDENCY REQUIREMENTS: The person in this position is required to reside in North Carolina or within 40 miles of the NC border.
SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not eligible for overtime compensation.
DEADLINE FOR APPLICATION: Open until filled
APPLY: Vaya Health accepts online applications in our Career Center, please visit https://www.vayahealth.com/about/careers/.
Vaya Health is an equal opportunity employer.
Skills Required
- Bachelor's degree in public health, healthcare administration, business administration, finance, or related field
- Master's degree
- Minimum of two (2) years project managing large and complex engagements
- Minimum of two (2) years coordinating across different types of stakeholders
- Minimum of two (2) years experience demonstrating understanding of healthcare systems, Medicaid and/or Medicare payer systems
- Minimum of two (2) years experience serving or working on behalf of Medicaid and/or Medicare beneficiaries
- Knowledge of value-based care, healthcare financing, rural healthcare systems, and population health principles
- Knowledge of Medicaid, Medicare, and healthcare reimbursement structures
- Strong project management and performance improvement skills
- Strong written and verbal communication and facilitation skills
- Proficiency in Microsoft Office applications
- Residency in North Carolina or within 40 miles of the NC border (must live in specified counties or near them)
- Certifications in project management methodologies
- Certification in quality and process improvement
What We Do
Vaya Health is whole-person health organization helping those with behavioral health and intellectual or developmental disabilities connect with the right providers on their journey toward healing, recovery and hope. At Vaya Health, our goal is to embrace innovation, adapt to a changing environment and maximize resources for the long-term benefit of the people and communities we serve. We maintain a network of highly qualified providers, respond to individual and family needs on a local level and effectively manage public service dollars. Additionally, through a robust public outreach program, we educate the community about mental health, substance use disorder and I/DD issues and available services — individuals in need can speak with a representative any time. Through reinvestment initiatives, we are demonstrating every day how public managed care can benefit both the people who receive our services and the taxpayers of North Carolina. Every day, we work with each other, our providers, our partners and the people we serve to develop the best and most-needed services for a healthier North Carolina.
