Vice President, Care Management and Provider Network Support

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North Carolina Community Health Center Association

Vice President, Care Management and Provider Network Support

Raleigh, NC
Full Time
Paid
  • Responsibilities

    Please submit your application along with a copy of resume and cover letter.

    ** Summary**

    The North Carolina Community Health Center Association (NCCHCA) is a membership organization for federally qualified, non-profit patient-governed health care organizations that provide care to patients regardless of insurance status or geographic isolation. NCCHCA’s mission is to promote and support patient-governed health care organizations and the populations they serve.

    The Vice President, Care Management and Provider Network Support provide executive leadership for the Care Management Team, and Carolina Medical Home Network’s (CMHN) Medicaid Clinically Integrated Network (CIN) and Medicare ACO CHC providers. This position ensures effective program design, oversight, and performance of care management functions while also supporting CMHN’s network providers to achieve high-quality, value-based care outcomes. The VP works closely with the Director of Population Health and the Vice President of Clinical and Quality Improvement to ensure alignment of strategies, leads provider engagement, fosters collaborative relationships, and ensures alignment between network operations and contractual goals.

    Qualification Requirements

    • Advanced degree in health administration, public health, population health, or a related field; clinical degree welcome but not required
    • Advanced degrees include Master’s (e.g., MA, MS, MBA, MPH) and Doctoral degrees (e.g., PhD, EdD, MD, JD, DNP).

    Minimum Qualifications

    • Minimum of 7–10 years of leadership experience in care management, provider network operations, or population health management.
    • Experience in Medicaid managed care and Medicare ACOs strongly preferred.
    • Knowledge of value-based care structures, CIN/ACO operations, and payer contract requirements.
    • Strong leadership skills with supervisory experience.
    • Excellent communication and relationship-building abilities with diverse stakeholders.
    • Proficiency in program development, data-driven decision making, and project management.

    Knowledge, Skills and Abilities

    • Demonstrated success in leading care management and provider network operations.
    • Strong understanding of Medicaid managed care and Medicare ACO models.
    • Proven ability to engage and support providers in achieving performance targets.
    • Strategic thinker with ability to execute operational plans.
    • Excellent written, verbal, and presentation skills.
    • Ability to work independently and collaboratively in a dynamic environment.

    Supervisory Responsibilities

    • Provide direct oversight of CMHN care management teams.
    • Lead network provider support initiatives and ensures engagement strategies are effective.
    • Mentor and support staff in program design, implementation, and evaluation.

    Essential Functions

    Care Management Leadership

    • Direct care management programs across Medicaid CIN and Medicare ACO.
    • Oversee design, implementation, and evaluation of care management interventions that improve patient outcomes and reduce costs.
    • Supervise care management staff and ensure performance against contractual obligations.
    • Expand and optimize care coordination, particularly under AMH3 and other value-based care models

    Provider Network Support

    • Lead strategies to engage, train, and support CMHN CHC providers to achieve population health and quality goals.
    • Provide technical assistance and education to providers on value-based care requirements, care coordination, and performance metrics.
    • Serve as liaison between CMHN providers and external partners, payers, and regulators.
    • Facilitate peer to peer learning opportunities and support provider advisory groups.

    Process Improvement

    • Develop and implement continuous process improvement strategies to strengthen care management and provider support functions.
    • Apply process improvement methodologies (e.g., PlanDoStudyAct cycles, Lean, Six Sigma) to identify inefficiencies and streamline workflows.
    • Partner with providers and staff to evaluate outcomes, implement corrective actions, and scale best practices across the network.
    • Monitor performance data to drive improvement initiatives that enhance patient care, provider experience, and cost efficiency.

    Strategic Partnerships & Representation

    • Work closely with the Director of Population Health and the Vice President of Clinical and Quality Outcomes to ensure alignment of care management, provider support, and quality improvement strategies.
    • Represent CMHN CHC providers at state and national levels in discussions on care management and provider support.
    • Collaborate with external stakeholders (NCDHHS, MCOs, payers, academic institutions) to enhance CMHN’s network and programs.
    • Identify and pursue new partnerships and business opportunities that strengthen CMHN’s role in value-based care.

    Program Oversight & Development

    • Ensure care management and provider support initiatives align with CMHN’s strategic priorities.
    • Monitor and report program outcomes to the SVP of CMHN.
    • Pursuing funding and partnership opportunities to expand network capabilities.
    • Develop and oversee training programs to support provider performance in quality, patient experience, and cost metrics.

    Physical Demands

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to stand, sit; talk, hear, and use hands and fingers to handle or feel; and reach with hands and arms to operate a computer and telephone keyboard, and to reach, stoop or kneel. Specific vision abilities required by this job include close vision requirements due to computer work. Light to moderate lifting is required such as occasionally lifting office products and supplies, up to 20 pounds. Ability to uphold the stress of traveling. Regular, predictable attendance is required; including quarter-driven hours as business demands dictate.

    Work Environment

    This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Level of noise typical for the work environment of this job is Moderate - less than 85 decibels (business office with computers and printers and traffic within the receptionist area). Ability to work in a confined area. Ability to sit at a computer terminal for an extended period of time.

    The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of the position. All employees may have other duties assigned at any time