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The Value-Based Care (VBC) Program Manager supports the operations of Tryon’s Accountable Care Organization (ACO) and Clinically Integrated Network (CIN). This position is responsible for coordinating administrative, operational, and relationship management functions that drive success for value-based programs. Key responsibilities include ensuring compliance with payer requirements, and supporting internal teams in performance improvement initiatives related to risk adjustment, quality, and member engagement. Program Manager will ensure scope and objectives are aligned with organization’s strategic objectives, mission, values and goals. 

The ideal candidate is highly organized, detail-oriented, a critical thinker, and capable of working cross-functionally to ensure successful execution of value-based care initiatives. This is a mid-level role, appropriate for candidates with managerial experience in healthcare administration, population health operations, or managed care environments. Manager will oversee and coordinate activities of the VBC team, including risk adjustment and quality functions, ensuring tasks are completed efficiently and effectively. There will be significant interaction with clinicians.

(This is a full-time position located in Charlotte, NC. Occasional local travel may be required to attend meetings or support 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
• Ensure all deliverables are compliant with ACO and CIN regulations.

Roster & Beneficiary Management

• Work with internal teams and payer partners to maintain the accuracy of both provider and beneficiary rosters.
• Coordinate and track beneficiary notifications and communications, including CMS-required ACO beneficiary notices.

Program Monitoring & Support

• Leads project and program planning and execution, in consultation with applicable stakeholders; leads functional teams and partners through program implementation, ensuring program goals are reached. Monitor productivity and completion rates of key VBC workflows (e.g., risk adjustment coding, quality gap closure, and member engagement).
• Develop and execute against detailed project plans meeting key milestones and deadlines.
• Assist in the development, dissemination, and tracking of workflows, educational materials, and communication tools to support VBC performance.

• Collaborate with clinicians, VBC leadership, and payers to align on workflows and program requirements.
• Serve as a point of contact for operational questions from internal teams regarding VBC program functions and payer requirements.
• Assist with meeting preparation, documentation, and follow-ups related to ACO/VBC operations.
• Ensure all project/program deliverables are compliant with applicable standards and regulations.

Qualifications:

• Bachelor’s degree in healthcare administration, public health, or related field.
• Experience managing a team.
• 4+ years of experience in a healthcare setting (ACO, CIN, payer, or provider group preferred).
• Familiarity with CMS programs and value-based care concepts (risk adjustment, quality metrics, attribution).
• Project management experience (PMP or equivalent preferred).
• Excellent organization, communication, and time-management skills.
• Proficiency in Excel, SharePoint, and EHR/population health platforms (AthenaHealth preferred).

Physical Requirements:

• Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
• Must be able to lift and support weight of 35 pounds.
• Ability to concentrate on details.
• Use of computer for long periods of time.

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The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the CMS Medicare Shared Savings Program (MSSP), plus other commercial and Medicare Advantage value-based programs. DVACO is a joint venture among three stakeholders: Humana (majority owner), Main Line Health System, and Jefferson Health System. Humana takes the lead in providing administrative support in various areas including HR.

DVACO’s MSSP participation accounts for the region’s largest Medicare ACO grouping, with more than 2,000 physicians and approximately 70,000 Medicare fee-for-service beneficiaries. Additionally, DVACO currently holds performance-based contracts with private payers, enhancing DVACO’s total number of beneficiaries to approximately 150,000.

2026-2027 Administrative Fellowship

The DVACO Administrative Fellowship is a 1-year program designed for recent graduates of MHA, MBA, MPH, MS-POPH, or similar healthcare programs to build a foundation for a career in population health. The position emphasizes skills related to population health management, healthcare business planning, and leadership. Based on interests, the program may include rotations through various DVACO departments including Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care and Clinical Quality, and the opportunity to become acquainted with each of our member hospitals.

In addition to these rotations, the Fellow can tailor their experience through various projects in quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract/payer relations. This design gives the Fellow the opportunity to build fundamental communication, analytic, and problem-solving skills as well as an understanding of the ACO environment and population health strategies. To complement on-the-job training, fellows are involved in Board and other administrative meetings. Fellows report directly to Joel Port, SVP, Business and Network Development.

Meet our past and present fellows.

Sample Projects:

• Analyze quality metrics linked to ACO financial performance and present findings to the Board
• Lead strategic planning efforts to develop a specialist network within the ACO
• Develop a health equity strategy to update existing value-based contracting principles
• Design a social determinant of health (SDOH) flag in the EMR
• Assess behavioral health integration readiness of ACO physician practices
• Lead the design of a new employee ACO Product
• Create financial models for new payor contracts
• Manage the implementation of care coordination IT software among post-acute facilities
• Develop contracts for the enhanced track Medicare Shared Savings Program (MSSP)
• Design a strategy for the care coordination team to identify high risk patients
• Communicate with physician practices about their performance in DVACO initiatives
• Analyze administrative costs on a per member per month (PMPM) basis and develop a proforma
• Lead the development and implementation of a quality benchmarking system

Required Qualifications

• Graduate as of Spring 2026 of MHA/MPH/MBA/MS-POPH Accredited, or similar, degree program (for programs requiring a third year “residency” before granting a degree, completion of all academic course work is required)
• Strong written and verbal communication skills in a remote work environment
• Highly motivated, and a self-starter

Preferred Qualifications

• Graduate as of Spring 2026 of a Commission on the Accreditation of Healthcare Management Education (CAHME) program
• Strong interest in Population Health and/or Value-Based Care
• History of strong academic achievement

Additional Information

• This position is on EST hours

Application Materials

To be considered for the 2026-2027 Administrative Fellowship, the following items must be attached to your application:

1. Cover Letter
2. Current Resume
3. Three Letters of Recommendation
   1. At least one letter must be from a graduate professor
   2. At least one letter must be from a current or former employer
4. Personal Statement
   1. 1-2 pages addressing personal career goals and your view on the importance of population health management
5. Official Graduate Transcript

Complete application and submit materials here.

IMPORTANT DATES

Please contact Zori Castaneda, current fellow, at [email protected] with any questions.

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CenterWell is seeking a Senior Strategy Advancement Professional for its Accountable Care (ACO) business. This role will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and future models. Under general direction and supervision from the ACO Director, the Senior Strategy Advancement Professional will bring a combination of operational support, analyst skills, and strategy oversight to the role. This individual will work closely with leadership and cross-functional teams to manage all aspects of ACO operations including program administration, contract oversight, process, performance improvement, compliance, governance, training, and more. Additionally, this role will assist with ad hoc reporting, modeling and analysis, and general strategy support overseeing policy, government relations and ACO planning support. Specifically, this role will be responsible for ensuring successful administration of the ACO REACH program and managing ACO participation for CenterWell’s wholly owned provider group segment. This position requires an in-depth understanding of the healthcare industry, including value-based care, Medicare, population health, Accountable Care Organizations (ACOs), medical group management / practice management, health plans / insurance, and Management Service Organizations (MSOs).

ESSENTIAL DUTIES:

• Responsible for monitoring and analyzing relevant issues that will impact the organization and inform of necessary / required actions initiated by CMS

• Oversee rules and regulations of ACO programs as outlined in model Participation Agreements; liaise with CMS on day-to-day program administration

• Responsible for obtaining and managing documents from regulatory agencies and / or participating providers accurately and timely

• Support accurate paper and electronic fillings as required by program; coordinate with cross-functional teams to ensure compliance with filings

• Assure that standards of practice and policies are compliant with the ACO contractual requirements and other contractual and regulatory guidelines and standards

• Ensure ACO programs are administered and configured and loaded properly; oversee key operational processes; identify opportunities for performance improvement, and provide regular performance updates

• Oversee ACO wholly owned participant provider segment including key processes, programs, and performance; liaise with market teams

• Manage ACO governance process, including the Center Well ACO Board

• Provide ACO strategy and planning support; coordinate closely with M&A team on ACO integration planning for acquired provider groups

• Prepare executive level presentations that highlight business performance and synthesize opportunities

• Develop, prepare, and interpret reports. Write basic SQL queries to pull data and build reports. Coordinate with Business Intelligence Lead and support ad hoc reporting.

• Develop basic modeling and business case analysis; work closely with Finance and Data teams

• Coordinate with ACO Lead overseeing the IPA / Affiliate business segment

• Adept at forming strong relationships with diverse teams and personalities through effective trust building and collaboration; highly organized, demonstrated ability to show meticulous attention to detail

STANDARD REQUIREMENTS:

1. Supports the Mission, Value and Vision of CenterWell

2. Exhibits excellent customer service skills and behaviors toward internal and external customers and co-workers

3. Supports and participates in a collaborative team-oriented environment – cooperates and works together with all co-workers, plans and completes job duties, uses appropriate communications in sensitive and emotional situations and follows up as appropriate regarding reported complaints, problems and concerns.

4. Supports, cooperates with and demonstrates safe work practices and attitudes, follows safety rules – including universal precautions - reports and prevents/corrects unsafe conditions and behaviors, and participates in organizational and departmental safety programs.

5. Completes all required compliance standards that may be department specific and/or identified by the organization.

Required Qualifications:

• Bachelor’s Degree or equivalent experience

• 3 - 5 years of healthcare experience focusing on accountable care organizations, population health, or value-based care

• Familiarity with healthcare industry including value-based care, health plans, health systems, Medicare, accountable care, population health, medical group management / practice management, or Management Service Organizations (MSOs)

• Program Management, Product Management, or Operations experience

• Experience working in fast-paced administrative environment

Preferred Education and/or Work Experience:

• Graduate degree in Business or Healthcare Administration preferred

• Previous experience supporting Medicare payment model programs i.e., ACO REACH, MSSP

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Clinical Quality Measure Improvement Manager (hybrid)

Tandigm Health, a transformational leader in population health management, is looking for a Clinical Quality Measure Improvement Manager in the greater Philadelphia area.  We offer a competitive compensation and benefits package and are proud to share a culture where every person feels valued and empowered.

Are you passionate about transforming healthcare quality and driving meaningful results? We're looking for a Clinical Quality Measure Improvement Manager who will be at the forefront of our mission to improve outcomes, ensure regulatory excellence, and elevate performance across a diverse portfolio of value-based care contracts, including MSSP, Medicare Advantage, Commercial, and D-SNP.

In this role, you will serve as a subject matter expert in CMS Quality Reporting programs such as HEDIS, eCQMs, and MIPS. You'll lead cross-functional efforts to translate complex data into actionable insights, aligning stakeholders around a shared vision of performance improvement and regulatory compliance. The ideal candidate brings a blend of technical, analytical, and strategic capabilities to advance performance measurement and reporting while fostering collaboration with provider groups, internal stakeholders, and technology partners.

If you’re ready to drive meaningful change and bring your passion for quality improvement, creative problem-solving, and collaboration to a dynamic, forward-thinking team, we'd love to hear from you!

Apply Now!