Primary Care Capitation Quality Metrics Lead
$63.93k - $111.87knc
Agency Division Job Classification Title Position Number Grade NC18 About Us North Carolina State Government is one of the state's largest employers, with over 76,000 employees all working toward a common goal: a safer and stronger North Carolina. We are a large organization comprised of various agencies, offices, and universities, each providing important public services. Eligible state employees are entitled to comprehensive benefits, including a variety of leave options, professional development opportunities, insurance, and more. To learn more about the benefits of being a North Carolina state employee, visit the N.C. Office of State Human Resources' website . Permanent, temporary, and time-limited state government jobs can be found from the mountains to the coast. Find your next opportunity today! Description of Work The Primary Care Capitation Quality Metrics Lead is an operational quality leader and subject matter expert who guides the design and refinement of quality measures that advance the goals of the Medicaid Rural Health Primary Care Capitation Pilot. The role spans HEDIS, value-based payment metrics, and operational/access guardrails needed for capitation in rural primary care. The role will partner with DHHS's Data Office and external vendors, without duplicating their analytic functions, to ensure measures and monitoring approaches are credible and practical. The Lead also supports provider facing technical assistance by advising ROOTS Hubs and vendors on training content, change management, and measure adoption. Knowledge Skills and Abilities/Management Preferences Salary Grade Range: $63,927.00 - $111,871.00 Recruitment Range: $63,927.00 - $92,294.00 Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement. The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred: Highly proficient with common tools used for quality measurement (Tableau, Cognos, CareAnalyzer, Flexible Analytics, Quality Compass) and experienced with statistical software such as Stata, SAS, or R. Extensive knowledge of national and standard health and quality-of-care measures (NCQA HEDIS Measures, CMS Medicaid and CHIP Adult and Child Core Measures, AHRQ Indicators, and others). Demonstrated ability to interpret complex data, datasets, and other information to identify and communicate trends and probable outcomes, supported by excellent critical-thinking, problem-solving, and project-management skills. Demonstrated skill in creating and maintaining collaborative working relationships with internal and external stakeholders, with flexibility to adapt to shifting priorities and short‑term deadlines. Demonstrated ability to communicate complex material in a clear and concise manner, both verbally and in writing. The Posting Will Close At 11:59 P.M. The Night Before The End Date The Position Is Time-Limited This Position Is 100% Federally Funded This Role Is Eligible To Be Hybrid About the Rural Health Transformation Program NC Rural Health Transformation Program is a statewide program led by NCDHHS to transform rural health care delivery, improve health outcomes, and ensure sustainable access to care for nearly 3 million rural North Carolinians. The program is funded over five years by the Centers for Medicare & Medicaid Services (CMS). The main goals of the program are to: Catalyze innovative health care models for rural communities by changing the way providers work together to care for patients in rural NC. Transform the rural care experience, building community-based clinical, behavioral, and social supports close to home. Create a sustainable rural health delivery system through underlying systems changes in rural workforce pipelines and care team models, and rural provider financial models. Compensation and Benefits The State of North Carolina offers excellent comprehensive benefits. Health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Paid vacation, sick, and community service leave. Paid parental leave is available to eligible employees. Visit website for State Benefits Supplemental Contact Information The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders. We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job. For more information about DHHS: . DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resourc #J-18808-Ljbffr nc
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