Value - Care Manager, Rural Health Transformation Program ( RHTP

Position: Value - Based Care Manager, Rural Health Transformation Program ( RHTP )
Reports To:

Secretary of Health, State of West Virginia, with direct accountability to the Office of the  Governor

Location:

Position Type:  Full-time, Exempt (4-Year Term-Limited Appointment)
Smart Care Catalyst is a critical initiative under the West Virginia Rural Health Transformation Program (RHTP), dedicated to transforming rural healthcare delivery through technology, innovation, and sustainable financial models. The Smart Care Catalyst program focuses on modernizing infrastructure, reducing administrative burdens, and fundamentally shifting how we pay for healthcare—moving from volume to value to ensure quality and sustainability across West Virginia.

The  Value-Based Care Manager (Smart Care Catalyst Program Manager) is a crucial role for driving tech-enabled innovation and regulatory relief (Pillar
1) while simultaneously spearheading the transition to value-based payment models across the state's healthcare ecosystem (Pillar
2). The ideal candidate will have a financial background and significant experience with value based payment models (AHEAD, ASPIRE, etc.).
General Program Management
Strategic Leadership  :
Provide overall strategic direction and leadership for the Smart Care Catalyst initiative.
Cultivate strong relationships with hospital administrators, clinic leadership, insurance payors, state health agencies, and technology vendors.
Data & Performance Monitoring  :
Utilize data and analytics to measure the impact of grants and value-based models, ensuring continuous improvement and accountability.
Grant Program Management  :
Design and administer technology and productivity grant programs to help modernize small, rural hospitals and clinics.
Establish and manage shared-service collaboratives, enabling group purchasing and improving administrative efficiency for participating organizations.
Administrative Relief  :
Partner with healthcare providers and regulatory bodies to identify and implement strategies that reduce administrative burden and improve overall operational stability.
Value-Based Care Transformation
Model Co-Creation & Incentivization  :
Lead the co-creation and implementation of standardized value-based payment models in collaboration with various payors (e.g., private insurers, Medicare, Medicaid) to align incentives around quality and sustainability.
Quality & Outcome Alignment  :
Ensure that payment models are designed to incentivize high-quality care, improved patient outcomes, and long-term financial sustainability for rural health systems.

Bachelor’s degree in a related field, such as Public Health, Healthcare Administration, or Business Administration.
A minimum of 5 years of professional experience in healthcare administration, health policy, value-based care, or program management.
Familiarity with health information technology (HIT), EMR/EHR systems, regulatory environments, and policies impacting rural clinics and hospitals.
Strong understanding of healthcare finance and payment models, the mechanics of value-based purchasing, and quality incentive programs, experience with grant management, and knowledge of health IT and regulatory environments.
The ideal candidate will have a financial background and experience with managed care organizations (MCOs) and value-based payment models.
Excellent communication skills to clearly articulate complex financial models, technology solutions, and strategic goals to various audiences.
Change Management  :
The capacity to effectively manage and drive significant change across a conservative industry, specifically shifting traditional fee-for-service models to value-based care.
Partnership Building  :
Ability to cultivate strong, trust-based relationships with external vendors,…