Primary Care Capitation Quality Metrics Lead

About Us

The North Carolina Department of Natural and Cultural Resources (DNCR) enriches people’s lives through education and stewardship of North Carolina’s natural and cultural resources. DNCR manages over 100 locations across the state, including historic sites, museums, state parks, trails, aquariums, the North Carolina Zoo, the Library of North Carolina, the State Archives, the North Carolina Arts Council, the African American Heritage Commission, the American Indian Heritage Commission, the State Historic Preservation Office, the Office of State Archaeology, the Highway Historical Markers program, the North Carolina Land and Water Fund, and the Natural Heritage Program.

These programs and places unite North Carolinians, create a shared identity, and provide common ground. For more information, please visit (Use the "Apply for this Job" box below)..

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.

Salary Grade Range: $63,927.00 - $ 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, Care Analyzer, 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.

This Position Is 100% Federally Funded. This Position Is Time-Limited. This Role Is Eligible To Be Hybrid.

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.

The State of North Carolina offers excellent comprehensive benefits.

• Employees can participate in health insurance options, standard and supplemental retirement…