Primary Care Capitation Quality Metrics Lead

Agency

Division

Job Classification Title

Human Services Planner/Evaluator III (NS)

Position Number

Grade

NC18

About Us

North Carolina State Government is one of the states largest employers with over 76000 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 DHHSs 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

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 qualityofcare 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 criticalthinking problemsolving and projectmanagement skills.

• Demonstrated skill in creating and maintaining collaborative working relationships with internal and external stakeholders with flexibility to adapt to shifting priorities and shortterm 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

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 North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employerthat embraces an Employment First philosophy which consists of complying with all federallaws 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: uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications internal equity and budgetary considerations pertinent to the advertised position.

In accordance with the Governors Executive Order 303 our agency supports second-chance employment for individuals who were previously incarcerated or justice-involved. We invite all potential applicants to apply for positions for which they may be qualified.

Application Process
Be sure to complete the application in its entirety. Resumes will not be accepted in lieu of completing this application.

• Information should be provided in the appropriate areas to include the following: Education including high school and all degrees obtained Work Experience and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information.

• Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions you must provide supporting information within the Work Experience section of the application to support your answers.

• If multiple applications are submitted to an individual posting only the most recent application received prior to the closing date will be must be submitted by 11:59 PM the night BEFORE the closing date.

• Applicantsmaybe subject to a criminal background check. All candidates selected for positions considered Positions of Trustwill besubject to a criminal background check.

• Due to the volume of applications received we are unable to provide information regarding the status of your application over the phone. To check the status of your application please log in to your account. Upon the closing date applications are Under Review and will be screened by Human Resources for qualified applicants. The hiring process may take several weeks.

• Degrees must be received from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your State of North Carolina/Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent.

• For a list of organizations that perform this specialized service please visit the NACES membership website at Credit Verification

  Degrees must be received from appropriately accredited institutions. Transcripts degree evaluations and cover letters may be uploaded with your application.

  Veterans and National Guard Preference

  • Applicants seeking Veterans Preference must attach aDD-214 Member-4 Form(Certificate of Release or Discharge from Active Duty) to their applications.

  • Applicants seeking National Guard Preference must attach an NGB 23A (RPAS) along with the state application if they are a current member of the NC National Guard in good standing.

  • Applicants who are former members of either the NC Army National Guard or the NC Air National Guard with honorable discharge and six years of creditable service must attach a copy of the DD 256 or NGB 22 along with the state application.

  ADA Accommodations

  Consistent with the Americans with Disabilities Act (ADA) and the Pregnant Workers Fairness Act (PWFA) DHHS is committed to the full inclusion of all qualified individuals. As part of this commitment DHHS will ensure that people with disabilities or known limitations covered by the PWFA are provided with reasonable accommodation. If reasonable accommodation is needed to participate in the job application or interview process please contact the person Substance Abuse Professional Practice Board etc.) indicated below.

  CONTACT INFORMATION:

  If there are any questions about this posting please contact Talent Acquisition at. Resumes will not be accepted in lieu of completing this application.

  Minimum Education and Experience

  Some state job postings say you can qualify by an equivalent combination of education and experience. If that language appears below then you may qualify through EITHER years of education OR years of directly related experience OR a combination of both. See the Education and Experience Equivalency Guide for details.

  Planner:

  Masters degree in public or human service administration or human services programmatic field from an appropriately accredited institution and three years of human service experience two of which must have been in human services program planning

  OR

  Bachelors degree from an appropriately accredited institution and five years progressive administrative or consultative experience in a human service program two of which must have been in human service program planning

  OR

  An equivalent combination of education and experience

  Evaluator:

  Masters degree in the field of psychology sociology or social work from an appropriately accredited institution and three years of experience in research and evaluation using statistical methodologies in human service programs

  OR

  Bachelors degree from an appropriately accredited institution and five years of experience in research evaluation and statistical application in the human service field

  OR

  An equivalent combination of education and experience

  EEO Statement

  The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination harassment or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy childbirth or related medical conditions; and for religious beliefs observances and practices.

  Recruiter:

  Dreisa Yvonne Johnson

  Recruiter Email: