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Deputy Director, Care Transformation - Limited Service

State of Vermont
Waterbury, VT Full Time
POSTED ON 4/22/2026
AVAILABLE BEFORE 5/21/2026
Overview

The Deputy Director of Care Transformation sits within the Agency of Human Services (AHS) Office of Health Care Reform (HCR) and is responsible for supporting activities related to care transformation, including identifying, developing, and implementing policy and programmatic changes in response to Act 167 and Act 68 to ensure financial sustainability and adequate access across the health system in Vermont. A portion of the role will include overseeing Rural Health Transformation Program (RHTP) activities related to Care Transformation and related day-to-day operations, grants and contracts management, and coordinating with hospitals, providers, and state and federal partners.

This position reports to the Director of Care Transformation.

Core Responsibilities

Program Leadership

  • Support the design and refinement of Vermont's Care Transformation Plan, integrating payment reform, delivery system redesign, and population health goals across statewide, regional, and hospital levels.
  • Support development and scaling of innovative care delivery models, including alternative service models for rural and underserved areas such as telehealth, mobile care, and regional partnerships.
  • Track progress toward program goals, including improvements in care access, workforce growth, and health outcomes.
  • Use data to identify gaps in access, quality, cost, and equity; monitor key performance indicators; and support continuous improvement through evaluation of pilots and system reforms.
  • Represent AHS in discussions with the federal government, the Legislature, and the public on Care Transformation progress.

Grants & Contracts

  • Manage associated grants and multiple vendor contracts from award through closeout.
  • Develop scopes of work, deliverable schedules, and compliance reporting.
  • Ensure funds are spent appropriately and on time in accordance with federal requirements.

Coordination & Partnerships

  • Coordinate across AHS departments and with other state agencies related to Care Transformation.
  • Serve as a key point of contact for Vermont's hospitals, FQHCs, mental health agencies, and community partners.
  • Engage providers, patients, and policymakers in co-designing transformation strategies and building consensus around resource allocation and service redesign.
  • Facilitate governance and stakeholder advisory processes that guide program decisions.

Administrative Management

  • Develop procedures and resolve administrative problems to keep work on track.
  • Prepare reports and briefings for agency leadership, federal partners, and oversight bodies.
  • Provide guidance and oversight to internal teams and external partners implementing transformation initiatives.

The Rural Health Transformation (RHT) project is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $195,053,740.44, with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, CMS/HHS or the U.S. Government.

Who May Apply

This position, Deputy Director, Care Transformation - Limited Service (Job Requisition #54878), is open to all State employees and external applicants. It is a Limited Service position, which is non-tenured and authorized for a specific period of time. Limited Service positions are established for specially funded projects or programs.

If you would like more information about this position, please contact kristin.kellett@vermont.gov

Resumes will not be accepted via e-mail. You must apply online to be considered.

Please note that multiple positions in the same work location may be filled from this job posting.

AHS BACKGROUND CHECKS: Candidates must pass any level of background investigation applicable to the position. In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.

Environmental Factors

Work is performed in a standard office setting.

Minimum Qualifications

Bachelor's degree in accounting, business or public administration, office administration or a related field AND three (3) years or more of professional-level experience performing and supervising (directly or indirectly) administrative functions for a moderate sized office, department or agency.

OR

Bachelor's degree AND five (5) years or more of professional-level experience performing and supervising (directly or indirectly) administrative functions for a moderate sized office, department or agency.

OR

Master's degree in accounting, business or public administration, office administration or a related field AND one (1) year or more of professional-level experience performing and supervising (directly or indirectly) administrative functions for a moderate sized office, department or agency.

OR

Two years of full-time college coursework or associate's degree AND seven (7) years or more of professional-level experience performing and supervising (directly or indirectly) administrative functions for a moderate sized office, department or agency.

OR

High School diploma or equivalent AND nine (9) years or more of professional-level experience performing and supervising (directly or indirectly) administrative functions for a moderate sized office, department or agency.

OR

One (1) year or more of experience as an Administrative Services Director I with the State of Vermont.

NOTE: Only administrative work experience is qualifying. Administrative support includes those functions which keep the organization running or provide the resources for others to provide the programmatic work (e.g., accounting, budget management, grant administration, finance, human resources, payroll, purchasing, or space management).

Special Requirements

For some positions experience working with the VISION system (VISION is the State of Vermont PeopleSoft financial management system) may be required.

Total Compensation

As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:

  • 80% State paid medical premium and a dental plan at no cost for employees and their families
  • Work/Life balance: 11 paid holidays each year and a generous leave plan
  • State Paid Family and Medical Leave Insurance (FMLI)
  • Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
  • Tuition Reimbursement
  • Flexible spending healthcare and childcare reimbursement accounts
  • Low cost group life insurance
  • Incentive-based Wellness Program
  • Qualified Employer for Public Service Student Loan Forgiveness Program

Want the specifics? Explore the Benefits of State Employment on our website.

Equal Opportunity Employer The State of Vermont celebrates diversity, and is committed to providing an environment of mutual respect and meaningful inclusion that represents a variety of backgrounds, perspectives, and skills. The State does not discriminate in employment on the basis of race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, membership in an employee organization, family medical history or genetic information, or family or parental status. The State's employment decisions are merit-based. Retaliatory adverse employment actions by the State are forbidden.

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$67,514 to $93,762
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