Value Based Care Representative

Job description

"The Largest Independent Established Multi-Specialty Group in Central North Carolina is Seeking a Value-Based Care Representative to join our Team!"

VOTED "BUSINESS OF THE YEAR" 2018

VOTED ONE OF THE "FASTEST GROWING COMPANIES IN THE TRIAD" 2019, 2020, 2021, and 2022

Our mission at BMC is to provide excellent care through a multi-specialty approach from prevention to intervention of potentially life-threatening health problems. Seeking a Value-Based Care Representative for our Triad locations that include Greensboro, High Point, Winston-Salem, Kernersville, Mt Airy, and North Wilkesboro, North Carolina. They will work out of our High Point Corporate Office, will report to the Manager of VBC and the COO, and will work with the existing Value-Based Care Team.

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Job Purpose :

Value-Based Care Representative works with the medical leadership and value-based care team to improve provider performance on QC clinical quality metrics, hierarchical condition category (HCC) coding metrics, utilization and steerage efficiencies, and cost control metrics. This position uses data and reporting on clinical performance for direct-to-provider interventions and strategic improvement, focusing on user experience, education, EMR data, and workflow enhancements, and implementation of enhanced QC knowledge.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

• Uses VBC reporting on HEDIS / STARS quality, HCC / RAF coding, healthcare service cost and utilization, patient steerage patterns, etc., to design and implement innovative performance improvement strategies for practices and providers.
• Collaborates with the medical leadership team to understand barriers to closing quality care gaps and effectively coding for services performed.
• Interprets information from multiple data sources (internal, ACO, and third-party payer) to create a comprehensive performance visualization.
• Applies knowledge of healthcare systems, operations, program design and implementation, technology, and innovation to maximize data impact.

EXPECTATION OF EMPLOYEE :

QUALIFICATIONS :

EDUCATION :

LICENSURE / CERTIFICATION / REGISTRY / LISTING :

PREFERRED :

BETHANY MEDICAL OFFERS A FULL BENEFITS PACKAGE TO INCLUDE :

About Bethany Medical :

Bethany Medical is the largest independent, established multi-specialty group in Central North Carolina, serving the Triad and surrounding communities for over 35 years. Bethany Medical is open 7 days a week, with 13 convenient locations and 16 practices in Greensboro, Winston-Salem, High Point, Kernersville, Jamestown, North Wilkesboro, and Mt. Airy, North Carolina. We have grown to provide the facilities, staff, and support to offer urgent care, primary care, diagnostic testing, outpatient ancillary, and specialty care services onsite. Bethany Medical Center is staffed with board-certified physicians and providers representing over 16 medical specialties. Practice staff members are known for treating each patient with prompt, personalized care and attention. Bethany Medical employs over 60 providers and over 520 employees. You are invited to learn more about Bethany Medical at www.bethanymedicalcenter.com

About the Triad :

The Triad area includes Greensboro (the 3rd third-largest city in NC), Winston-Salem, High Point, and the surrounding area. The Triad is centrally located in NC with a population of 1.9 million. The Triad is 1 hour from the mountains and 3 hours from the beach. Charlotte and Raleigh are 1.5 hours from the Triad. The Triad offers all the amenities of a larger city without all the traffic. The Piedmont Triad International Airport is conveniently located in Greensboro with convenient non-stop flights to most major cities. Enjoy an outstanding quality of life with no shortage of arts, entertainment, recreation, shopping, and hundreds of restaurants. The Triad is home to 85 colleges and universities, including Wake Forest University, High Point University, UNC-Greensboro, NC A&T, Guilford College, Bennett College, and Greensboro College.

Job Type : Full-time

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