VBC Performance Specialist- Remote

Healthcare Consultant

Serves as the primary consultant for assigned healthcare clients, overseeing both client relationships and performance outcomes. This role is responsible for ensuring accurate, timely, and compliant reporting across multiple quality payment programs, including the Merit-based Incentive Payment System (MIPS) and other payer contracts. Functions as a subject matter expert and consultant in value-based care programs, guiding clients through complex requirements and advising on strategies to achieve optimal results.

Essential Job Functions :

• Act as the primary consultant and account lead for assigned clients / practices, ensuring compliance with mandated reporting requirements and submission timelines.
• Collaborate closely with cross functional teams to align client strategies, ensure seamless execution, and drive performance outcomes.
• Ensure adherence to Qualified Clinical Data Registry (QCDR) guidelines, maintaining full compliance with all regulatory requirements.
• Analyze baseline quality data, identify performance gaps, and recommend improvement strategies to optimize reporting outcomes.
• Lead regular virtual client meetings to review data, address questions, and provide strategic guidance for performance improvement.
• Interpret CMS regulations, MIPS specifications, and program updates; communicate changes clearly to clients and internal stakeholders.
• Provide training and guidance to clients on reporting requirements, program updates, and use of technology / software for data collection and submissions.
• Collaborate with IT team to prepare, validate, and submit data using authorized submission protocols.
• Promote continuous improvement by delivering insights, tools, and recommendations that strengthen client compliance and reporting performance.
• Support clients in leveraging their Electronic Medical Records (EMR) systems to optimize Promoting Interoperability performance. Provide guidance, best practices, and practical tips to improve efficiency.
• Conduct random chart audits and generate reports within client EMRs to validate data accuracy and compliance.
• Assist with interpreting final adjudications and detailed feedback from quality payment program regulatory agencies to be shared with all stakeholders in the facility or clinic.

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