Value-Based Care Performance Consultant

Sharecare

United States

Remote

USD 90,000 - 120,000

Full time

7 days ago
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Job summary

Sharecare, a digital healthcare company in the United States, seeks a primary consultant for healthcare clients, overseeing client relationships and performance in quality reporting programs. You will ensure accurate, timely, and compliant reporting across MIPS and payer contracts, acting as a subject matter expert in value-based care strategies.

You will lead cross-functional teams, train clients on reporting requirements and EMR data usage, analyze data, and communicate CMS updates.

Qualifications

  • Bachelor's degree in healthcare or related field (required).
  • 2-4 years of experience in healthcare quality reporting or a related field.
  • Strong communication skills (both verbal and written).
  • Excellent client facing skills and commitment to providing the highest level of customer satisfaction.
  • Experience planning, facilitating, and leading group meetings.
  • Ability to work independently as a self-starter while managing multiple clients.
  • Effective problem solving skills and critical thinking skills.
  • Ability to handle confidential materials and information in a professional manner.
  • Excellent computer skills and proficient in Excel, Word, Outlook.

Responsibilities

  • Act as the primary consultant and account lead for assigned clients, ensuring compliance with mandated reporting requirements and submission timelines.
  • Collaborate closely with cross functional teams - including other account managers, sales, IT, development, business analyst, and systems integration - 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.

Skills

Communication skills
Client facing
Independent work
Problem solving
Excel proficiency

Education

Bachelor's degree in healthcare or related field

Tools

Excel
Word
Outlook

Job description

Sharecare, a digital healthcare company in the United States, seeks a primary consultant for healthcare clients, overseeing client relationships and performance in quality reporting programs. You will ensure accurate, timely, and compliant reporting across MIPS and payer contracts, acting as a subject matter expert in value-based care strategies.

You will lead cross-functional teams, train clients on reporting requirements and EMR data usage, analyze data, and communicate CMS updates.

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