Value Based Care Representative

Bethany-Medical; High Point (NC); On-site; USD 52,000 - 75,000; Full time

Benefits offered by this job

Medical/dental/vision insurance

Life Insurance

Paid time off

Short-Term Disability

401-K with company matching

Earned Wage Access

Job summary

Bethany Medical, the largest independent multi-specialty group in Central North Carolina, seeks a Value-Based Care Representative to improve provider performance and coding quality across Triad locations. You will work with VBC leadership to design, analyze, and implement QC and HCC improvements, focusing on EMR data, education, and workflow enhancements.

The role emphasizes collaboration, advanced data interpretation, and proactive problem solving in a fast-paced healthcare environment.

Qualifications

• 2+ years in health industry; care gap management or coding preferred.

Responsibilities

• Uses VBC reporting on quality metrics to design performance improvements.
• Collaborates with medical leadership to close care gaps and improve coding for services.
• Interprets data from internal and external sources to create performance visuals.
• Applies knowledge of healthcare systems to maximize data impact.

Skills

Team collaboration

EMR proficiency

Communication

Time management

Attention to detail

Healthcare coding (ICD-10/CPT)

Data interpretation

Problem solving

Education

Bachelor's degree (preferred)

Tools

EMR

Practice Management systems

Excel

Word

Job description

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.

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:

• Collaborative team-first attitude, transparently sharing ideas and data.
• Works well within a team atmosphere, flexible to pivot in approach
• Demonstrates proficient computer skills, including EMRs
• Uses strong attention to detail, advanced problem-solving, and complex reasoning to effectively produce change and demonstrate impact.
• Performs administrative duties as workload necessitates
• Possess a working knowledge of healthcare coding (ICD 10, CPT codes, etc.)
• Demonstrates strong knowledge of provider workflows and practice performance
• Maintains company confidentiality in all areas
• Possess a strong knowledge of health care models, including ACOs
• Uses superior communication skills- Speaks effectively in all environments; listens, requests clarification, and responds well to feedback.
• Demonstrates flexible and efficient time management and ability to prioritize workload

QUALIFICATIONS:

• 2+ years of experience in the health industry; care gap management and/or coding preferred
• 2+ years of experience working with medical professionals preferred; clinical experience, provider relations, value-based care, etc.
• Organized and self-motivated
• Proficient computer skills, including Word and Excel spreadsheets, data entry, electronic medical record (EMR) / Practice Management (PM) systems, and analysis tools
• Excellent communication skills with the ability to work collaboratively with physicians, staff, and external organizations
• Strong phone skills, comfortable with patient engagement
• Strong customer service skills
• Ability to manage multiple tasks/projects simultaneously
• Comfortable with continuous change and self-initiating
• Use conflict resolution skills when reaching consensus about plans of care and treatment decisions
• Experience with Value-Based Care programs required.

EDUCATION:

• A bachelor’s degree in a related field is preferred

LICENSURE/CERTIFICATION/REGISTRY/LISTING:

PREFERRED:

• Certified Medical Assistant certificate preferred. RNs also welcome to apply

BETHANY MEDICAL OFFERS A FULL BENEFITS PACKAGE TO INCLUDE:

• Employee medical/dental/vision insurance. Family coverage is available at a discounted rate
• Employee Life Insurance
• Generous PTO and paid company holidays
• Employee Short-Term Disability
• 401-K with company matching
• Earned Wage Access (EWA) – Get part of your earned pay before payday

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