Value Based Care Representative

Bethany Medical; High Point (NC); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Employee medical/dental/vision insurance

401-K with company matching

Generous PTO and paid company holidays

Employee Short-Term Disability

Earned Wage Access (EWA)

Job summary

Bethany Medical is seeking a Value-Based Care Representative to join their team in High Point, NC. This role focuses on enhancing provider performance on health quality metrics through collaboration with medical leadership.

The ideal candidate will have experience in healthcare, strong communication skills, and be proficient in data analysis and EMR systems. The position includes a full benefits package, promoting a team-first culture and ample opportunities for growth.

Qualifications

• 2+ years of experience in the health industry; care gap management and/or coding preferred.
• Organized and self-motivated worker with excellent communication skills.
• Experience with Value-Based Care programs required.

Responsibilities

• Implement innovative performance improvement strategies for practices.
• Collaborate with medical leadership to close quality care gaps.
• Create a comprehensive performance visualization from data.

Skills

Healthcare experience

Data analysis

Customer service

Communication

Problem-solving

Education

Bachelor’s degree in a related field

Tools

EMR 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!

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

• 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.

Job Type: Full‑time