Value-Based Care Specialist — Drive Quality & Analytics

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

Benefits offered by this job

Insurance

Life Insurance

PTO

Short-Term Disability

401K

Earned Wage Access

Job summary

Bethany Medical Center PA in North Carolina is seeking a Value-Based Care Representative to join the Triad team. This role collaborates with medical leadership to improve provider performance on QC metrics, HCC coding, utilization, and cost control, using data and reporting to drive improvements in workflow and patient care.

The position requires 2+ years in health care, strong communication, EMR proficiency, and knowledge of ICD-10/CPT.

Qualifications

• 2+ years in 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.
• Proficient with Word and Excel; EMR/PM systems; data analysis tools.
• Excellent communication skills with the ability to work collaboratively with physicians, staff, and external organizations.
• Strong knowledge of healthcare coding (ICD-10, CPT codes, etc.).

Responsibilities

• Use 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.

Skills

Communication skills

Team collaboration

Data analysis

EMR proficiency

Healthcare knowledge

Education

Bachelor’s degree preferred

Tools

MS Word

Excel

EMR/PM systems

Job description

Bethany Medical Center PA in North Carolina is seeking a Value-Based Care Representative to join the Triad team. This role collaborates with medical leadership to improve provider performance on QC metrics, HCC coding, utilization, and cost control, using data and reporting to drive improvements in workflow and patient care.

The position requires 2+ years in health care, strong communication, EMR proficiency, and knowledge of ICD-10/CPT.