Value-Based Care Specialist: Drive Quality & Efficiency

Bethany Medical Center PA; High Point, Northern (NC, KY); Hybrid; USD 60,000 - 90,000; Full time

Benefits offered by this job

Full benefits package

Earned Wage Access (EWA)

401-K with company matching

Paid PTO and holidays

Life Insurance

Job summary

Bethany Medical Center PA seeks a Value‑Based Care Representative to join our Triad team, driving performance improvements across provider practices. You will analyze HEDIS/HCC data, support cost control initiatives, and implement interventions to raise care quality.

The role reports to the Manager of VBC and the COO, collaborating with the VBC Team across Greensboro, High Point, Winston‑Salem and beyond. A bachelor’s degree is preferred and 2+ years in healthcare are expected.

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, EMR/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.

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.

Skills

Data analysis

Communication with physicians

Project management

Teamwork

Education

Bachelor's degree in a related field

Tools

Word

Excel

EMR/PM systems

Job description

Bethany Medical Center PA seeks a Value‑Based Care Representative to join our Triad team, driving performance improvements across provider practices. You will analyze HEDIS/HCC data, support cost control initiatives, and implement interventions to raise care quality.

The role reports to the Manager of VBC and the COO, collaborating with the VBC Team across Greensboro, High Point, Winston‑Salem and beyond. A bachelor’s degree is preferred and 2+ years in healthcare are expected.