Value-Based Program Coordinator - ETSU Health

Tennessee Medical Group Management Association; Johnson City (TN); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Employee assistance program

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

ETSU Health is seeking a Value-Based Program Coordinator to join its Northeast Tennessee multi-specialty practice group. The role focuses on turning clinical, financial, operational, and quality data into insights that improve patient outcomes while reducing healthcare costs.

Reporting to the Director of Population Health & Quality-Based Programs, the coordinator works at the intersection of population health, analytics, and quality improvement and supports value-based contracts and RAF coding

Qualifications

• Minimum MA certification, LPN preferred.
• Excellent interpersonal and analytic skills required.

Responsibilities

• Analyze healthcare data related to quality metrics, cost/utilization, risk adjustment, patient outcomes, care gaps, readmissions, ED utilization, and chronic disease management.
• Monitor performance against payer contracts and VBP benchmarks.
• Track metrics for value-based and transformation programs.
• Identify opportunities to improve quality scores, shared savings, RAF coding accuracy, preventive care completion, and utilization management.
• Validate data accuracy across EHR systems, claims data, payer reports, and registries.

Skills

Data analysis

Healthcare analytics

Population health

Quality improvement

Education

MA certification

LPN preferred

Job description

Value-Based Program Coordinator - ETSU Health

ETSU Health is looking for a Value-Based Program Coordinator. ETSU Health is a multi-specialty practice group located in Northeast Tennessee, and is affiliated with ETSU Health, Quillen College of Medicine, East Tennessee State University. ETSU Health offers a competitive compensation package with salary based on education and experience. Our comprehensive benefits package includes: health, dental, vision, disability and life insurance. 18 days paid personal time off, 10.5 paid holidays annually, and, a paid retirement plan with an employer matching program.

SUMMARY: Under the supervision of the Director of Population Health & Quality-Based Programs, the Value-Based Program (VBP) Coordinator focuses on turning clinical, financial, operational, and quality data into insights that improve patient outcomes while reducing healthcare costs. The role sits at the intersection of population health, analytics, and quality improvement.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following (other duties may be assigned:

• Analyze healthcare data related to quality metrics, cost/utilization, risk adjustment, patient outcomes, care gaps, readmissions, Emergency Department (ED) utilization, and chronic disease management.
• Monitor performance against payer contracts and VBP benchmarks.
• Track metrics for programs such as value-based and transformation programs.
• Identify opportunities to improve quality scores, shared savings performance, Risk Adjustment Factor (RAF) coding accuracy, preventive care completion, and utilization management.
• Validate data accuracy across Electronic Health Record (EHR) systems, claims data, payer reports, and registries.

EDUCATION AND/OR EXPERIENCE: Minimum MA certification, LPN is preferred. Excellent interpersonal and analytic skills required.

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EE/AA/M/F/Disability Vet ETSU Health participates in E-verify

Job Type: Full-time

• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

OUR GOAL

To develop and equip our members to create dynamic, successful medical group practices.

OUR VISION

To be the recognized leader in defining and supporting the profession of medical practice management in Tennessee.