Value-Based Representative

Job description

The Largest Independent Established Multi-Specialty Group in Central North Carolina is Seeking a Value-Based Representative to join our Team!

VOTED BUSINESS OF THE YEAR 2018

VOTED ONE OF THE FASTEST GROWING COMPANIES IN THE TRIADand 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 Representative for our Corporate Office located in High Point. The VBR will report to the COO and work with the existing Value-Based Team.

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Job Purpose:

Value-Based Representative works with the medical leadership and value-based care team to improve provider performance on VB 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 VB knowledge.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Uses VBreporting 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:

• Bachelors degree in a related field required

LICENSURE/CERTIFICATION/REGISTRY/LISTING:

PREFERRED:

Certified Medical Assistant certificate preferred. RNs are 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

Employee Short Term Disability

401-K with company matching

Paid Company Holidays

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

About the Triad:

The Triad area includes Greensboro (the 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