Value Based Care Representative

Job description“The Largest Independent Established Multi-Specialty Group in Central North Carolina is Seeking a Value-Based Care Representative to join our Team!”VOTED “BUSINESS OF THE YEAR” 2018VOTED ONE OF THE “FASTEST GROWING COMPANIES IN THE TRIAD” 2019, 2020, 2021, and 2022Our 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 approachDemonstrates proficient computer skills, including EMRsUses strong attention to detail, advanced problem-solving, and complex reasoning to effectively produce change and demonstrate impact.Performs administrative duties as workload necessitatesPossess a working knowledge of healthcare coding (ICD 10, CPT codes, etc.)Demonstrates strong knowledge of provider workflows and practice performanceMaintains company confidentiality in all areasPossess a strong knowledge of health care models, including ACOsUses 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 workloadQUALIFICATIONS:2+ years of experience in the health industry; care gap management and/or coding preferred2+ years of experience working with medical professionals preferred; clinical experience, provider relations, value-based care, etc.Organized and self-motivatedProficient computer skills, including Word and Excel spreadsheets, data entry, electronic medical record (EMR) / Practice Management (PM) systems, and analysis toolsExcellent communication skills with the ability to work collaboratively with physicians, staff, and external organizationsStrong phone skills, comfortable with patient engagementStrong customer service skillsAbility to manage multiple tasks/projects simultaneouslyComfortable with continuous change and self-initiatingUse conflict resolution skills when reaching consensus about plans of care and treatment decisionsExperience with Value-Based Care programs required.EDUCATION:A bachelor’s degree in a related field is preferredLICENSURE/CERTIFICATION/REGISTRY/LISTING:PREFERRED:· Certified Medical Assistant certificate preferred. RNs also welcome to applyBETHANY 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 paydayAbout 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 the Triad:The Triad area includes Greensboro (the 3rd 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#IND102SummaryLocation: High Point, NC, United StatesType: Full TimeExperience: Entry Level