VALUE-BASED CARE PRACTICE PERFORMANCE CONSULTANT

Value-Based Care Practice Performance Consultant

Builds and maintains positive relationships with aligned providers participating in the Orlando Health Network (OHN), focused on building partnerships to foster performance improvement in all value-based arrangements and across the continuum of care. Directly responsible in educating practices with focused reporting and equipping network participating providers with tools and support services to improve outcomes for managed populations.

Education & Career Growth Tuition reimbursement, Public Service Loan Forgiveness (PSLF), and leadership development programs.

Health & Wellness Comprehensive medical, dental, vision, free virtual visits, and well-being programs.

Financial & Retirement Up to 5% employer match on retirement contributions.

Work-Life Balance Four weeks of paid parental leave, PTO, and flexible leave options.

Family & Pet Support Fertility benefits, adoption assistance, backup care for children/elders/pets, and pet insurance.

Essential Functions

• Identifies, evaluates, and understands national and local trends in healthcare, competitor activities, consumer preferences, economic conditions, physician issues, reimbursement trends, new technology, and regulatory requirements.
• Works with Orlando Health, Inc., Orlando Health Physician Partners (OHPP), and Orlando Health Collaborative Care (OHCC) executives and physician leaders to develop and support adopted strategy of clinical integration and network development.
• Maintains working knowledge of healthcare systems, physician integration, insurance products, regulatory/legislative policy, and healthcare data to aid in research and production of insightful information intended to guide decision making.
• Convenes multi-party collaborative meetings with agendas, plans, and recommendations related to program performance, opportunity assessment, and collectively devised operationally improvement strategies.
• Stays current on organizational and industry information systems, human resources, finance, facility management, materials management, marketing, risk management, legal, corporate compliance, quality, and other relevant departments.
• Coordinates a variety of complex and independent activities for the team, including activities to support initiatives related to the Accountable Care Organizations (ACOs) and other value-based relationships with payer and employer partners.
• Supports departmental activities in various value-based care arrangements via the ongoing development and maintenance of the clinically integrated network, optimization of practice performance in various Accountable Care Organizations (ACOs) and other value-based care payment models, and the development and implementation of diverse clinical and strategic programs.
• Assesses practice reporting routinely to identify opportunities for improvement, such as unnecessary care services, quality care gap trends, and/or undesirable patient behavioral patterns, to help focus improvement efforts for internal and external teams.
• Works with departmental leadership in developing and maintaining network goals and leading project management activities in alignment with the determined strategies for all assigned practices, specialties, and/or territories.
• Collaborates with team members and practices to facilitate network development goals, including active participation in physician recruitment as related to growth for both network development and other contemplated network arrangements.
• Serves as the principal liaison to assigned network providers to provide consultative services contributing to effective problem solving, communication, collaboration, data collection, reporting reviews specific to the management of covered populations.
• Identifies opportunities to provide value-added resources to physicians and their office staff and engages with providers to implement recommended strategies to better manage high risk and high-cost populations.
• Meets regularly with designated provider practices to support clinical practice transformation, disseminate ACO quality and utilization performance reports, and engage in productive dialogue to support the Triple Aim within Orlando Health Network.
• Connects assigned practices to significant network benefits including continuing medical education (CME) opportunities, scheduled collegial provider gatherings, and access to a variety of software-based care management resources.
• Serves as project management lead and tracks all assigned Orlando Health Network initiatives to assist with planning and implementation of system-wide business strategies.
• Communicates opportunities and emerging market intelligence regularly to management in a timely manner.
• Analyzes reports and claims data by utilizing pivot tables, functions, formulas, appropriate formatting in Excel.
• Maintains status updates for various vendor engagements related to the operations of our value-based care contracts.
• Functions as a member on the transactions team in complex alignment transactions with physicians, including working with physicians who are interested in pursuing alignment with Orlando Health Network through various ACO models.
• Works with multidisciplinary teams and subject matter experts to develop evidence-based standards, care protocols and pathways, and operational process maps intend for use in our network clinical and business engagements.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards.
• Maintains compliance with all Orlando Health policies and procedures.

Other Related Functions

• Works comfortably in teams as a participant and facilitator, including temporary teams for project-based initiatives.
• Participates in professional healthcare and community associations to keep abreast of current healthcare trends.
• Communicates effectively through all forms of media, uses active listening and communications skills, and leverages these presentation skills to engage, inspire, and establish credibility with provider partners.

Education/Training

• Bachelor's degree in health/business administration, public health, health sciences, or other related field required.

Licensure/Certification

• None

Experience

• One (1) year of professional experience required. Completion of an Administrative Internship program in a hospital, physician group, or healthcare setting may substitute for the one (1) year of required work experience.