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Job Description
Value Based Care Representative Bethany Medical - 2.5 High Point, NC Job Details Full-time 3 hours ago Benefits Paid holidays Disability insurance Health insurance Dental insurance 401(k) Paid time off Vision insurance 401(k) matching Life insurance Qualifications Collaborate with healthcare professionals Medical performance measurement report preparation Program design Data visualization software proficiency Data Integration (Data management) Business intelligence Phone communication Maintaining patient confidentiality Practice management software Patient management software Metrics Reporting Mid-level Cost control Quality reports Quality control data reporting Medical administrative support ICD-10 Analysis skills Bachelor's degree Clinical performance metrics Cost analysis Clinical program data analysis Conflict management Clinical outcome improvement Management reporting Patient interaction Clinical data analysis Healthcare performance metrics analysis Data visualization projects Communication skills Full Job Description 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
" 2018 VOTED
ONE OF THE
"
FASTEST GROWING COMPANIES IN THE TRIAD
" 2019, 2020, 2021, and 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 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 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
A bachelor's degree in a related field is preferred
LICENSURE/CERTIFICATION/REGISTRY/LISTING
PREFERRED:
Certified Medical Assistant certificate preferred. RNs 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 and paid company holidays Employee Short-Term Disability 401-K with company matching •Earned Wage Access (EWA)•- Get part of your earned pay before payday
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 www.bethanymedicalcenter.com About 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.
