What are the responsibilities and job description for the Value-Based Care (VBC) Specialist - AFF position at Southeast Medical Group?
Description
Southeast Primary Care Partners seeks a Value-Based Care (VBC) Specialist to lead the implementation of value-based care initiatives across assigned practices. This role requires a collaborative professional with expertise in HEDIS/STAR measures, risk adjustment (HCC), and healthcare analytics. The specialist will drive quality improvement, optimize patient outcomes, and ensure adherence to OSHA/EEOC standards while working closely with providers and staff. Multiple positions (N. GA, S. GA, and Anniston, AL).
Requirements
Key Responsibilities
Southeast Primary Care Partners adheres to all OSHA workplace safety standards and EEOC nondiscrimination policies. We are committed to providing a safe, inclusive environment free from harassment or bias.
*Southeast Primary Care Partners is an equal opportunity employer.*
Southeast Primary Care Partners seeks a Value-Based Care (VBC) Specialist to lead the implementation of value-based care initiatives across assigned practices. This role requires a collaborative professional with expertise in HEDIS/STAR measures, risk adjustment (HCC), and healthcare analytics. The specialist will drive quality improvement, optimize patient outcomes, and ensure adherence to OSHA/EEOC standards while working closely with providers and staff. Multiple positions (N. GA, S. GA, and Anniston, AL).
Requirements
Key Responsibilities
- Practice Engagement & Relationship Building
- Serve as the primary liaison for assigned practices, building rapport with providers, office staff, and leadership to foster trust and collaboration.
- Facilitate meetings to align stakeholders on value-based workflows, clinical documentation accuracy, and EHR optimization.
- Performance & Quality Improvement
- Analyze HEDIS/STARS data, HCC risk scores, and cost/utilization trends to identify care gaps and develop targeted interventions.
- Deliver provider education on risk adjustment coding, quality metrics, and documentation best practices.
- Operations & Workflow Efficiency
- Conduct practice assessments to address inefficiencies and implement workflow improvements.
- Partner with practices to integrate patient outreach strategies (e.g., preventive screenings, chronic care management).
- Regulatory Compliance
- Ensure compliance with OSHA standards by promoting workplace safety protocols and addressing hazards.
- Uphold EEOC guidelines by fostering an equitable, inclusive environment for staff and patients.
- Cross-Functional Leadership
- Collaborate with the VBC Manager, Medical Director, and Executive Leadership to meet regional project deadlines.
- - Required:
- 2 years of experience in value-based care, HEDIS/STARS, or risk adjustment (HCC).
- Proficiency in healthcare analytics tools and EHR systems (e.g., Epic, Cerner).
- Strong knowledge of CMS quality programs and clinical documentation standards.
- - Preferred:
- Certification as a Medical Assistant, LPN, or coding credential (CPC, CRC).
- Experience working directly with primary care providers and multidisciplinary teams.
- Demonstrated success in improving STAR ratings, HCC capture rates, or cost-of-care metrics.
- On-site presence required 2-3 days per week to support assigned practices.
- Regional travel to offices within the territory (mileage reimbursement provided).
- Data-Driven Problem-Solving: Expertise in translating HEDIS gaps, claims data, and population health reports into actionable insights.
- Communication: Ability to engage providers, address resistance to change, and present complex data clearly.
- Collaborative Leadership: Skilled in building consensus among clinicians, administrators, and external partners.
Southeast Primary Care Partners adheres to all OSHA workplace safety standards and EEOC nondiscrimination policies. We are committed to providing a safe, inclusive environment free from harassment or bias.
*Southeast Primary Care Partners is an equal opportunity employer.*
