Demo

Value-Based Care (VBC) Specialist

SPCP/Southeast Medical Group
Alpharetta, GA Full Time
POSTED ON 2/12/2025
AVAILABLE BEFORE 5/12/2025

Job Description

Job Description

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, 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.

Qualifications

  • 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, RN / 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.
  • Travel Requirements

  • On-site presence required 2-3 days per week to support assigned practices.
  • Regional travel to offices within the territory (mileage reimbursement provided).
  • Key Competencies

  • 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.
  • OSHA / EEOC Compliance Statement

    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.
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