The Value Based Care (VBC) Performance Advisor Sr will work closely with clinicians and their office staff, leveraging strong communication, relationship management and performance improvement skills, to achieve established quality and financial goals. This position serves as the Enterprise Population Health (EPH) VBC performance primary point of contact for physician practices. In partnership with population health services organization team members, provides outstanding customer-focused service.

Major Responsibilities:

Educate clinicians and office staff on value-based care programs. Advise practices on infrastructure development and standard work processes for success. Serve as a value-based care subject matter expert to practices.

Educate clinicians and office staff on point of care and performance management tools embedded in supported EMRs.

Provide explanations about the incentive programs to physicians, including timely estimates of their performance as it relates to incentive opportunities.

Serve as the primary relationship manager, monitoring, maintaining and continually improving the relationship with clinicians and their practices.

Monitor clinician performance and meet regularly with providers and staff to provide updates on quality, utilization management and financial performance, including opportunities for improvement.

In partnership with providers and their staff, utilize available data, to develop performance improvement plans; utilize the plan do study act (PDSA) problem-solving model as needed.

Analyze practices’ data for compliance with network contracts and government reporting requirements. Coaches practices on how to meet requirements.

Actively engage in responding to trends and opportunities within practices and recommend executable strategies.

Serve as a resource link for clinicians and practices to the necessary population health services operations, including credentialing, provider relations, referrals and claims processing.

Engages in other Value Based Care projects as identified.

Keep abreast of industry standards and trends.

License/Registration/Certification:  N/A

Education:  Master’s degree in Business Administration, Health Administration, or related field

Experience:  5 years value-based care and population health experience. Significant knowledge of hospital and physician (multispecialty group, IPA or PHO) operations and services impacted by health care payers.

Knowledge, Skills & Abilities Required:

Strong verbal and written communication skills.

Excellent relationship management and negotiation skills.

Proficient in utilizing dashboards and reports to identify and communicate improvement opportunities.

Ability to effectively identify problems, root causes and creatively problem solve.

Self-motivated with the ability to work in fast-paced environments and remotely. 
 

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.