Value-Based Care Manager

Job Description

"The Largest Independent Established Multi-Specialty Group in Central North Carolina is Seeking a Value-Based Care Manager 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 Bethany Medical 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 Manager for our Triad locations that include Greensboro, High Point, Winston-Salem, Kernersville, Jamestown, Mt. Airy, and North Wilkesboro, North Carolina. They will work out of our High Point Corporate Office, will report to the COO, and will oversee the existing Value-Based Care Team.

Job Purpose:

The Value-Based Care Manager works with and assists the medical leadership and manages the 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:

• Designs and executes strategies that optimize performance in value-based contracts.
• Drive initiatives to improve quality, patient satisfaction, and population health outcomes while managing costs.
• Works well within a team atmosphere, flexible to pivot in approach.
• Demonstrates proficient computer skills, including EMRs.
• Uses strong diligence, advanced problem-solving, and complex reasoning to effectively produce change and demonstrate impact.
• Performs administrative duties as workload necessitates.
• Possesses 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.
• Possesses 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:

• 5+ years of experience in the healthcare industry; care gap management and/or coding preferred.
• 5+ years of experience collaborating with medical professionals preferred; clinical experience, provider relations, value-based care, etc.
• Organized and initiative-taking.
• 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 collaborate 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-initiation
• 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 required.
• A master's degree is preferred.

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
• Employee Short-Term Disability
• 401-K with company matching
• Paid Company Holidays.

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 thirty-nine years. Bethany Medical is open seven days a week, with thirteen convenient locations and sixteen 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 is staffed with board-certified physicians and providers representing over sixteen medical specialties. Practice staff members are known for treating each patient with prompt, personalized care and attention. Bethany Medical employs over sixty-five providers and over five hundred and fifty employees. You are invited to learn more about Bethany Medical at www.mybethanymedical.com .

About the Triad:

The Triad area includes Greensboro (the third third-largest city in NC), Winston-Salem, High Point, and the surrounding area. The Triad is centrally located in NC with a population of over two million. The Triad is one hour from the mountains and three hours from the beach. Charlotte and Raleigh are one and a half 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 eighty-five colleges and universities, including Wake Forest University, High Point University, UNC-Greensboro, NC A&T, Guilford College, Bennett College, and Greensboro College. Job

Type: Full-time