Value-Based Program Coordinator

Job Description

SUMMARY:

Under the supervision of the Director of Population Health & Quality-Based Programs, the Value-Based Program (VBP) Coordinator focuses on turning clinical, financial, operational, and quality data into insights that improve patient outcomes while reducing healthcare costs. The role sits at the intersection of population health, analytics, and quality improvement.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

*Include the following. Other duties may be assigned.*

• Analyze healthcare data related to quality metrics, cost/utilization, risk adjustment, patient outcomes, care gaps, readmissions, Emergency Department (ED) utilization, and chronic disease management.
• Monitor performance against payer contracts and VBP benchmarks.
• Track metrics for programs such as value-based and transformation programs.
• Identify opportunities to improve quality scores, shared savings performance, Risk Adjustment Factor (RAF) coding accuracy, preventive care completion, and utilization management.
• Validate data accuracy across Electronic Health Record (EHR) systems, claims data, payer reports, and registries.

EDUCATION AND/OR EXPERIENCE:

Minimum MA certification, LPN is preferred. Excellent interpersonal and analytic skills required.

QUALIFICATION REQUIREMENTS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EOE/AA/M/F/Disability/Vet

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