Value-Based Care Manager

Bethany Medical • High Point, NC

20h • Onsite

About The Position

Bethany Medical is seeking a Value-Based Care Manager for its Triad locations in North Carolina. The manager will work from the High Point Corporate Office, report to the COO, and oversee the existing Value-Based Care Team. The role works with medical leadership to improve provider performance in clinical quality metrics, hierarchical condition category (HCC) coding, utilization and steerage efficiency, and cost control. It uses performance data and reporting to guide provider interventions and strategic improvements, with a focus on user experience, education, EMR data, workflow enhancements, and implementation of enhanced quality knowledge.

Bethany Medical is an independent, established multi-specialty group serving the Triad and surrounding communities. Its services include urgent care, primary care, diagnostic testing, outpatient ancillary, and specialty care. The organization has thirteen locations and sixteen practices, employs more than sixty-five providers and more than five hundred and fifty employees, and has served the area for over thirty-nine years.

Requirements

• At least 5 years of experience in the healthcare industry; care gap management and/or coding experience preferred.
• Experience with Value-Based Care programs is required.
• Bachelor’s degree in a related field is required.
• Organized and initiative-taking.
• Proficient with computers, including Word, Excel spreadsheets, data entry, EMR/Practice Management systems, and analysis tools.
• Excellent communication skills and ability to collaborate with physicians, staff, and external organizations.
• Strong phone skills and comfort with patient engagement.
• Strong customer service skills.
• Ability to manage multiple tasks and projects simultaneously.
• Comfort with continuous change and self-initiation.
• Ability to use conflict resolution skills to reach consensus about plans of care and treatment decisions.
• Strong diligence, advanced problem-solving, and complex reasoning skills.
• Working knowledge of healthcare coding, including ICD-10 and CPT codes.
• Strong knowledge of provider workflows, practice performance, healthcare models including ACOs, and healthcare operations.
• Superior communication skills, including speaking effectively, listening, requesting clarification, and responding well to feedback.
• Flexible and efficient time management and ability to prioritize workload.
• Ability to work in a team atmosphere and pivot approaches as needed.

Nice To Haves

• A master’s degree is preferred.
• At least 5 years of experience collaborating with medical professionals, such as clinical experience, provider relations, or value-based care, is preferred.
• Care gap management and/or coding experience is preferred.

Responsibilities

• Use value-based care reporting on HEDIS/STARS quality, HCC/RAF coding, healthcare service cost and utilization, and patient steerage patterns to design and implement performance improvement strategies for practices and providers.
• Collaborate with medical leadership to understand barriers to closing quality care gaps and coding services accurately.
• Interpret information from internal, ACO, and third-party payer data sources to create comprehensive performance visualizations.
• Apply knowledge of healthcare systems, operations, program design and implementation, technology, and innovation to maximize the impact of data.
• Design and execute strategies that optimize performance in value-based contracts.
• Drive initiatives to improve quality, patient satisfaction, and population health outcomes while managing costs.
• Perform administrative duties as workload necessitates.
• Maintain company confidentiality.

Benefits

• Employee medical, dental, and vision insurance; family coverage is available at a discounted rate.
• Employee life insurance.
• Generous paid time off.
• Employee short-term disability.
• 401(k) with company matching.
• Paid company holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager