Value-Based Performance Associate

Summit Health CityMD•New Britain, CT

About The Position

This position supports the performance goals of Starling Physicians’ value-based agreements with health plans. It helps practices use accurate and complete information from health plans and Epic to identify care gaps, improve quality performance, and meet agreement requirements. The role collaborates with practices, payers, and the Value-Based Care team to support timely follow-up and maintains accurate payer registries and records of completed work. The position reports to the Value-Based Manager. Work takes place in various corporate and clinical settings and workspaces. The employee may be required to work at any facility based on operational needs, and the schedule may vary. Physical activity includes walking, standing, and sitting; demands may also include lifting and carrying equipment up to 30 pounds or providing physical assistance to patients.

Requirements

High school graduate or equivalent.
Previous physician practice experience and familiarity with commonly used health care vocabulary.
Proficiency in Epic electronic health record and Microsoft Office, particularly Excel.
Willingness to complete additional training as needed.
Strong organizational and communication skills.
Ability to work effectively and professionally under pressure.
Ability to work collaboratively with a team and share responsibilities and duties.
Ability to resolve interpersonal conflicts directly, professionally, and promptly.
Ability to prioritize tasks, stay organized, and manage multiple assignments.
Ability to communicate with friendliness and empathy and adapt communication to different audiences.
Ability to treat colleagues, providers, practice staff, and payers with courtesy and respect.
Ability to communicate effectively by phone or in person at normal volumes, read correspondence and computer screens, and perform tasks requiring good manual dexterity.

Nice To Haves

Associate degree preferred.

Responsibilities

Understand the quality measures and performance goals of assigned health plan agreements.
Review health plan reports and Epic data to identify patients with open care gaps.
Verify information for accuracy and completeness and identify discrepancies.
Support practices with patient lists, reports, and information needed to address care gaps.
Submit supporting documentation and non-standard files according to payer requirements and established procedures.
Track progress toward performance goals and report outstanding needs or barriers.
Maintain accurate payer registries and records of completed work.
Collaborate with practices, payers, and the Value-Based Care team to support timely follow-up.
Adhere to HIPAA regulations.
Perform other duties as requested.
Follow safety procedures outlined in departmental and organizational emergency action plans.