Value-Based Performance Associate

Position Summary

This position supports the performance goals of Starling Physicians value-based agreements with health plans. It also helps practices use accurate and complete information from health plans and Epic to identify care gaps, improve quality performance and meet agreement requirements.

Key Accountabilities

• 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
• Performing other duties as requested

Relationships

• Reports to Value-Based Manager
• Establishes and maintains effective working relationships with management, co-workers, office managers, and payers

Qualifications

• High school graduate or equivalent; Associate degree preferred
• 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 follow safety procedures outlined in departmental and organizational emergency action plans
• 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 to communication to different audiences
• Ability to treat colleagues, providers, practice staff and payers with courtesy and respect

Working Conditions, Physical Requirements

• Support function will occur within various corporate and clinical settings and workspaces.
• Incumbents may be required to work at any facility based on operation need, and schedule may vary.
• Physical activity will include walking, standing, and sitting.
• Physical demands may also include lifting and carrying equipment up to 30 lbs or providing physical assistance to patients.
• Other physical requirements include speaking and hearing ability sufficient to communicate effectively by phone or in person at normal volumes; vision adequate to read correspondence, computer screen, forms, etc.; and good manual dexterity.
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Total Rewards at VillageMD

• Our team members are essential to our mission to reshape healthcare through the power of connection.
• VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families.
• Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.