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MetaRPO

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Value Based Care Specialist

Location

Worldwide

Posted

49 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Value Based Care Specialist

MetaRPO

Role Description As a Manager of Provider Solutions, your role is pivotal in guiding healthcare providers toward achieving optimal outcomes in value-based care, ultimately improving patient health and well-being while managing costs effectively. In developing and implementing strategic initiatives to increase provider readiness from traditional fee-for-service models to value-based care models. Here's an overview of the responsibilities and key skills associated with this role: - Performance Analysis: - Conduct in-depth analysis of contractual performance metrics related to value-based care, including utilization measures, benchmarking, cost-effectiveness, and patient outcomes. - Data Interpretation: - Interpret and translate complex data into actionable insights for healthcare providers, helping them understand and improve their performance. - Financial Management: - Monitor financial performance related to value-based care contracts and identify opportunities for cost savings, risk adjustment and revenue enhancement. - Patient Engagement: - Develop strategies to actively involve patients in their care and treatment plans. - Implement patient education programs to promote health and prevent avoidable healthcare utilization. - Provide constructive feedback and coaching to healthcare providers, offering guidance on how to enhance their practices to align with value-based care goals. - Collaboration with Clinical Teams: - Collaborate with clinical leaders to integrate value-based care principles into clinical practice, emphasizing preventive care, care coordination, and patient engagement. - Collaborate with leadership to establish goals aligned with value-based care principles for initiatives to continuously improve in care delivery, patient satisfaction, and cost-efficiency. - Care Coordination Optimization: - Work with internal and external healthcare teams to improve care coordination efforts, ensuring seamless transitions of care and effective communication among providers. - Technology Utilization: - Evaluate and recommend technology solutions that support value-based care initiatives, including electronic health record (EHR) optimization and other relevant tools. - Identify and implement innovative technologies and solutions that support value-based care delivery and improve patient outcomes. - Educational Support: - Develop and deliver training programs to educate healthcare providers and staff on best practices in value-based care delivery. - Risk Stratification: - Assist in the development and implementation of risk stratification models to identify high-risk patients and tailor care interventions accordingly. - Patient Engagement Strategies: - Collaborate on the development of strategies to actively engage patients in their care, promoting preventive measures and improving overall health outcomes. Qualifications - Bachelor's degree or commensurate work experience in healthcare administration, public health, or a related field. - 3-5 years of experience in healthcare change management, provider relations, or a related role. - In-depth knowledge of healthcare regulations, value-based care, and performance metrics. - Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities. - Excellent communication and interpersonal skills to collaborate effectively with providers, team members, and stakeholders at all levels. - Proven experience in designing and delivering training programs or educational initiatives. - Proficiency in data management and analysis tools, such as Excel or data visualization software. - Familiarity with electronic health record systems and healthcare information technology. - Detail-oriented, organized, and able to manage multiple projects simultaneously. - Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment. - Position is remote – secure home network required and familiar with Microsoft Office products and VPN. Requirements - Six Sigma Green Belt, Licensed Allied Health Professional, or Licensed Registered Nurse preferred. - Certified Professional in Healthcare Quality (CPHQ) or equivalent preferred.

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