Job Description

JOB SUMMARY:

The Value-Based Practice Performance Advisor serves as the primary point of contact between the organization and its network of providers, with a focus on education, communication, and performance improvement within value-based care programs. This role facilitates engagement, delivers targeted training on clinical documentation, quality metrics, and program requirements, and ensures alignment between clinical practices and organizational goals. The Liaison/Educator promotes provider success by simplifying complex payer guidelines, supporting incentive initiatives, and fostering collaboration across departments.

ESSENTIAL JOB FUNCTIONS:

Provider Engagement & Communication

• Build and maintain strong, collaborative relationships with providers and their staff across the network.
• Serve as the central contact for provider questions regarding value-based contracts, clinical expectations, and performance data.
• Facilitate regular check-ins, office visits, or virtual sessions to maintain provider engagement and satisfaction.

Education & Training

• Develop and deliver educational materials, presentations, and resources on topics such as:
• Risk adjustment and HCC coding
• HEDIS, Stars, CAHPS, and other quality measures
• Documentation improvement and care gap closure
• Value-based incentive models and program updates
• Conduct one-on-one or group training sessions with providers and office teams.
• Customize educational content based on specialty, payer program, or performance trends.

Performance Improvement

• Review provider-level dashboards, scorecards, and reports to identify areas for improvement.
• Provide guidance on strategies to improve clinical outcomes, coding accuracy, and patient engagement.
• Collaborate with care coordination, quality, and analytics teams to align efforts and address barriers.

Program Support & Feedback Loop

• Support rollouts of new VB initiatives, pilots, or payer programs by communicating timelines, deliverables, and expectations.
• Act as a voice of the provider network, gathering feedback and identifying systemic issues or resource needs.
• Assist in the development and implementation of tools, workflows, and communication strategies to improve operational efficiency.

Required Qualifications :

Education:

• Bachelor’s degree in Nursing, Health Administration, Public Health, or related field required.
• Master’s degree or clinical license (e.g., RN, LPN, CPC, CRC) preferred.

Experience:

• Minimum 3–5 years of experience in healthcare education, provider relations, quality improvement, or population health.
• Experience working in or with physician practices, ACOs, or payer-based VBC programs preferred.
• Understanding of clinical workflows, medical coding, and documentation requirements in VBC settings.

Skills & Competencies:

• Excellent interpersonal and communication skills, both verbal and written.
• Strong presentation and training facilitation skills.
• Ability to interpret clinical and performance data and explain it in a provider-friendly way.
• Highly organized with the ability to manage multiple provider groups and training schedules.
• Proficient in Microsoft Office, EHR systems, and performance dashboards.

Preferred Certifications:

• Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified Professional in Healthcare Quality (CPHQ), or equivalent.

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