Southeast Primary Care Partners seeks a Value-Based Care (VBC) Specialist to lead the implementation of value-based care initiatives across assigned practices. This role requires a collaborative professional with expertise in HEDIS/STAR measures, risk adjustment (HCC), and healthcare analytics. The specialist will drive quality improvement, optimize patient outcomes, and ensure adherence to OSHA/EEOC standards while working closely with providers and staff. Multiple positions (N. GA, S. GA, and Anniston, AL).

Key Responsibilities

• Practice Engagement & Relationship Building

- Serve as the primary liaison for assigned practices, building rapport with providers, office staff, and leadership to foster trust and collaboration.

- Facilitate meetings to align stakeholders on value-based workflows, clinical documentation accuracy, and EHR optimization.

• Performance & Quality Improvement

- Analyze HEDIS/STARS data, HCC risk scores, and cost/utilization trends to identify care gaps and develop targeted interventions.

- Deliver provider education on risk adjustment coding, quality metrics, and documentation best practices.

• Operations & Workflow Efficiency

- Conduct practice assessments to address inefficiencies and implement workflow improvements.

- Partner with practices to integrate patient outreach strategies (e.g., preventive screenings, chronic care management).

• Regulatory Compliance

- Ensure compliance with OSHA standards by promoting workplace safety protocols and addressing hazards.

- Uphold EEOC guidelines by fostering an equitable, inclusive environment for staff and patients.

• Cross-Functional Leadership

- Collaborate with the VBC Manager, Medical Director, and Executive Leadership to meet regional project deadlines.

Qualifications

• - Required:

- 2+ years of experience in value-based care, HEDIS/STARS, or risk adjustment (HCC).

- Proficiency in healthcare analytics tools and EHR systems (e.g., Epic, Cerner).

- Strong knowledge of CMS quality programs and clinical documentation standards.

• - Preferred:

- Certification as a Medical Assistant, LPN, or coding credential (CPC, CRC).

- Experience working directly with primary care providers and multidisciplinary teams.

- Demonstrated success in improving STAR ratings, HCC capture rates, or cost-of-care metrics.

Travel Requirements

- On-site presence required 2-3 days per week to support assigned practices.

- Regional travel to offices within the territory (mileage reimbursement provided).

Key Competencies

- Data-Driven Problem-Solving: Expertise in translating HEDIS gaps, claims data, and population health reports into actionable insights.

- Communication: Ability to engage providers, address resistance to change, and present complex data clearly.

- Collaborative Leadership: Skilled in building consensus among clinicians, administrators, and external partners.

OSHA/EEOC Compliance Statement

Southeast Primary Care Partners adheres to all OSHA workplace safety standards and EEOC nondiscrimination policies. We are committed to providing a safe, inclusive environment free from harassment or bias.

*Southeast Primary Care Partners is an equal opportunity employer.*