The Value Base Care Coordinator is responsible for providing strategic oversight driving the change from fee-for-service (i.e. volume) to a value-based care reimbursement program model. The position will facilitate value-based care initiatives, including collecting quality-based data and managing projects that will support Gritman's value-based business strategy.
Reporting Relationship: Reports directly to Chief Quality Officer
Bachelor's degree in Healthcare-related field.
Minimum Work Experience
Five (5) years' experience in Healthcare setting.
The VBC Coordinator will need to have strong leadership skills, initiatiave, good communication, program management expertise, organization, people skills, and conflict management experience.
Knowledge of Joint Commission, Medication Conditions of Participation, CMS, HIPAA, and other regulatory requirements.
Effective communication skills in working with patients and healthcare providers to identify and implement solutions and provide education to patients and caregivers.
Experience in healthcare, patient processes, value-based programs (e.g. MACRA, MIPS, OCM, MU, PQRS), and/or management.
Ability to manage and allocate resources to multiple projects, addressing issues and escalating as appropriate.
Proficient in Microsoft Office, including Word, Excel, PowerPoint.
Possesses strong attention to detail, excellent customer service and problem resolution skills.
Ability to adapt in a dynamic work environement and make sound, independent decisions.
Ability to work collaboratively across multiple functional departments and work teams.
Professional communication skills with the ability to present to all levels, including executive leadership.
Subject matter expert in value-based care programs in order to support the success of the programs.
Continuously monitor practice-developed goals and program milestones to support the participation in regulatory vaue-based programs. Report to key stakeholders on status, progress, opportunities, and risks.
Builds strong cross-functional relationships with internal departments and external physician practices to implement Gritman's business strategy.
Oversee the collection and dissemination of quality-related data, and identify and implement quality improvement initiatives.
Support participation in value-based programs across the organization. Prioritize, adhere to timelines, motivate, communicate, educate, assess, and mitigate program risk.
Assist in the education and implementation of best practices of the Value Based Care Programs.
Lead process improvements to increase quality measures.
Determine annual goals in alignment with the Value Based Care team and practices to assure practices are effectively able to participate in value-based programs, whether it is Medicare Incentive Payment Systems (MIPS), or other Alternative Payment Methods.
Recommend/take action to direct the evaluation of and solution to problems. Assess program issues and risks and develop resolutions to address them. Escalate issues and risks at the approrpriate time to the appropriate leadershi and/or practice committees.
High level of participation with the pactice Physician and Leadership teams.
Provides a positive and professional representation of the organization.
Promotes culture of safety for patients and employees through proper identification, reporting, documentation, and prevention.
Maintains hospital standards for a clean and quiet environment.
Maintains competency and knowledge of current standards of practice, trends, and developments in related scope of job role or practice.
Participates in ongoing quality improvement activities.
Maintains compliance with organization's policies, as well as established practices, protocols, and procedures of the position, department, and applicable professional standards.
Complies with organizational and regulatory policies for handling confidenial information.
Demonstrates excellent customer service through is/her attitude and actions, consistent with the standards contained in The Gritman Way.
Gritman Medical Center