Value-Based Care (VBC) Specialist - AFF

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.*