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Value Based Care Specialist

Topeka, KS

Company: Community Care Network of Kansas
Job Title: Value Based Care Specialist
Job Classification: Full-Time, Exempt
Supervisor: Chief Operating Officer / Chief Financial Officer
Schedule: Monday through Friday, 8:00 am to 5:00pm (or similar schedule)
Location: Topeka, KS HYBRID – Remote work opportunity with regular onsite hours Available

Who We Are
Community Care Network of Kansas (Community Care) believes all Kansans should have access to high-quality, whole-person health care at locations close to home.

We are a statewide association made up of a network of community care clinics. The clinics deliver affordable, accessible, quality, and integrated primary, dental, mental health, substance use disorder, pharmacy and others services to 1 in 9 Kansans. All have the mission to provide care regardless of income level or insurance status.

Together, we are leaders in training, technical assistance, and health policy at state and federal levels. We partner with state agencies, statewide health associations, foundations and other stakeholders to educate and advocate for equitable access to high-quality care for all. We believe healthy Kansans build strong and vibrant communities, which strengthens the overall quality of life in our great state.

Primary Accountabilities:
The Value Based Care Specialist will accelerate Community Care member clinic participation in initiatives, projects or contracts that use data and health informatics to improve quality of care, achieve better health outcomes, and reduce cost of care. The ideal candidate will have a strong background in population health, working in or with managed care or other payers, and a passion to serve.

Major Duties:

  • Collaborate with the COO/CFO and the Board of Directors to increase member clinic interest and participation in value-based care initiatives. These include but are not limited to Independent Practice Associations, Clinically Integrated Networks, Accountable Care Organizations, and payer-specific contracts. Works directly with national and state subject matter experts/contractors to educate and support member clinics and create and maintain applicable networks.
    • The initial goal is to establish a Clinically Integrated Network or other type of member-owned network.
  • Serve as the subject matter expert on value-based care and provide tailored technical assistance to member clinics.
  • Determine information technology and analytic requirements, clinical and operational staffing needs, and workflow practices to foster successful participation in value-based care.
  • Identify population health, electronic health record, health information exchange, payer claims and other sources of data to help clinics reach care delivery, health and cost of care goals.
  • Work with the Policy Team to identify federal, state, and payer policy to align the optimal delivery of care with payment/reimbursement.
  • Work across Community Care teams involved in health analytics, value-based care, or related initiatives.
  • Represent Community Care and serve as a value-based care thought leader at national, state, regional, and local meetings, conferences, task forces, and other convenings.
  • Performs all other duties as assigned by the COO/CFO.

Secondary Responsibilities:

  • Utilizes company technology and participates in weekly collaborative communication.
  • Works collaboratively to build and maintain a strong team environment to accomplish the tasks necessary to serve and support the goals of Community Care.
  • Participates in special events.
  • Attends staff meetings and other meetings, as required.

Qualifications:

  • Bachelor’s Degree in health care, health information technology, human services or a related field; master’s degree preferred.
  • Five (5) years of working in or with a health insurer or state/federal payer, preferably in a managed care setting.
  • Direct experience working with value-based care initiatives.
  • Passion and commitment to improving health and social justice; experience working in/with a community health center or other non-profit clinic environment preferred.
  • Experience with health care data sources such as claims, electronic health record, clinical, and patient reported data.
  • Intense attention to detail and data quality assurance.
  • Proficiency with Windows operating systems and Microsoft Office suite; ability to learn additional software applications.
  • Ability to promote a professional and positive appearance and work environment.
  • Ability to make sound, independent decisions in a fast-paced environment.
  • Ability to communicate complex and technical information in a clear and concise manner, both verbally and written.
  • Strong interpersonal, organizational, written and verbal communication skills required.
  • Creative thinking and problem-solving skills; willingness to seek input regularly for process improvement.
  • Detail oriented; strong work ethic; and ability to simultaneously manage multiple priorities in a dynamic, multi-faceted, fast-paced work environment.

Physical Demands:

  • Regularly maintain stationary position with regular need to relocate to attend meetings internally and externally.
  • Ability to read computer screens and operate computer peripherals for an extended period or the ability to discern electronic information through reasonably available accommodations.
  • Ability to travel as needed within the State of Kansas and nationally.

Work Environment:

  • Professional, fast-paced and deadline-oriented environment in an office setting with regulated temperatures and moderate noise level.
  • Remote work opportunities available.

Additional Duties: Additional duties and responsibilities may be added to this position description at any time. The position description does not state or imply that these are the only activities to be performed by the employee(s) holding this position. Employees are required to follow Community Care policies and procedures and maintain a professional personal appearance and workspace. Employees are required to follow any other position-related instructions and to perform any other job-related responsibilities as requested by the employee’s supervisor.

 

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