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Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015.

Position Summary

The Value Based Performance MA works collaboratively with all members of the care team to manage and improve health outcomes of a population and reduce healthcare costs by implementing and managing value-based initiatives. This will be a role working within the central value-based care team and will be focused on a specific population to review, monitor, communicate and improve quality and efficiency performance. This role will need to toggle between various external payor partner portals to leverage data to inform outcomes and trends and translate gaps in care into our EMR to help with pre-visit planning and improve overall health outcomes for our patients.

Job Description

PRIMARY DUTIES AND RESPONSIBILITIES

Employees are expected to work consistently to demonstrate the mission, vision, and core values of the organization.

+ Runs daily/weekly reports to identify patients with care gaps related to Medicare Stars, HEDIS, or value-based care measures

+ Follows standard work related to quality gap closure activity to ensure our patients are receiving the highest level of care

+ Conducts telephonic outreach calls with patients to understand health status and quality improvement opportunities for patients

+ Conducts telephone outreach calls to specialty offices or other providers to help understand and support care coordination for our patients

+ Facilitates patient-centered care by ensuring proper screening, documentation and testing has been complete

+ Documents outreach and interventions in the EHR using standardized templates

+ Leverage payor or population health dashboards and data to identify care gaps and act as an extension of the care team to support providers in the ability to close quality gaps

+ Supports pre-visit planning and care coordination through summarizing patient needs and gaps for the visit, and updating the EMR as appropriate to include reconciliation of medications and ensuring appropriate orders are in place for the patient

+ Reviews the state HIE (Health Information Exchange) when appropriate to support closing gaps in care

+ May perform direct patient care services in accordance with clinical protocols, if site staffing levels require support, which may include rooming and intake of patients at the healthcare centers

+ Contributes to the development and dissemination of expert knowledge on quality performance, HEDIS and STAR performance, and performance improvement strategies

POSITION QUALIFICATIONS

There are additional competencies linked to individual contributor, provider, and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to your position.

Education

+ High School Diploma or equivalent

Licensure/certification

+ Must hold a current MA certification by AAMA, AMT, NHA or NCCT and retain active certification for duration of employment

+ Completion of a two-year accredited Medical Assistant Program/associate degree is preferred

Experience

+ 2 years of experience working in a patient facing healthcare center

+ Preferred experience working in a setting focused on value-based care initiatives

Knowledge

+ Knowledge of Medicare Part D, Stars, and HEDIS quality measures

Skills

+ Proficiency with EHR systems and Microsoft Office/Excel

+ Strong communication, organizational, and customer service skills

+ Additional experience or interest in building proficiency manipulating data within Excel preferred

Abilities

+ Demonstrates an understanding of and alignment with Martin’s Point Values

+ Ability to adapt to evolving the evolving healthcare landscape and lead change initiatives within the organization

+ Strong ability to analyze data, identify trends and derive actionable insights to improve outcomes

+ Ability to develop and implement creative solutions

+ Community Resources - understands how to access and evaluate the available resources to meet a patient’s needs; understands how to identify resource gaps and develop internal and external resources and linkages to eliminate these gaps

+ Self-motivated and accountable for project coordination and follow through

+ Ability to provide constructive feedback to influence change and improvement, influence without authority

This position is not eligible for immigration sponsorship.

We are an equal opportunity/affirmative action employer.

Do you have a question about careers at Martin’s Point Health Care? Contact us at: [email protected]