Pay for Value Practice Specialist - Hybrid position - ...
Highmark Health - Columbus, OH
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Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Responsible for working collaboratively with primary care providers and care teams to provide education, workflow design and hands on assistance to meet the P4V program goals all payer programs. Partners with Physician Quality Chairs to coordinate Quality Committee meetings and strategic programming elements. ESSENTIAL RESPONSIBILITIES: + Directly responsible for providing office based workflow transformation including hands on workflow strategies and training/education to the PCP practices that will optimize efficiencies and productivity in the area of value based reimbursement programs. (15%) + Directly responsible for assessing data for opportunities in PCP performance and implementing strategic plans to meet program targets across the practices' P4V programs such as ACA, Medicare STARS, HEDIS and risk revenue for all payers. (25%) + Collaborates with EHR teams in the development and implementation of standardized documentation templates, registries and GAP reports within the EHR. (5%) + Directly responsible for analysis, interpretation and implementation of action plans for PCP value based reimbursement programs in the areas of NCQA, HEDIS, GPRO, PQRS and Meaningful Use. Develops strategic plans to meet PCP program targets and effectively communicates this information at monthly practice meetings. (30%) + Proactively engages the practice care team and provides
Created: 2026-02-05