Day to Day Responsibilities of this Position and Description of Project:

The Primary Care Hybrid Model the flagship PPO pay-for-value for Primary Care. This person will serve to maximize improvements in clinical quality because of this model.

Responsibilities include:

• Manage clinical aspects of Primary Care Hybrid Payment Model from initiation through delivery and monitors for continuous improvement with focus on clinical quality.

• Educate and work with external partners and participating practices to maximize performance on outcomes of the value-based payment models.

• Responsible for planning, execution of initiatives to improve quality performance within specific value -based payment models.

• Facility with data analysis and dashboards, including Excel and web-based value-based payment platform.

• Serve as a clinical expert with internal constituents to drive meaning HEDIS, Utilization, and member experience outcomes success and support external partners in creating actions plans to close care gaps.

• Exercise independent judgment in developing methods, techniques, and evaluation criterion for obtaining results.

Experience:

• Knowledge in Value-based payment models, HEDIS, or Medical Stars

• Clinical workflow Optimization

• Experience educating providers.

• Agile experience

• Change Management experience.

• Project Management experience

Must have:

• Clinical Bachelor's degree or equivalent (RN, LVN, Medical Assistant)