Job Description
**Position Summary**
The Practice Performance Advisor is part of the POD support model and supports the Provider Network Management (PNM) team and provider network by producing and presenting performance reporting, value-based care (VBC) models, care coordination effectiveness, and practice efficiency insights. This role partners closely with providers and internal stakeholders to identify improvement opportunities and drive measurable gains in quality and performance.
**Key Responsibilities**
+ Collaborate with providers on performance-based programs and measures, including HEDIS, withholds, total cost of care (TCOC) metrics, and other quality/performance initiatives.
+ Produce quality and performance reporting, identify opportunities, and develop strategies in preparation for Joint Operating Committee (JOC) and other stakeholder discussions.
+ Interpret claims and utilization data to connect trends to patient outcomes and utilization patterns; transla...
The Practice Performance Advisor is part of the POD support model and supports the Provider Network Management (PNM) team and provider network by producing and presenting performance reporting, value-based care (VBC) models, care coordination effectiveness, and practice efficiency insights. This role partners closely with providers and internal stakeholders to identify improvement opportunities and drive measurable gains in quality and performance.
**Key Responsibilities**
+ Collaborate with providers on performance-based programs and measures, including HEDIS, withholds, total cost of care (TCOC) metrics, and other quality/performance initiatives.
+ Produce quality and performance reporting, identify opportunities, and develop strategies in preparation for Joint Operating Committee (JOC) and other stakeholder discussions.
+ Interpret claims and utilization data to connect trends to patient outcomes and utilization patterns; transla...
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