Quality Performance Specialist

Vytalize Health Inc.

Job Overview

Location

Remote

Job Type

Full-time

Full Job Description

📋 Description

• Support quality performance improvement across a network of primary care practices participating in value-based care contracts including MSSP, ACO REACH, Medicare Advantage, Commercial, and Medicaid programs
• Develop and implement practice-specific performance improvement plans based on identified gaps in quality outcomes, documentation accuracy, and care delivery workflows
• Lead quarterly quality performance reviews for assigned practices, with monthly engagements for prioritized or underperforming practices to drive targeted interventions
• Coordinate closely with Practice Transformation and other practice-facing teams to ensure alignment between payer requirements, internal strategies, and practice operations
• Provide ongoing education to providers and clinical staff on quality measures, value-based care requirements, and performance expectations, including CPT II coding adoption for private payer contracts
• Design, develop, and distribute educational materials such as tip sheets, training resources, and workflow guides to support quality improvement initiatives
• Guide practices in optimizing clinical workflows for preventive care, chronic disease management, and patient engagement activities
• Coach practices on effective gap closure strategies and integration of quality measures into daily clinical operations
• Troubleshoot discrepancies between EHR data, internal reports, and payer-reported performance metrics, escalating EHR feed or data integrity issues to analytics and IT teams
• Conduct focused chart reviews to validate documentation accuracy and identify opportunities for improvement in clinical coding and quality reporting
• Support the collection, validation, and submission of quality data across all lines of business to ensure completeness and compliance with payer requirements
• Participate in payer-hosted quality meetings to stay current on updates and incorporate changes into practice education and internal workflows
• Collaborate with internal teams to align patient outreach strategies with practice needs, ensuring coordinated care and improved outcomes
• Interpret complex quality data and translate insights into actionable, practice-level recommendations to drive performance gains
• Manage multiple priorities independently in a remote environment while maintaining accuracy and consistency across diverse practice settings
• Serve as a key liaison between payer organizations and provider practices to ensure consistent understanding and execution of quality standards
• Support electronic quality measure (eCQM) reporting processes and assist in navigating digital reporting requirements
• Maintain strong cross-functional partnerships across departments including analytics, IT, clinical operations, and patient outreach teams

🎯 Requirements

• Minimum of 3 years of experience in healthcare quality, population health, value-based care, or ambulatory practice operations
• Experience working with quality programs such as MSSP, ACO REACH, Medicare Advantage (HEDIS/Stars), or Commercial/Medicaid quality initiatives
• Experience supporting or engaging directly with primary care practices or provider groups
• Familiarity with EHR systems, clinical documentation workflows, and quality reporting processes
• Strong understanding of quality measures, gap closure strategies, and value-based care principles
• Ability to interpret data and translate insights into actionable recommendations for practices

🏖️ Benefits

• Competitive base compensation
• Annual bonus potential
• Health benefits effective on start date
• Health & Wellness Program; up to $300 per quarter for overall well-being available on start date
• 401K plan effective on the first of the month after start date; 100% match of up to 4% of annual salary
• 5 sick days and unlimited (or generous) paid "Vytal Time" after first 90 days
• Company-paid STD/LTD
• Technology setup provided
• Opportunity to help build a market leader in value-based healthcare at a rapidly growing organization

Skills & Technologies

Remote

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Vytalize Health Inc.

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About Vytalize Health Inc.

Vytalize Health is a value-based care platform that partners with independent primary-care physicians to improve outcomes and lower costs for Medicare beneficiaries. The company provides physician groups with technology, analytics, care management, and financial infrastructure to transition from fee-for-service to risk-bearing arrangements. Services include remote patient monitoring, chronic-care management, coding support, and shared-savings programs. Founded in 2014 and headquartered in Hoboken, New Jersey, Vytalize Health aims to strengthen independent practices while enhancing patient care for seniors.

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