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Job Overview
Location
Remote
Job Type
Full-time
Category
Operations
Date Posted
May 21, 2026
Full Job Description
đź“‹ 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
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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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