Vytalize Health
healthcare
QualityPerformanceSpecialist
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“Quality Performance Specialist at Vytalize Health. Skills: quality performance improvement, value-based care, practice operations, data analysis, stakeholder management. supporting quality performance improvement across a network of practices. providing education, performance insights, and strategic guidance to improve quality outcomes, documentation accuracy, and care delivery workflows”
What You'll Achieve.
improve quality outcomes; improve documentation accuracy; optimize care delivery workflows; ensure alignment between payer requirements, practice operations, and patient outreach efforts; ensure completeness, accuracy, and optimal performance in quality reporting and submission processes
Industry & Context.
problem-solving skills with the ability to troubleshoot data and workflow issues
Ability to manage multiple priorities and work independently in a remote environment
What They're Looking For.
Must Have
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, understanding of quality measures, gap closure strategies, and value-based care principles, Ability to interpret data and translate insights into actionable recommendations for practices, Excellent communication and presentation skills, with the ability to educate providers and clinical staff effectively, problem-solving skills with the ability to troubleshoot data and workflow issues, Ability to manage multiple priorities and work independently in a remote environment, Collaborative mindset with cross-functional partnership skills
Nice to Have
Experience with CPT II coding and documentation optimization strategies, Knowledge of eCQMs, digital quality measures, and electronic reporting requirements, Experience conducting chart reviews or supporting quality audits, Background in primary care clinical operations or care delivery workflows, Advanced proficiency in Excel or experience with healthcare analytics and reporting tools, Certification in healthcare quality (e. g. , CPHQ) or a related field
What You'll Do.
supporting quality performance improvement across a network of practices
and strategic guidance to improve quality outcomes
documentation accuracy
and care delivery workflows
ensuring alignment between payer requirements
and patient outreach efforts
identifying high-impact opportunities for improvement and developing actionable
practice-specific performance plans
leading quarterly quality performance reviews
implementing targeted interventions for practices with gaps in quality performance or operational barriers
coordinating closely with Practice Transformation and other practice-facing teams
providing ongoing education to providers and practice staff on quality measures
value-based care requirements
and performance expectations
supporting CPT II coding education and adoption
assisting in the development and dissemination of educational materials
and training resources
guiding practices in optimizing workflows related to preventive care
chronic disease management
and patient engagement
coaching practices on gap closure strategies and integration of quality measures into daily operations
troubleshooting discrepancies between EHR data
and payer-reported performance
identifying and escalating EHR data integrity or feed issues
conducting focused chart reviews to validate documentation accuracy and identify opportunities for improvement
supporting the collection and validation of quality data needed to close care gaps
assisting with quality reporting and submission processes
ensuring consistent understanding and execution of quality strategies across all lines of business
participating in payer-hosted quality meetings and incorporating updates into practice education and internal workflows
collaborating with internal teams to align patient outreach strategies with practice needs and priorities
How You'll Work.
Team & Collaboration
works closely with internal teams and external stakeholders; coordinate closely with Practice Transformation and other practice-facing teams; collaborate with internal teams to align patient outreach strategies with practice needs and priorities; cross-functional partnership skills
Communication Scope
Excellent communication and presentation skills, with the ability to educate providers and clinical staff effectively
Process & Methodology
Identify high-impact opportunities for improvement and develop actionable, practice-specific performance plans, Lead quarterly quality performance reviews for assigned practices, with monthly engagements for prioritized or underperforming practices, Implement targeted interventions for practices with gaps in quality performance or operational barriers, Manage multiple priorities
Full Job Description
Your Opportunity The Quality Performance Specialist is responsible for supporting quality performance improvement across a network of practices participating in value-based care contracts, including MSSP, ACO REACH, Medicare Advantage, Commercial, and Medicaid programs. This role serves as a key partner to practices, providing education, performance insights, and strategic guidance to improve quality outcomes, documentation accuracy, and care delivery workflows. The Specialist works closely with internal teams and external stakeholders to ensure alignment between payer requirements, practice operations, and patient outreach efforts. What you will do Practice Performance & Improvement Planning - Identify high-impact opportunities for improvement and develop actionable, practice-specific performance plans - Lead quarterly quality performance reviews for assigned practices, with monthly engagements for prioritized or underperforming practices - Implement targeted interventions for practices with gaps in quality performance or operational barriers - Coordinate closely with Practice Transformation and other practice-facing teams to ensure aligned communication and strategy Education & Workflow Optimization - Provide ongoing education to providers and practice staff on quality measures, value-based care requirements, and performance expectations - Support CPT II coding education and adoption, particularly for private payer contracts - Assist in the development and dissemination of educational materials, tip sheets, and training resources - Guide practices in optimizing workflows related to preventive care, chronic disease management, and patient engagement - Coach practices on gap closure strategies and integration of quality measures into daily operations Data Integrity & Quality Reporting - Troubleshoot discrepancies between EHR data, internal reports, and payer-reported performance - Identify and escalate EHR data integrity or feed issues to analytics and IT teams - Co
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