Quality Performance Specialist

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

Conduct focused chart reviews to validate documentation accuracy and identify opportunities for improvement

Support the collection and validation of quality data needed to close care gaps across all lines of business

Assist with quality reporting and submission processes to ensure completeness, accuracy, and optimal performance

Payer Alignment & Cross-functional Collaboration
Work across all lines of business to ensure consistent understanding and execution of quality strategies

Participate in payer-hosted quality meetings and incorporate updates into practice education and internal workflows

Collaborate with internal teams to align patient outreach strategies with practice needs and priorities

What Will Make You Successful Here
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

Excellent communication and presentation skills, with the ability to educate providers and clinical staff effectively

Strong 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 strong cross-functional partnership skills

Preferred Qualifications
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

Perks/Benefits
Competitive base compensation

Annual bonus potential

Health benefits effective on start date

Health & Wellness Program; up to $300 per quarter for your overall well-being available on start date

401K plan effective on the first of the month after your start date; 100% of up to 4% of your annual salary

5 sick days and unlimited (or generous) paid "Vytal Time" after your first 90 days

Company paid STD/LTD

Technology setup

Ability to help build a market leader in value-based healthcare at a rapidly growing organization

Please note at no time during our screening, interview, or selection process do we ask for additional personal information (beyond your resume) or account/financial information. We will also never ask for you to purchase anything; nor will we every interview you via text message. Any communication received from a Vytalize Health recruiter during your screening, interviewing, or selection process will come from an email ending in @vytalizehealth.com