Manager, Market Clinical Support

Join VillageMD as a Manager, Market Clinical Support (Remote)

Join the frontlines of today's healthcare transformation

Why VillageMD?

At VillageMD, we're looking for Manager, Market Clinical Support to help us transform the way primary care is delivered and how patients are served. As a national leader on the forefront of healthcare, we've partnered with many of today's best primary care physicians. We're equipping them with the latest digital tools. Empowering them with proven strategies and support. Inspiring them with better practices and consistent results.

We're creating care that's more accessible. Effective. Efficient. With solutions that are value-based, physician-driven and patient-centered. To accomplish this, we're looking for individuals who share our sense of excellence, are ready to embrace change, and never settle for the status quo. Individuals who have the confidence to lead but the humility to never stop learning.

Could this be you?

In this role, the Manager, Market Clinical Support will drive performance improvement and meet strategic performance objectives for quality and clinical documentation (risk adjustment) and panel / attribution management.  The position has a comprehensive knowledge of Government sponsored Quality and risk adjustment coding programs and the ability to implement and deliver results based on programs and initiatives. This role is responsible for market quality, clinical documentation, and panel / attribution management initiative implementation, identifying market education and workflow opportunities, and developing market action planning and centralized initiative development to support cross-market goal achievement.

How you can make a difference

• Facilitate implementation of market quality, clinical documentation, and panel / attribution management strategies, performance reporting, and education
• Guide market process improvement activities designed to optimize the efficiency and effectiveness of quality and clinical documentation, and panel / attribution management through daily, weekly, monthly standardized practices and market leader workflows & functions
• Collaborate with market and physician leaders to improve overall STARS ratings for Medicare products through metric-based monitoring and action planning (including HEDIS, CAHPS, HOS)
• Collaborate with market and physician leaders to optimize accuracy and thoroughness of clinical documentation through metric-based monitoring and action planning
• Collaborate with market and physician leaders on appropriate scheduling of patients and accuracy of payer attribution
• Provide feedback centric to market specific challenges and needs for cross-market strategy adjustment/alignment
• Inform on the implementation of cross-market new technological tools and processes
• Present results of improvement efforts and ongoing performance measures to market and provider leadership
• Identify and prioritize key quality performance indicators critical to our success under value-based partnerships
• Identify market education opportunities and facilitate trainings on quality improvement topics including documentation, workflow, integration, best practices etc.
• Serve as a Subject Matter Expert to market stakeholders on government quality programs and risk adjustment
• Maintain knowledge of current professional, regulatory, and industry trends to consult with internal and external stakeholders on standards and best practices

Skills for success

• Proven experience with market or account management program implementation, including identifying and deploying best practices in quality, coding, and risk capture
• Strong knowledge of CMS and STARS ratings requirements, and action planning for HEDIS, CAHPS and HOS
• Strong knowledge of CMS HCC Risk Adjustment Model and implementation of practice clinical documentation standards
• Prior success at partnering with market leaders and physicians in education and coaching around best practices and on developing action planning exercises to optimize market performance
• A keen interest in standardizing the way quality health care is administered to optimize the value-based patient experience through every patient encounter

Experience to drive change

• Bachelor's degree; Master’s degree preferred
• 5+ years of quality or risk adjustment management, quality improvement, or healthcare operations experience
• 5+ years of comprehensive knowledge regarding government sponsored quality and risk adjustment coding programs
• 5+ years of healthcare-aligned program management experience
• 5+ years with consulting market and clinical leadership on staff educational and developmental opportunities
• This role can be based in any major metropolitan area with a preference to one of VillageMD’s current markets; 25% travel is required

How you will thrive

In addition to competitive salaries, a 401k program with company match, bonus, and a valuable health benefits package, VillageMD offers paid parental leave, pre-tax savings on commuter expenses, and generous paid time off. You work in a highly-collaborative, conscientious, forward-thinking environment that welcomes your experience and enables you to make a significant impact from Day 1.

Most importantly, you make a difference. You see a clear connection between your daily work on VillageMD products and services and the advancement of innovative solutions and improved quality of healthcare for providers and patients.

Our unique VillageMD culture – how inclusion and diversity make the difference

At VillageMD, we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at VillageMD are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 

Those seeking employment at VillageMD are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Explore your future with VillageMD today.