Quality Claims Analyst (Remote)

Votion, headquartered in Tampa, FL, was founded in 2006 by physicians for physicians with a mission of Better Health. Under the parent company, Better Health Group Services, Votion is one of the leading national primary care platforms enabling payors and providers to transition to value-based care.

We help empower independent physicians by providing the tools, insights, and processes needed, so they can spend more time with patients while increasing earnings.

Driven by our mission to transform sick care into Better Health care, Votion delivers 5-Star outcomes to more than 140,000 lives across eight states for Medicare Advantage, Medicare ACOs, Medicaid, and Commercial Insurance.

(Remote - FL preferred- occasional on-site, Tampa for team events)

The Role

We will teach you how to drive documentation and coding improvement initiatives, develop recommendations for risk adjustment remediation plans and create tools and databases to capture relevant data for assigned markets; supporting specific goals and initiatives. You will work collaboratively with each regional assigned team and their leadership to achieve these goals. You will be supported by MD and RN Provider Educators.

Our Quality Analysts (QA) directly support the Quality Operations Team and Physician Partners LLC goals. Some of our responsibilities include and are not limited to:

• Provide support to an assigned market of medical offices to assist and ensure all members get the best possible care
• Patient statuses, verification that 5 Star checklist and progress note has been submitted and that all conditions have been satisfied per documentation guidelines
• Responsible for building and maintaining beneficial relationships with assigned market teams
• Prepared to participate in creation of the pre-recorded [standardized] presentations delivered to medical office champions (OC) regarding Quality workflows, tools and programs
• Work collaboratively with internal Field Operations team to establish (remotely from central office)
• Maintain and facilitate recurring QA/OC huddle with assigned medical offices based on group membership frequency expectation
• Working collaboratively with VIPcare (as applicable) and Physician Partners LLC Teams to support success of Physician Partners LLC programs
• Successfully communicate the following to designated office champions (via recorded video conferences):
• Leverage quality tools to understand and communicate patient statuses to medical offices (in collaboration with Field Ops or independently as guided by Quality Team Manager)
• Demonstrate successful navigation, maintenance and use of software applications relevant to team goals (ie: Google Suite, Microsoft and proprietary tools)

Education/Skill Requirements

• Medical Assistant, CMA, CNA or MEDIC/prior Combat Medic experience a plus.
• Experienced in Excel, Google Sheets
• Demonstrated excellent written and verbal skills
• Ability to be adaptable and flexible to the ever-changing regulations of healthcare
• Ability to thrive in a fast-paced environment
• Demonstrated STRONG organizational skills and attention to detail
• High School Diploma / GED (or higher) or equivalent work experience.
• Demonstrated ability to problem solve and think critically

Compensation & Benefits

• Base salary with bonus eligibility
• 401k, with employer match
• Paid holidays
• Paid time off
• Medical, dental, vision, disability and life

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