Mips Advisor Jobs in Georgia (NOW HIRING)

Position Summary:

The Network Performance Manager is responsible for supporting sophisticated primary care organizations in optimizing contract performance, developing and maintaining key relationships, and aligning with value-based care models to drive continual improvement. This role guides practices through transformation efforts such as achieving high HEDIS measures, implementing population health strategies, and optimizing workflows to support sustainable, high-quality care. This role is a trusted advisor to strategically significant practices, using financial, risk, utilization, & quality data to influence practice outcomes.

Key Responsibilities:

• Partner with primary care practices to assess baseline performance, identify gaps, and co-develop transformation strategies aligned with value-based care goals.
• Guide practices through HEDIS quality measure improvement, payer-aligned initiatives (e.g., MIPS, ACO participation, time-sensitive incentive programs) and service line offerings.
• Coach clinical and administrative staff on quality improvement methodologies and support ongoing performance improvement initiatives.
• Analyze clinical and operational data to inform decision-making, support risk stratification, and monitor progress toward quality and cost benchmarks.
• Assist practices in leveraging electronic health records (EHRs) and population health tools to support care coordination, patient engagement, and reporting.
• Facilitate virtual coaching sessions, collaborative learning opportunities, and site visits across practices to share best practices and problem-solve challenges.
• Act as a liaison between primary care practices and payers on performance, VBC initiatives, and performance to goals.
• Assist with workflows, care team optimization, referral management, and other practice operations impacting quality and efficiency.
• Prepare leadership reporting package related to contract performance.

Qualifications:

Education & Experience:

• Bachelor's degree in Nursing, Public Health, Healthcare Administration, Business, or a related field required.
• 4–7 years of experience in healthcare transformation, clinical quality improvement, and primary care operations.
• Experience working directly with primary care practices or in a practice facilitation role is highly preferred.

Skills & Competencies:

• Strong understanding of primary care delivery, patient-centered care models, and value-based payment programs.
• Familiarity with HEDIS measures, MIPS, and CMS primary care initiatives (e.g., MSSP, ACO REACH).
• Excellent coaching, communication, and relationship-building skills with clinical and non-clinical staff.
• Proficiency in interpreting and using data to drive quality improvement.
• Knowledge of EHR functionality and workflows in primary care settings.
• Ability to manage multiple projects independently and in coordination with cross-functional teams in a mixed remote and in-person capacity.

Work Environment:

• 25 – 50% Travel to primary care practice sites is required.
• Remote work in a home office.
• Occasional travel to Atlanta or Nashville corporate offices for meetings and events.

Benefits:

• Medical, dental, and vision insurance.
• 401K with company match.
• STD, LTD, Life Insurance.
• Paid Time Off and Paid Holidays.

Equal Opportunity Employer:
Citadel Health is an equal opportunity employer and values diversity in the workplace.