Provider Advisors

The Provider Performance Advisor serves as a trusted advisor and consultant to healthcare provider practices, helping improve operational performance, quality outcomes, patient care, and value-based care performance. The role analyzes population health data, performance metrics, and practice workflows to identify improvement opportunities, drive practice transformation, support sustainable behavior change, and deliver measurable results.

• Support provider practices in implementing value-based care programs and performance improvement strategies.
• Improve access to care, preventive care, chronic condition management, and overall quality outcomes.
• Support efforts to reduce avoidable hospital and emergency department admissions and readmissions.
• Improve appropriate medical coding, documentation, and billing practices.
• Align provider practices with quality and performance goals.
• Establish and monitor weekly, monthly, and annual operational performance goals.
• Evaluate practice behavior changes and quality performance against established targets.
• Analyze population health data and present performance results to practice and organizational leadership.
• Identify barriers to performance and recommend practical improvement strategies.
• Drive sustainable operational and behavioral change through practice transformation.
• Monitor, document, and report practice progress and recommend next actions.
• Support effective use of population health management tools and digital data systems.
• Facilitate implementation of digital data retrieval and integration processes.
• Train and support provider practices on performance improvement and value-based care strategies.
• Build strong relationships with physicians, practice leadership, and clinical staff.
• Collaborate with internal teams and maintain feedback loops regarding provider performance and improvement activities.

• Bachelor's degree in Business, Public Health, Healthcare, or a related field, or equivalent experience.
• 3+ years of healthcare industry experience, preferably in provider practice management, quality, medical assisting, coding, or revenue cycle.
• At least 1 year of experience with Medicaid/Medicare value-based care and population health management.
• Experience with HEDIS and STARs quality measures.
• Knowledge of medical coding, billing, and revenue cycle processes.
• Experience with EHR/EMR systems.
• Demonstrated ability to drive practice transformation and performance improvement.
• Strong provider engagement, consulting, communication, and relationship-building skills.
• Ability to analyze performance data and translate findings into actionable improvement strategies.
• Practice management experience is preferred.
• Healthcare quality certification such as CPHQ is preferred.
• Medical Assistant credentials or experience are preferred.
• Experience with EMR template development is preferred.