Hiring: Provider Partnership Representative

Job Description: Provider Partnership Representative

Supporting Provider Engagement & Performance in Value-Based Care

Position Overview

The Provider Partnership Representative plays a critical role in supporting Accountable Care Organization (ACO) performance under the CMS Medicare Shared Savings Program (MSSP). This role serves as the primary liaison between the ACO and participating providers, focusing on relationship-building, engagement, and performance improvement.

By aligning clinical, operational, and data-driven insights, the Provider Partnership Representative helps ensure providers understand their performance metrics, adopt best practices, and remain actively engaged in initiatives that support shared savings and quality outcomes.

Core Responsibilities

The Provider Partnership Representative is responsible for fostering strong, trusted relationships across the provider network while supporting measurable performance improvement.

Key responsibilities include:

• Building and maintaining ongoing relationships with participating providers, practice leaders, and care teams

• Reviewing provider-level quality, cost, and utilization data to identify trends, gaps, and improvement opportunities

• Facilitating discussions around care coordination strategies, workflow optimization, and best practices tied to MSSP performance

• Delivering consistent updates and resources related to ACO initiatives, CMS program requirements, and measure changes

• Partnering with internal teams to align provider outreach, interventions, and support strategies

• Summarizing provider engagement outcomes and performance findings for ACO leadership and governance committees

Systems, Data & Access

This role is granted access to a wide range of systems and data resources required to support organizational operations and performance analysis.

Authorized access may include, but is not limited to:

• Salesforce

• Monday.com

• SharePoint

• Inky Secure Email Encryption

• Extracted CMS claims data

• Health Information Exchanges (HIE)

• Lab extracts

• Participating provider EMRs

  
  

These tools enable effective workflow management, data-driven decision-making, and meaningful contributions to both operational and clinical effectiveness.

Key Performance Indicators

Success in the Provider Partnership Representative role is measured through outcomes that directly impact ACO performance, including:

• Provider engagement and satisfaction levels

• Improvement in quality and cost metrics

• Timely completion of provider performance reviews

• Provider participation rates in ACO initiatives, education, and learning sessions

Qualifications & Experience

The ideal candidate brings experience in value-based care environments and a strong understanding of CMS programs.

Preferred qualifications include:

• Bachelor’s degree in healthcare administration, nursing, public health, or a related field(Master’s degree preferred)

• 3–5+ years of experience in ACOs, value-based care models, or provider network management

• Working knowledge of CMS MSSP program structure, quality measures, and attribution methodology

• Strong communication, data interpretation, and relationship management skills

Reporting Structure

• Reports to: VP of Operations

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Please email resume to Crystal Eubanks, VP of Operations at ceubanks@valueservicesmgmt.com.