Value-Based Care Operations Specialist (Attribution & Performance)

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<div class="isg-job-description“>The Attribution Reconciliation Coordinator is the dedicated subject-matter expert and operational owner of Triad HealthCare Network’s (THN) patient-to-provider attribution and reconciliation program. This role is critical to THN’s success in value-based care contracts. The coordinator will operationalize, maintain, and continuously improve standardized attribution reconciliation policies, workflows, and tools (including Salesforce) across all major payers (e.g., UnitedHealthcare, Humana, Aetna, Cigna, BCBS, ACO Reach, Devoted, HTA). The position drives discrepancy resolution, ensures compliance with payer-specific attribution rules, reduces financial risk exposure, and strengthens network integrity by aligning payer attribution logic with THN’s clinical and operational realities.

Essential Job Function

education

experience

Licensure/Certification/Listing

• Preferred: PMP certification and/or Lean Six Sigma certification

Cone Health is an Equal Opportunity Employer and committed to providing equal opportunity employment opportunities for applicants and employees. All employees and applicants for employment will be evaluated on the basis of their qualifications, ability, and performance without regard to race, religion, age sex, sexual orientation, gender identity, veteran’s status, ethnicity, national origin, disability, color, or as otherwise protected by law.

 

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