Quality Performance Consultant - lvl 1

About the role

The Quality Performance Consultant (QPC) supports quality performance improvement across Cone Health Medical Group, THN-affiliated practices, and independent primary care practices participating in value-based contracts. QPCs monitor performance across contracts and by quality measure at the network and practice level, use performance data to identify opportunities for improvement, and serve as subject matter experts on HEDIS and other contractual quality measures. The role centers on educating providers and practice teams, optimizing workflows, improving documentation, and supporting quality-driven patient care.

QPCs work directly within primary care practices every month with a structured, quality-driven agenda and ongoing follow-up to improve quality outcomes, patient experience, and cost control.

Responsibilities

• Serves as the primary quality performance partner for assigned practices, owning relationship management and continuity.
• Coordinates touchpoints, follow-ups, and escalations for assigned clinics in partnership with QPS and practice leadership.
• Serves as a liaison between IT support for EMRs quality aspects and quality tools (InNote, Innovaccer) and the clinics.
• Monitors overall contract performance and measure-level performance at network and practice levels. Uses performance data and dashboards to surface opportunities, risks, and trends.
• Supports new clinic and provider onboarding for 2 full days and provides on-site assistance and education.
• Educates practices on contractual quality expectations and how performance is calculated.
• Serves as subject matter expert on HEDIS and other contractual measures; answers provider and staff questions.
• Clarifies documentation standards and workflow steps required for measure success, including:
  • Preventive care measures (e.g., control high blood pressure)
  • Pharmacy measures (e.g., medication adherence)
  • Patient experience measures (e.g., provider well-informed about specialist care)
  • Utilization measures (e.g., emergency department utilization)
• Conducts monthly onsite visits to each assigned primary care practice with a quality-driven agenda, including additional site visits as needed.
• Presents data including:
  • Star rating by payer (Practice Dashboard)
  • Member gap lists (Practice Dashboard)
  • Agnostic performance by measure (Practice or Payer Dashboard)
  • Performance by measure by payer (Practice Dashboard)
• Facilitates prioritization, action planning, and follow-up to drive measurable improvement.
• Supports practices in using Innovaccer dashboards to monitor performance and generate patient lists.
• Partners with practices to identify opportunities, set individualized quality improvement goals, and design workflows to improve care and control costs.
• Provides education and optimization support for Epic EMR and other EMR quality workflows: documentation standards, OPAs, health maintenance, reporting/registries.
• Provides guidance for other EMRs used by assigned clinics to ensure quality documentation standards are met.
• Supports InNote and other quality-related tools, including assisting practices with questions and creating or hosting OneNote fast facts in a repository accessible by practices.
• Operationalizes and supports the Pathway to Performance Improvement (PPI) Program with THN-affiliated practices.
• Creates and maintains one-page reference guides, how-to tools, and workflow job aids. Uses established one-pagers and training materials; escalates issues appropriately.
• Receives guidance from intermediate and senior consultants, working with them on larger projects and initiatives.

Requirements

• Bachelor’s degree in a related field, or an additional 4 years of equivalent education and/or professional experience in lieu of a degree.

Preferred Qualifications

• 2 years of experience in healthcare operations, ambulatory clinic support, population health, or quality experience.