Population Health & ACO Lead

About the Job:

• Maintain accurate patient and provider rosters; reconcile attribution and eligibility questions with authorized practice and ACO contacts.
• Organize patient engagement and voluntary-alignment workflows using approved materials, preserving patient choice and tracking status through confirmed submission.
• Maintain a calendar of applicable deadlines rather than assuming every program follows the same rules.

• Create prioritized outreach and care-gap worklists, support annual wellness and preventive-care planning, and help identify transition and utilization follow-up needs.
• Review quality and utilization reports, distinguish data problems from care needs, and provide concise dashboards with clear owners and next steps.
• Support accurate, clinically supported documentation and coding in partnership with providers and billing staff—not unsupported diagnosis capture.

• Coordinate with the physician-owner, practice leadership, nursing, scheduling, billing and the clinical-systems lead.
• Clinical decisions remain with licensed clinicians.
• Routine staffing and front-desk coverage are outside this role’s core assignment.
• Use approved access, protect patient information and document processes so the work remains dependable when someone is away.

• Demonstrated ACO, population health, quality improvement, care-management operations or value-based primary care experience.
• A clinical, health administration, public health, business or related degree is preferred; relevant practical experience matters.
• Strong spreadsheet/reporting skills, attention to detail and the ability to turn an uncertain data issue into a documented resolution are essential.
• APRIMA familiarity and experience supporting older or medically complex populations are valuable.

• Part-time hours, compensation, on-site needs and any remote component are agreed during recruitment. A fractional engagement may be appropriate for an experienced specialist.
• Employee benefit eligibility depends on employment status, hours and plan terms.
• Work directly with a physician-owner whose practice integrates adult primary care, geriatrics, behavioral health and serious-illness care.