Manage relationships and performance improvement for assigned ACO partner practices and facility operators, using financial, utilization, clinical, quality, attribution, and risk adjustment data to set goals and guide measurable action plans. Coach partners, lead performance reviews and education, and coordinate with internal clinical, quality, coding, analytics, revenue cycle, and contracting teams to improve ACO outcomes.
The ACO Coding Manager oversees accurate diagnosis coding and clinical documentation integrity to support risk adjustment performance across value-based care programs. This role involves conducting medical record audits, analyzing coding data, and delivering educational programs to providers and clinical teams.
The ACO Quality Manager monitors organizational performance against CMS quality measures and conducts medical-record audits to ensure compliance and documentation accuracy. They also develop educational programs for clinical staff and collaborate with cross-functional teams to improve quality outcomes and close care gaps.
Manage and grow relationships with skilled nursing facilities, provider groups, and community partners, including conducting engagement meetings and supporting onboarding and ongoing participation in the ACO program. Coordinate with internal teams to advance regional growth and provider alignment, support CMS compliance, and represent the organization at industry and community events.
The Credentialing Assistant provides administrative support by managing credentialing communications, facility recredentialing outreach, and application intake. They are also responsible for maintaining provider records in Salesforce and monitoring expired licenses to ensure departmental compliance.
