Job Details

Position Summary:
We are seeking an ACO Practice Transformation Specialist to play a pivotal role in advancing value-based care initiatives across a clinical network. This role supports Accountable Care Organization (ACO) transformation efforts by guiding practices through operational redesign, quality improvement, and data-driven decision-making. The specialist acts as a liaison between health centers, leadership, and stakeholders to ensure alignment with ACO goals and performance metrics.

Key Responsibilities

1. Relationship Management

• Advise health center leadership, providers, and staff on transformation efforts.
• Monitor satisfaction, identify risks, and communicate appropriately.
• Act as a practice coach to support Model of Care integration and goals.
• Facilitate communication between HCN, health center staff, and stakeholders.
• Support compliance with Participation Agreements and Board Policies.

• Implement and support ACO initiatives such as wellness visits, transitions of care, and chronic disease management.
• Guide practices in achieving cost and quality goals.
• Lead workflow testing and refinement for sustainable

• Train staff on population health tools and ensure proficiency.
• Assist with development of reports and dashboards to track performance and productivity.
• Review KPIs and provide actionable insights for improvement.

• Conduct analysis of clinical, operational, and financial performance.
• Support predictive modeling, risk stratification, and data integrity.
• Use dashboards to educate stakeholders and drive performance improvement

• Associates Degree in a health-related field, Bachelors Degree preferred
• 3+ years' experience in practice redesign, process improvement, PCMH, quality improvement, ACO development, or ambulatory care
• Experience in value-based care, alternative payment models
• Strong communication, facilitation, and relationship-building skills
• Proficiency with EHRs, Microsoft Office, and healthcare data tools

• 4+ years in practice management/supervision, provider relations, or project leadership
• Knowledge and experience of Federally Qualified Health Centers (FQHCs)
• Process improvement methodology experience (LEAN, PDSA, Model for Improvement)
• Knowledge of risk adjustment, Medicare billing and coding rules
• Commitment to health equity and mission-driven work