About The Position

Cahaba Medical Care Foundation is a community health center organization providing medical, pharmacy, dental, and behavioral health services to diverse underserved communities in Jefferson, Bibb, Perry, and Chilton counties. We are a Level 3 Patient-Centered Medical Home and Joint Commission accredited organization, committed to increasing integration and coordination of behavioral health and primary care. This is an exciting, fast paced practice with a strong mission and commitment to providing high quality care. This position requires a mission-driven and detail-oriented Advanced Practice Provider (APP) to serve as our lead clinician for Medicare Annual Wellness Visits (AWVs), preventive care services, and related quality initiatives. This is a high-impact position designed to help our organization improve preventive care rates and quality outcomes across all 28 Cahaba Medical Care clinics.

Requirements

  • Certified Nurse Practitioner or Physician Assistant with active Alabama license.
  • At least 2 years of experience preferred, particularly in outpatient primary care, geriatrics, or quality improvement.
  • Strong understanding of Medicare Annual Wellness Visit components and CMS documentation requirements.
  • Exceptional attention to detail and follow-through.
  • Willingness and ability to travel to multiple clinic locations across Central Alabama (reliable transportation required).
  • Demonstrated commitment to underserved populations and mission-driven care.
  • Comfortable working independently while coordinating with a multidisciplinary team.

Nice To Haves

  • Experience with value-based care, quality metrics (e.g., HEDIS, STAR ratings), and population health initiatives.
  • Familiarity with payer-specific documentation or HCC coding workflows.
  • Training or teaching experience (e.g., MA or provider education) strongly valued.
  • Spanish language proficiency is a plus but not required.

Responsibilities

  • Perform in-person Medicare Annual Wellness Visits and other preventive care visits across Cahaba Medical Care sites.
  • Ensure all required elements of AWVs are accurately completed, documented, and submitted per payer and CMS guidelines.
  • Submit insurer-specific forms and documentation in payer portals (e.g., closing care gaps, diagnosis attestation, HCC coding updates, etc.) to ensure loop closure.
  • Collaborate with the Quality Team to ensure visits meet internal quality standards without additional remediation.
  • Serve as a clinical resource and subject matter expert for AWVs, helping to train Medical Assistants, front-desk staff, and fellow providers on workflow best practices.
  • Identify system barriers to completion of AWVs and work collaboratively to improve clinic workflows and efficiency.
  • Support Cahaba Medical Care's system-wide goal of achieving a defined percentage of Medicare AWV completion prior to the calendar year's end (goal to be determined annually).
  • Provide occasional care for acute, walk-in visits if clinically appropriate and needed on-site.
  • Participate in organizational quality and training initiatives, special projects, and data-driven improvement work related to population health.

Benefits

  • Mileage reimbursement for travel to multiple Cahaba Medical Care sites across Central Alabama.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Industry

Ambulatory Health Care Services

Education Level

Master's degree

Number of Employees

251-500 employees

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