Clinic Quality-ACO Specialist

Goodland Regional Medical Center•Atwood, KS

About The Position

The Clinic Quality – ACO Specialist supports Goodland Family Health Center and Rawlins Clinic-Atwood in meeting value-based care goals by improving patient outcomes and care coordination, managing costs, and supporting regulatory compliance. The position coordinates and schedules patient appointments with an emphasis on preventive care, care coordination, and population health management goals specific to the Accountable Care Organization (ACO) model. It also supports initiatives to improve outcomes and efficiency across a network of providers. The role includes proactive outreach and scheduling for preventive screenings, chronic care follow-ups, Annual Wellness Visits, and high-risk patients. It coordinates appointments, referrals, laboratory services, and follow-up activities; documents ACO-related scheduling and patient refusals in the EHR; and reports care-gap progress and scheduling challenges to leadership. The specialist uses phone, text, and email outreach and works in a fast-paced, goal-oriented environment with performance measured against ACO quality and productivity targets. Significant time is dedicated to outbound phone calls and digital outreach. The position is full-time, hourly, and non-exempt, works Monday through Friday, and reports to the Clinic Coordinator. The specialist is expected to maintain confidentiality, follow organizational policies and professional standards, attend required training, and represent GRMC positively.

Requirements

High school diploma or GED.
Knowledge of medical terminology.
At least 1–2 years of experience in a medical office, clinic, or hospital setting.
Excellent verbal communication, customer service, active listening, and time-management skills.
Strong organizational skills and attention to detail.
Working knowledge of electronic health record systems.
Advanced knowledge of medical terminology related to preventive services and chronic disease management.
Working knowledge of value-based care concepts, quality metrics, and population health management.
Ability to handle high-volume patient outreach and maintain a positive, empathetic demeanor.
Ability to analyze population health reports and prioritize outreach.
Comfort navigating multiple digital platforms simultaneously.
Ability to clearly explain preventive services and chronic care appointments to patients.

Nice To Haves

Associate’s degree in a healthcare-related field.
Previous experience working with an ACO, Managed Care, or Value-Based Care organization.
Medical Assistant (MA) or similar clinical certification.

Responsibilities

Identify, prioritize, and proactively schedule patients due for preventive screenings and chronic care follow-ups using population health registries and EHR data to close care gaps and meet ACO quality metrics.
Manage and schedule eligible patients for Annual Wellness Visits to support preventive care coding and risk adjustment documentation.
Identify and prioritize scheduling for high-risk patients, including recently discharged patients who need follow-up within 7–14 days and patients with multiple chronic conditions.
Coordinate appointments, referrals, laboratory services, and follow-up activities with other departments and clinical teams.
Document scheduling notes to indicate the ACO quality metric related to the appointment.
Accurately document patient refusals for care, screenings, or Annual Wellness Visits using standardized EHR templates.
Report care-gap closure progress and scheduling challenges to clinical and administrative leadership to support process improvement.
Use phone, text, email, and other specified communication tools for patient outreach and communication with ACO teams.
Maintain a professional, customer-friendly environment and treat patients and families with respect and dignity.
Follow organizational policies and procedures, including quality assurance, safety, and infection-control standards, and communicate relevant clinic policies to patients and families.
Participate in required in-service training and other professional development opportunities as assigned.
Manage high-volume patient outreach persistently while responding to unanswered outreach and refusals with a positive, empathetic demeanor.
Analyze population health reports and prioritize outreach lists based on urgency and potential impact on ACO performance metrics.
Navigate multiple digital platforms simultaneously, including EHR, population health, scheduling, and communication platforms.
Explain the value and necessity of preventive services and chronic care appointments to motivate patient participation and address scheduling barriers.
Perform other duties as assigned by management.
Maintain confidentiality, complete annual education and in-services on time, represent GRMC professionally, and comply with hospital policies regarding ethical business practices.