The Structural Heart Advanced Clinical Provider (ACP) provides clinical care and coordination throughout the patient journey, including referral, evaluation, Heart Team review, intervention, discharge, and follow-up. The NP or PA works with interventional cardiology, cardiothoracic surgery, imaging, nursing, and other partners to support safe, timely patient care. Cardiology or cardiovascular experience is preferred, and Structural Heart experience is a plus but is not required. The position performs functions and technical procedures necessary for patient admission, assessment, diagnosis, treatment, follow-up, and outcome evaluation. It also participates in performance improvement, research, and educational activities. Program pathways may include TAVR, transcatheter mitral and tricuspid therapies, and PFO/ASD closure, as applicable. The role supports Structural Heart program quality and registry responsibilities, including developing competency in STS/ACC TVT Registry data requirements, maintaining accurate clinical documentation, collecting data, and conducting longitudinal follow-up. The provider works with the registry and quality team to address missing information and support outcomes, reporting, and improvement, and participates in case conferences, process improvement, and program growth.