Population Health & ACO Lead

MedMatch•Novi, MI

2d•Hybrid

About The Position

Turn population data into practical action for patients and clinicians. This role involves maintaining accurate patient and provider rosters, organizing patient engagement workflows, and managing a calendar of applicable deadlines. The lead will also make data useful by creating outreach worklists, supporting care planning, and identifying utilization needs. Reviewing quality and utilization reports, distinguishing data problems from care needs, and providing concise dashboards are key responsibilities. Additionally, the role supports accurate documentation and coding in partnership with providers and billing staff, and coordinates with various practice teams. Clinical decisions remain with licensed clinicians, and routine staffing/front-desk coverage are outside this role's scope. The lead must protect patient information and document processes for continuity. The position offers part-time hours, with compensation, on-site needs, and remote components agreed upon during recruitment. A fractional engagement may be suitable for an experienced specialist. Employee benefit eligibility is dependent on employment status, hours, and plan terms. The role involves working directly with a physician-owner whose practice integrates adult primary care, geriatrics, behavioral health, and serious illness care.

Requirements

Demonstrated ACO, population health, quality improvement, care-management operations or value-based primary care experience.
Strong spreadsheet/reporting skills, attention to detail and the ability to turn an uncertain data issue into a documented resolution are essential.
APRIMAfamiliarity and experience supporting older or medically complex populations are valuable.

Nice To Haves

A clinical, health administration, public health, business or related degree is preferred; relevant practical experience matters.

Responsibilities

Maintain accurate patient and provider rosters; reconcile attribution and eligibility questions with authorized practice and ACO contacts.
Organize patient engagement and voluntary-alignment workflows using approved materials, preserving patient choice and tracking status through confirmed submission.
Maintain a calendar of applicable deadlines.
Create prioritized outreach and care-gap worklists, support annual wellness and preventive-care planning, and help identify transition and utilization follow-up needs.
Review quality and utilization reports, distinguish data problems from care needs, and provide concise dashboards with clear owners and next steps.
Support accurate, clinically supported documentation and coding in partnership with providers and billing staff.
Coordinate with the physician-owner, practice leadership, nursing, scheduling, billing and the clinical-systems lead.
Use approved access, protect patient information and document processes so the work remains dependable when someone is away.