Risk Adjustment Practice Support Specialist

Astrana Health, Inc.•Orange, CA

41d•$30 - $35•Hybrid

About The Position

The Risk Adjustment – Practice Support Specialist plays a critical role in supporting healthcare delivery transformation across Prospect Medical Group’s provider offices within Orange County, Los Angeles County, and MSOs. This position blends on-site fieldwork (approximately 50% travel) with remote support to help practices improve documentation, workflow efficiency, and Annual Wellness Visit (AWV) performance. The Specialist serves as a trusted partner to physician practices by offering hands‑on technical assistance, training on the Cozeva platform, guidance on documentation standards, and support with analytics and reporting. This role is central to improving quality outcomes, patient experience, and successful participation in value-based reimbursement models. This role requires some travel - please refer to job description below. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team

Requirements

Reliable transportation and valid driver’s license
Ability to travel approximately 50% of the time within Los Angeles County (primarily Los Angeles, with occasional travel to the South Bay area as needed)
High school diploma or equivalent required.
Associate degree in Healthcare Administration, Public Health, or a related field OR equivalent work experience.
2+ years of experience in a healthcare setting such as physician practice, MSO, IPA, or health plan.
Experience supporting clinical workflows, documentation, or practice operations.
Experience working with Annual Wellness Visits (AWVs) and knowledge of CMS guidelines.
Prior experience conducting on‑site fieldwork, provider office support, or account management.
Experience collecting and reviewing medical records or encounter documentation.
Strong experience preparing and analyzing performance and tracking reports.
Proficiency with population health or analytics tools (e.g., Cozeva or similar platforms).
Microsoft Excel (reports, tracking logs, exporting data)
Outlook and Teams/Zoom for virtual sessions
Shared drive and document management
Ability to analyze data, identify gaps, and communicate performance outcomes.
Excellent verbal and written communication skills, especially when working with providers, NPs, office managers, and vendors.
Strong organizational and time-management abilities.
Ability to independently conduct training on Cozeva, documentation requirements, and AWV processes.
Experience coordinating multi-department initiatives such as embedded NP programs.
Valid driver’s license and ability to travel up to 50% within Orange and Los Angeles Counties.
Ability to work independently with minimal supervision.
Understanding of HIPAA and confidentiality standards.

Nice To Haves

Fluency in Spanish and/or Chinese (Cantonese/Mandarin)

Responsibilities

Conduct on-site and virtual visits with healthcare providers and office staff to support AWV performance, documentation, and workflow optimization.
Manage a caseload of physician practices, building trust and providing ongoing education and support.
Collect required medical records and documentation to address AWV gaps and incomplete submissions.
Document all visits, observations, and identified needs for practice improvement.
Prepare and maintain various performance and operational reports, including: Monthly progress and summary reports for assigned offices AWV incentive tracking (as required) PAF forms upon request Incomplete or rejected documentation reports Vendor reports for coordinator distribution
Create AWV calling lists for QCC outreach (priority lists, embedded clinic days, special projects, etc.).
Coordinate and collaborate with internal departments to support effective workflow and communication for the embedded NP program.
Partner with the NM team to support provider onboarding and clinic day preparation.
Coordinate vendor calling efforts and NP availability.
Collaborate with offices, NMs, and Regional Managers to resolve escalations.
Maintain and save progress reports, ensuring accuracy and accessibility.
Attend all meetings and calls related to the NP program.
Prepare and submit check requests to finance.
Order, track, and process incentive gift cards.
Prepare forms and distribute physical or e‑gift cards as needed.
Support provider offices in improving year-over-year AWV submission rates, targeting 80% for senior lines of business.
Utilize all available tools and resources to support Performance Programs initiatives.
Assist practices in identifying operational barriers that hinder encounter data capture.
Conduct practice assessments and use findings to guide workflow redesign and create SMART goals.
Recommend opportunities for improvement and assist with office workflow redesign to support efficiency and documentation accuracy.