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Job Description:
Position Summary
The Practice Success Facilitator (PSF) serves as the central point of contact between Colorado Community Health Alliance (CCHA) and Primary Care Medical Providers (PCMPs). The PSF provides administrative, operational, and quality improvement support to advance care delivery, drive performance in Value-Based Payment (VBP) programs, reduce administrative burden, and enhance Health First Colorado (Colorado’s Medicaid program) Member outcomes. This role supports a large and diverse provider network with varying capabilities, infrastructure, and readiness for transformation, requiring strong adaptability, prioritization, and relationship management skills. The PSF is expected to support at least 20 practices at any given time.
Essential Functions
- Practice Relationship Management & Practice Support
- Conducts onboarding and orientation for new primary care practices.
- Serves as the primary point of contact for assigned Network Providers for topics including, but not limited to, the Accountable Care Collaborative, CCHA participation agreement, VBP strategies, attribution, practice transformation, and CCHA and State reporting.
- Maintains open, proactive communication with Network Providers and internal CCHA partners.
- Supports practices with varying levels of infrastructure and readiness by adapting communication, training, and support approaches to meet practices where they are.
- Links practices to internal and external resources to meet specific operational or clinical needs.
- Shares screening tools, clinical guidelines, evidence-based practices, templates, community resource inventories, and care coordination tools to support practice success in VBP.
- Serves as a subject matter expert on the Accountable Care Collaborative, CCHA participation agreement, VBP and QI strategies, attribution, and practice transformation.
- Provides guidance on Medicaid eligibility, covered benefits, state-plan services, EPSDT, HCBS Waiver services, billing and claims, PCMP designation, Member attribution, and referral/authorization processes.
- Assists Providers with resolving administrative or system barriers, including Medicaid provider enrollment, Prescriber Tool navigation, eConsult workflows, Member eligibility issues, and billing questions.
- Identifies opportunities to reduce administrative burden and aligns activities with other RAEs and statewide initiatives.
- Educates Providers on Department and CCHA data systems, including but not limited to PEAK/PEAKHealth, regional HIE, eConsult, Prescriber Tool, SHIE, and other state-supported HIT platforms.
- Practice Transformation, Quality Improvement (QI), & VBP Support
- Establishes clear, measurable goals with Provider teams aligned with CMS Core Measures, Department priorities, population health goals, and practice-level objectives.
- Facilitates QI projects using evidence-based methodologies and supports adoption of team-based care, integrated care models, chronic disease self-management, and workflows for behavioral health integration.
- Supports practices in integrating HIT tools into workflows and identifies gaps in tool functionality within Provider EHRs.
- Supports practices in evaluating readiness and progressing through transformation milestones.
- Establishes, guides, and, as needed, facilitates QI activities within practices, utilizing outcome and quality data .
- Educates providers on payment methodologies, rate calculation, performance incentives, PMPM payments, quality-based payments, and shared savings.
- Helps Providers interpret health outcome metrics and adopt clinical and workflow strategies to improve performance.
- Supports PCMPs with the annual completion of the PCMP Practice Assessment tool.
- Meeting Facilitation and Knowledge Dissemination
- Convenes, coordinates agenda and facilitates in-person and/or virtual Practice Success Leadership Meetings for assigned practices with internal teams and practice representatives.
- Facilitates, as-needed, practice-level QI Teams and manages improvement team meetings to become self-sufficient without coaching support.
- Develops, promotes and facilitates topic-specific PCMP Learning Collaboratives.
- Assesses and documents practice progression through identified tools and databases.
- Monitors practice performance including goals and objectives that align with initiatives.
- Summarizes and disseminates lessons learned by way of team updates, written reports, and presentations.
- Knowledge, Skills and Abilities:
- Deep understanding of fee-for-service and capitated healthcare delivery systems, primary care, behavioral health integration, and practice operations.
- Strong ability to support a wide range of providers—from highly advanced systems to small independent practices—using tailored approaches.
- Knowledge of Medicaid policy, managed care, value-based payment, and care coordination.
- Ability to analyze and explain data, reports, and key performance indicators (KPIs) to Providers.
- Strong facilitation, training, presentation, and communication skills.
- Ability to manage a large number of assigned Network Providers with varied capabilities while maintaining responsiveness and service quality.
- Project management expertise and strong problem-solving skills.
- Excellent customer service and teamwork skills.
- Self-motivated and self-managed.
- Proficiency in Microsoft Office Suite.
- Qualifications:
- Bachelor’s degree in healthcare-related field or equivalent experience in healthcare
- 2–3 years of experience in quality improvement, practice transformation, or healthcare operations.
- Master’s degree in Public Health, Health Administration, Business Administration or related field is preferred
- Experience supporting primary care and/or specialty care practices strongly preferred.
- Availability for morning and evening meetings and in-person travel (at minimum monthly).
- A valid unrestricted drivers’ license.
- Home office that is HIPAA compliant for all remote or telecommuting positions as outlined by the company policies and procedures.
Salary Range:
$59,155.20- $78,884.00