Clinical Transformation Coordinator

The Clinical Transformation Coordinator supports Bon Secours Medical Group (BSMG) in managing preventive and chronic care through patient-centered medical home and population health strategies. The coordinator works with providers, practice managers, and office staff to review quality metrics, identify gaps in care, and ensure accurate documentation and submission of required data.

This role supports quality performance for payer-based incentive programs and value-based care initiatives, including the Medicare Shared Savings Program (MSSP). The coordinator also assists with implementing new and updated quality program requirements to improve performance, care coordination, and patient outcomes.

Responsibilities

• Coordinates with the Clinical Transformation Lead Coordinator to meet all needed deliverables for the BSMG Quality Incentive Programs and value-based payment program metrics.
• Meets monthly with the Clinical Transformation Lead Coordinator to review missed quality opportunities and create a strategy to engage with patients with poor compliance for health maintenance topics.
• Distributes and tracks bimonthly QIP reports to practice managers and uploads required supporting documentation directly into payer portals on behalf of the BSMG practices.
• Reviews all attributed patients and coordinates with the primary and specialty care physician for opportunities to impact the total cost of care for the patient and improve internal care coordination efforts.
• Tracks attributed patient reports to meet all assigned annual and monthly requests for patient information and HEDIS specific metrics.
• Performs chart reviews as necessary for supplemental data submissions as part of the QIP and VBP programs and document patient specific details directly into the appropriate portal for review.
• Help organize, update, and maintain provider rosters, compliance tracking logs, and program documentation.
• Supports the Population Health team on quality and regulatory activities and related projects including payers and internal data management support.
• Orients new medical group staff members on the clinical transformation process and assist with the understanding of standardized best practice work flows, and provide guidance on how to effectively utilize the EMR system.
• Maintain accurate documentation, perform chart/data reviews, and track performance goals to secure maximum incentive . Qualifications/Requirements: Experience: 2 years prior experience working in an ambulatory care patient setting preferred.

Education

High school diploma or equivalent required. Bachelors’ Degree preferred. Licenses / Certifications: N/A Other: Proficient in Microsoft Office – Word, PowerPoint and Excel required. Experience with Epic EMR

• Preferred. Change Management skills are essential. Excellent analytical skills for data analysis and presentations . Excellent oral and written communication skills . Exhibit sharp attention to detail and accuracy Special Requirements: N/A