Alternative Payment Model Coordinator...

Henry Ford Health System
Troy, MI, United States
3 months ago

Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Experience level
Experienced
Experience required
2 years minimum
Working hours
Regular working hours
Job source

Tech stack

Microsoft Excel Software Documentation Data Systems Payment Systems Healthcare Effectiveness Data and Information Set Microsoft Office Microsoft PowerPoint Microsoft SharePoint Electronic Medical Records Tools for Reporting

Job description

The Alternative Payment Model (APM) Coordinator supports the planning, implementation, and ongoing management of value-based care programs and alternative payment models across the organization. This role ensures accurate tracking of quality metrics, financial performance, reporting requirements, provider engagement, and compliance with payer and government program expectations. The APM Coordinator works closely with clinical, operational, financial, and analytics teams to improve outcomes and support organizational success in value-based arrangements., + Coordinate activities related to CMS, commercial, and Medicaid/Medicare Advantage APMs (e.g., Shared Savings, Bundled Payments, PCMH, ACO programs).

  • Maintain program timelines, deliverables, reporting requirements, and communication workflows.

  • Support readiness assessments and implementation plan for new APM contracts or performance years.

  • Tracks impactful program elements such as payment timelines & notification requirements.

  • Monitor quality, cost, utilization, and risk-adjustment metrics tied to APM performance.

  • Collaborate with analytics teams to validate data accuracy and identify trends or performance gaps.

  • Assist in preparing dashboards and reports for clinical leadership and executive teams.

  • Provider & Stakeholder Engagement.

  • Serve as a liaison between clinical teams, administrative staff, payers, and leadership regarding APM activities.

  • Coordinate provider education on program requirements, quality measures, risk coding, and performance updates.

  • Support communication plans that drive provider alignment and engagement in APM initiatives.

  • Ensure compliance with payer program guidelines, CMS reporting expectations, and contract requirements.

  • Maintain accurate program documentation, audit files, and policy materials.

Assist with preparation of materials for internal and external audits.

  • Operational Support.

  • Facilitate regular APM meetings, prepare agendas, track action items, and drive accountability.

  • Support cross-functional teams with workflow development, documentation updates, SOPs, and improvement initiatives.

  • Monitor deadlines, submissions, and payer notifications to ensure timely completion.

  • Perform additional responsibilities as assigned.

Requirements

  • Bachelor’s degree in healthcare administration, Business, Public Health, or related field (or equivalent experience).

  • Minimum of two (2) years of experience in healthcare administration, population health, value-based care, managed care, or quality improvement.

  • Understanding of APM concepts such as shared savings, bundled payments, risk adjustment, HEDIS measures, and value-based contracts.

  • Strong analytical, organizational, and project coordination skills.

  • Proficiency with Microsoft tools (Excel, Teams, SharePoint, PowerPoint) and data systems.

  • Excellent verbal, written, and interpersonal communication abilities.

  • Experience with CMS Innovation Center models, ACOs, or pay-for-performance programs, preferred.

  • Familiarity with healthcare quality frameworks (NCQA, HEDIS, CMS Star Ratings, MIPS), preferred.

  • Experience working with EMRs, population health platforms, or analytics tools, preferred.

  • Project management or lean process improvement experience/certification (e.g., CAPM, Lean Six Sigma), preferred.

Benefits & conditions

The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

committed to the hiring, advancement and fair treatment of all individuals without regard to

About the company

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services - from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers .

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