Practice Transformation Coach

About the DVACO

Delaware Valley Accountable Care Organization (DVACO) is a limited liability joint venture corporation comprised primarily of two major health systems: Jefferson Health and Main Line Health, serving the Greater Philadelphia region and southern New Jersey. DVACO was accepted into the Medicare Shared Savings Program for the 2014 start year, and now includes 2,000 physicians serving over 180,000 lives. DVACO contracts with four commercial payers and serves Medicare beneficiaries, making it the region’s largest Accountable Care Organization. At the core of operations, DVACO is committed to working towards the achievement of the triple aim: better outcomes, better experiences, and smarter spending. Our culture embraces innovation of healthcare delivery models through collaborative work with physician practices, health systems and employee wellness programs.

Reporting to the Manager of Practice Transformation the Practice Transformation Coach supports Clinical Services and Operations Team in their effort to monitor outcomes and create ongoing performance improvement initiatives at DVACO. Will be working across DVACO and with multiple CINs and ACO Members, and multiple EMRs. Work as a member of the DVACO Team to study and monitor care processes in a quality infrastructure and use data to drive ongoing performance improvement throughout DVACO. Must be able to coordinate, interpret, and translate performance data, and critically review metrics; data should permit evaluation of opportunities to implement change and monitor ongoing results of clinical quality outcomes. Collaborate with DVACO Leadership team on ongoing opportunities for improvement in Clinical Operations, Quality, Risk Reduction, Patient Outcomes; this may be in response to regulatory, payer, entity & health system requests as it relates to clinical quality.

Responsibilities to include:

  • Primary administrative and project manager support for practice transformation using principles of PCMH and the NCQA application process, including managing overall timeline, facilitate scheduling of practice meetings, coordination of educational webinars, and formulation/dissemination of meeting minutes, assist with design of corresponding data reports, verification of application details, coordination and facilitation of uploading survey documents, etc.
  • Serve as a key member of the DVACO team to help transform the practices into allowing them to excel at providing excellent patient experience, and quality medical care. Will help practices to be well-positioned to meet requirements of CPC+ (Comprehensive Primary Care Plus) and the CMS MIPS (Merit-Based Incentive Payment System)/ACI (Advancing Care Information) programs. Maintain contact with practices and serve as additional resource to practices in regards to their work toward NCQA Recognition.
  • Focused efforts include the implementation/ process redesign of:
    Population Management, Patient Access to care, Proactive Outreach, Patient activation and goal setting, Test and Referral tracking processes, and Integration of continuous performance improvement activities.
  • Assists Manager of Practice Transformation in building a quality-based infrastructure into current operations structure.
  • Supports Manager of Practice Transformation/DVACO implement change required to achieve the clinical quality goals through development of routine feedback mechanisms, guidelines, etc.
  • Engage in problem-solving with practices to improve access and patient-centered care
  • Monitor and assess performance across different aspects of delivering patient-centered care
  • Design and facilitate improvement projects to build foundational capabilities at a site in order to improve its performance
  • Serve as the primary liaison, teacher, coach, and facilitator for Primary Care practices participating in DVACO
  • Perform practice assessments to provide both a baseline understanding and the basis on which to develop the practice redesign plan
  • Assist DVACO leadership team and CMO with data design and presentation- as well as support front line staff with data translation, interpretation, and performance improvement efforts.
  • Serve as front-line contact for end- users in practices including documenting any user issues with accessing reports or data integrity concerns
  • Additional responsibilities and goals – as noted in the formal job description.

Must be able to travel to member sites in Philadelphia and Suburbs.
Bachelor’s degree required with minimum 2 years’ experience. Working knowledge of ambulatory care service delivery, clinical operations/ workflows, and clinical data analysis and reporting.

Licensures & Certifications:
PCMH CCE preferred but not required


  • Excellent communication skills, approachable work style and a willingness to take on complex organizational and clinical project management activities.
  • Demonstrate strong/solid knowledge and skill with computers, spreadsheets and databases.
  • Proficiency in software applications that include, but are not limited to Microsoft Word, Excel, and PowerPoint.
  • Working knowledge of EMR and report development preferred.
  • Must be highly organized with the ability to work well with people.
  • Must have ability to work with highly sensitive and confidential information.

Please apply to job id 42865. No agency calls please. Applicants must certify that they have not used tobacco products or nicotine in any form in the 90-days prior to submitting an application to Main Line Health. This will be verified during pre-employment testing.

We are an equal opportunity employer.