Amazing career experiences that make a difference. DVACO provides opportunities to become part of a diverse team that drives the clinical initiatives to transform healthcare in one of America’s most vibrant regions.

“In this time of my career, I can’t imagine a greater opportunity to enhance and transform the US Health Care System every day.”

Joel Port
Senior Vice President of Business & Network Development

Current Job Openings

Practice Transformation Coach

Job Summary:
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.

Bachelors degree in related field with prior applicable experience strongly preferred. In lieu of degree, at least 5 to 7 years of relevant experience is required. Working knowledge of ambulatory care service delivery, clinical operations/ workflows, and clinical data analysis and reporting desired.

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 would be helpful, but not required. Must be highly organized with the ability to work well with people. Must have ability to work with highly sensitive and confidential information.

We offer competitive compensation and outstanding comprehensive benefits including tuition reimbursement, 403B matching savings plan and a pension plan. If interested, please apply online at , Job ID 50761

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. Please, no agency calls

Quality Improvement Specialist


  • Specialist will operationalize the performance measurement Quality Improvement initiatives and Patient Experience data. Together with QI team, is responsible for determining measures, targets for QI/organizational goals, developing analytic methodologies and helping DVACO partners and internal leadership/staff to identify opportunities for clinical/process improvement.
  • The Specialist’s role will also include researching data benchmarks (national and regional), transforming data into actionable insights, and engaging DVACO leadership as needed in QI improvement efforts. QI leadership contributes to activities for diverse projects and provides mentorship and guidance to internal/external team members and organizational leaders.
  • Specialist will work with Quality Director to provide administrative support and develop presentations, meetings, and communications.


  1. The Specialist will maintain an understanding of internal and external initiatives and their implications for evidence-based, data-driven improvement efforts.
  2. In consultation with QI Director, the manager develops standard metrics, recommends goals/targets, and provides results with which to monitor quality measures patient experience and organizational performance with DVACO physicians and partners, CMS, and commercial partners.
  3. Will have a working knowledge of CMS metrics and programs, measure methodology and benchmarking, Pay for Performance/Value-Based Purchasing programs, population health and accountable care organization (ACOs) requirements.
  4. Provides expertise on key areas such as quality, patient experience and population health.
  5. Works with QI Director and those requesting reports and analyses to select projects aligned with DVACO strategic plan and annual goals.
  6. Works with staff to organize and prioritize activities to complete projects and tasks.
  7. Optimizes design and presentation of graphs, tables, statistical analyses, presentations, narratives, and other presentations to focus DVACO audiences on key findings and opportunities for improvement.
  8. Works cooperatively to understand vendor systems and provide analyses that address DVACO specific needs.
  9. Systematically uses internal systems to monitor recurring deliverables; ad hoc requests; data checking and other validation; definitions of data measures; databases used; and staff and project tasks to assure timely production of valid results.
  10. Specialist will be available to abstract and work with analysts, abstractors, project managers to submit Web Interface responses to vendors and CMS

Primary Customers or Key Working Relationships:

  • DVACO QI Director, QI Staff, and Leadership.
  • Collaborates directly with DVACO and POD quality teams, care coordinators, clinicians practice managers, and practice transformation teams.
  • Ability to work effectively with various levels of management personnel, physicians, board members and other community members required.


  • Bachelor’s degree in Nursing.
  • Master’s degree in Quality Improvement, Healthcare, Public Health, Population Health or related field strongly preferred.
  • Advanced education or experience in Information Technology, or related field required a plus.

Licensures & Certifications:
If RN must be from an accredited institution with a current Pennsylvania license.


  • Minimum of three years working in Quality Improvement environment that includes managing data and implementing quality interventions. Experience translating data into meaningful information and actions driving improvement
  • Presenting to senior leadership.
  • Excellent organizational, oral and written communication skills.
  • Effective collaboration and interpersonal skills are necessary. Demonstrated expertise in facilitating diverse teams required.
  • Demonstrated ability to work with inter-professional teams and with physicians and clinical teams in particular.
  • Experience in providing reports and data analysis to various departments, services, and leadership members.
  • Knowledge of statistics, data analysis and other analysis techniques strongly desired.
  • Strong organizational skills and ability to manage multiple and complex projects. Ability to prioritize projects for self and for co-workers and other teams.
  • Strong Microsoft Office Skills, especially Microsoft Access, Excel and PowerPoint.
  • Experience in outpatient healthcare setting strongly preferred.


  • Occasionally travel to hospital campuses and provider offices.
  • Ability to stand, sit or walk regularly throughout the workday.
  • Use of fine motor skills regularly throughout the workday.
  • Have visual acuity of at least 20/60 in one eye, with or without correction.
  • Hearing sensitivity bilaterally within normal limits (0-25 dB HL) aided/non-aided, and/or speech discrimination within functional limits for telephone and personal communication.

Equipment Used:

  • Personal computer, Copy machine, Facsimile machines
  • Telecommunications equipment
  • LCD Projector and other audiovisual equipment
  • Proficiency with using Microsoft Office products including Word, Excel and PowerPoint, Project and Visio, MS Access


  • Adheres to departmental work rules (i.e., attendance, leave, dress code).
  • Meets departmental confidentiality policy of all materials processed.
  • Flexible hours, as required, to meet the goals and objectives of the department and the organization.

We offer competitive compensation and outstanding comprehensive benefits including tuition reimbursement, 403B matching savings plan and a pension plan. If interested, please apply online at , Job ID 50707

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. Please, no agency calls

Care Coordinator


The Care Coordinator is a Social Worker who facilitates patient continuity of care with the healthcare team. Under the clinical direction and oversight of the Primary Care Physician, the Care Coordinator coordinates care for high risk/complex patients by collaborating with the patient, family, physician, nurses, and other members of the healthcare team to identify needs and expedite appropriate, cost effective care. The Social Worker partners with the RN Care Coordinator to facilitate the care models of DVACO by coordinating services and community resources and meeting member socioeconomic needs to support the quality of life. S/he assists in the development of the patient’s care plan and collaborates with the Primary Care Physician to provide leadership in issues of outcomes management, disease management and prevention, and development of improved strategies to benefit high risk patients. The Care Coordinator may serve as the patient’s primary conduit to the primary care provider as they help coordinate necessary services both within and outside the practice, coordinating care from a variety of sources – physicians, specialists, home care providers, rehab centers, pharmacists, etc. They will engage patients and encourage them to take an active role in their health by providing them with the tools necessary to make healthy lifestyle choices and adopt life-long healthy behaviors. The social worker will serve as an advisor to the clinical team for health and human services resources as well as guardianship and behavioral health issues.


Patient and Family

  • Empowers and engages patients and families to represent themselves and advocates the patient’s perspective.
  • Recognizes the holistic interrelationship that exists within and across the health system and consistently negotiates the best outcomes for the patients and families
  • Ensures that the patient and family members experience seamless and safe transitions of care from encounter to encounter
  • Develops patient self-management goals, and, with colleagues, monitors the progress of the goals and updates as appropriate
  • Ensures that patients and families receive education on health and wellness activities, disease process and interventions, medications, next steps, and other critical factors in overall health maintenance and improvement
  • Supports patients in making and getting to healthcare appointments
  • Responsible for following patients’ long term if needed to ensure appropriate resources are obtained and secure.

Cross Continuum Care Facilitation and Coordination

  • Responds quickly to case referrals, identifies support and intervention activities to support health both in the home and community, and assists with trying to prevent disease progression
  • Coordinates with law enforcement and Adult Protective Services in situations of suspected abuse or neglect, and domestic violence
  • Works with patients on Advance Directives (ADs), Durable Power of Attorney (DPOA), and identification of a proxy if needed
  • If needed will complete preadmission screening and annual resident review (PASARR) for individuals at home needing skilled care or nursing home placements
  • Ensures that appropriate resources are identified and scheduled for patients who require continuing psychosocial/mental health interventions or therapy
  • Communicate regularly with various agencies, foundations, programs, charities, and businesses to assist patients with their care plan needs
  • Orchestrates and synchronizes care between multiple care delivery sites and multiple caregivers and quickly and efficiently mobilizes resources to support patients and families through the continuum of care safely, efficiently and effectively
  • Document care coordination activities based on the DVACO clinical platform in a timely and accurate manner; assuring the DVACO the ability to comply with professional documentation standards, compliance of DVACO contracts, and quality data collection
  • Works quickly to address barriers and challenges associated with cross continuum care coordination and engages colleagues and staff in “hard wiring” appropriate solutions
  • Accountable for accurate and timely documentation
  • Assists and collaborates in the management of patients with chronic diseases following established protocols and interventions
  • Successfully engage members to develop an individualized plan of care to promote healthy lifestyles, close gaps in care, and reduce unnecessary ER utilization and hospital readmissions. Develop and coordinate the individualized plan of care with the member, member’s family, providers and community agencies as applicable. Involve other staff to support the individualized plan of care based on identified needs of the member
  • Ensures absolute compliance with CMS and other regulatory initiatives
  • Assesses total health status, identifies, addresses and includes in the plan of care, contributing factors such as obesity, age, diabetes, medications, etc.
  • Ensures that Advanced Care Planning is offered to patients and families as applicable
  • Coordinates healthcare interventions for populations with significant health conditions in which self-management efforts are critical
  • Perform duties and responsibilities in accordance with the philosophy and standards of the DVACO, including conveying courtesy, respect, enthusiasm, and a positive attitude through contacts with staff, health plan members, peers, and external contacts.
  • Responsible to update and research community resources


  • Works with community agencies to arrange services for patients with chronic or complex care needs, or to encourage general wellness and health
  • Develops significant population savvy, ensuring that services and interventions address the needs of the market demographic, and are sensitive to cultural and ethnic practices and beliefs
  • Understands community health challenges and works with leaders and division staff and colleagues to develop and implement practices, education programs, and other strategies to improve the health of the community and to promote continuous improvement in health status across the continuum
  • Establishes significant functional relationships with community providers and community service agencies, monitoring the integrity of care and services
  • Visits community care providers to develop rapport, understand service offerings, and insure quality and consistency of services

Physician Engagement/Alignment

  • Engages physicians and staff in care improvement and resource management activities
  • Provides consultation to physicians and staff regarding the patient’s psychological, financial, developmental, family, and other pertinent challenges
  • Partners with and supports physicians and staff in patient care activities and post-acute care planning
  • Proactively communicates with physicians and staff
  • Serves as a resource to physicians and staff on health industry trends, rules, regulations, and resources in both the home and community setting


  • Ensures that the company’s mission, vision, and values are actualized
  • Provides exemplary customer service to the patient, family, physician, and care team members
  • Models and orchestrates consistent, professional communications and maintains consistent and proactive communication patterns with colleagues and staff
  • Establishes rapport and relationships with community physicians, physician practices, post-acute providers, and community agencies
  • Responds positively to change
  • Delegates responsibilities appropriately but remains accountable for outcomes
  • Excels in, and utilizes, both tactical and strategic communication to prevent duplication and omission of critical information, to expose concerns and issues, and develop trusting relationships.
  • Immediately addresses and reports all barriers and challenges impacting safety, quality, cost or efficiency of providing services.

Assessment & Analysis

  • Develops a deep understanding of population health data, proactively reviews data, and engages colleagues across the continuum to improve care
  • Maintains constant awareness of performance and service outcomes data, inclusive of financial, operational, process, value, and relational coordination measures
  • Works with colleagues to significantly decrease ER Visits, and hospital admissions
  • Continues to research, learn and assist with cost effect ways to manage and assist the DVACO populations.
  • Document care coordination activities based on the DVACO clinical platform in a timely and accurate manner; assuring the DVACO the ability to comply with professional documentation standards, compliance of DVACO contracts, and quality data collection.


  • Attains significant knowledge of Population Based Care, Clinical Integration and Accountable Care
  • Leads at least 2 educational programs per year to her colleagues
  • Supports research activities at the DVACO
  • Stays abreast of CMS measures, National Patient Safety Goals (NPSGs), publicly reported outcomes
  • Develops and maintains significant knowledge of relevant medical/legal issues impacting patient care, including advanced directives, and elder abuse
  • Responsible to assist with Quality Reporting for MSSP
  • Extensive knowledge in community and in home resources for a multitude of issues, illnesses, and needs for patients within the tristate area and surrounding counties.

Social Work –Specific Competencies

  • Understanding of medical and psychiatric nomenclature
  • Knowledge of key medical diagnosis that frequently involve concomitant psychosocial problems
  • Knowledge of Federal and State statutes regarding patient privacy and the confidentiality of patient information
  • Knowledge of signs/symptoms of abuse/neglect and State reporting requirements and procedures
  • Knowledge of and experience with Pennsylvania Mental health law and procedures regarding voluntary and involuntary inpatient treatment
  • Excellent Behavioral-assessment and interpersonal skills


Education: Master’s Degree in Social Work from CSWE (Council on Social Work Education) accredited program.

Licensures & Certifications:
Case Manager (CCM) certification (preferred)


  • 5 years experience in hospital or community clinic, home care, discharge planning, and/or case management required
  • 3 years experience in a managed care environment preferred
  • Prior ACO experience preferred
  • Minimum 2 years experience working with frail or elderly population
  • Strong behavioral health background
  • Ability to interact with physicians and other health care professional in a professional manner required
  • Ability to work independently
  • Computer proficiency required.
  • Excellent verbal and written communication and interpersonal skills required
  • Ability to prioritize daily tasks and caseload activities to meet patient needs and turnaround times
  • Knowledge of managed are models financial reimbursement systems, clinical case management processes and utilization management issues
  • Knowledge of NCQA (PCMH) guidelines for care management


  • Occasional travel within 50 mile radius of Philadelphia.
  • Possibility of offsite meetings at provider offices, community agencies or other clinical settings. Occasional seminars or training sessions in the Philadelphia area.

Equipment Used:

Basic office equipment. Applicable systems and software packages.

  • Microsoft Outlook
  • Microsoft Excel
  • Microsoft Word
  • EPIC or other EMR equivalent
  • Wellcentive
  • Patient Ping
  • Milliman Care Guidelines

Please apply to job id 50294. 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.

Apply for a Position

DVACO employment benefits are administered through Main Line Health. If interested, please apply online with a current resume at

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.

Equal Employment Opportunity
It is the policy of the Delaware Valley ACO to provide Equal Employment Opportunity to all people in all aspects of employer/employee relations without discrimination because of race, color, religion, sex, national origin, ancestry, marital status, age, sexual orientation or disability; to select, develop and promote employees based on the individual’s, qualifications, experience, and job performance; to maintain a working environment free of all forms of discrimination, harassment, and intimidation.

Who is DVACO?

We are the area’s largest Accountable Care Organization, leading the way in health improvement by streamlining provider participation to enhance the quality and personalization of patient care. Learn More

Contact Info

PO Box 356,
Villanova, PA 19085
Phone 610-225-6295
Toll Free Number 855-761-9345
TTY# 610-225-6275
Toll Free Number 855-761-9345
Compliance Line 610-225-6211
Business Hours 9-5pm