Advanced Practice Provider - Medicare Wellness / Preventive Care

Job Description

Job Description

Advanced Practice Provider – Medicare Wellness and Preventive Care

Reports to the Chief Executive Officer and Chief Medical Officer

Background: Cahaba Medical Care Foundation is a community health center organization providing medical, pharmacy, dental, and behavioral health services to diverse underserved communities in Jefferson, Bibb, Perry, and Chilton counties. We are a Level 3 Patient-Centered Medical Home and Joint Commission accredited organization, committed to increasing integration and coordination of behavioral health and primary care. This is an exciting, fast paced practice with a strong mission and commitment to providing high quality care.

Position Summary

This position requires a mission-driven and detail-oriented Advanced Practice Provider (APP) to serve as our lead clinician for Medicare Annual Wellness Visits (AWVs), preventive care services, and related quality initiatives. This is a high-impact position designed to help our organization improve preventive care rates and quality outcomes across all 28 Cahaba Medical Care clinics.

The ideal candidate will have a passion for health promotion, quality improvement, and rural health equity. This provider will perform in-person wellness visits across our locations, follow up on necessary documentation (including insurer-specific requirements), and support training for other staff and providers in performing high-quality, compliant AWVs. This position reports directly to the Chief Executive Officer (CEO), Chief Medical Officer (CMO), and works in close coordination with the Quality Improvement Officer.

Responsibilities & Duties

• Perform in-person Medicare Annual Wellness Visits and other preventive care visits across Cahaba Medical Care sites.

• Ensure all required elements of AWVs are accurately completed, documented, and submitted per payer and CMS guidelines.

• Submit insurer-specific forms and documentation in payer portals (e.g., closing care gaps, diagnosis attestation, HCC coding updates, etc.) to ensure loop closure.

• Collaborate with the Quality Team to ensure visits meet internal quality standards without additional remediation.

• Serve as a clinical resource and subject matter expert for AWVs, helping to train Medical Assistants, front-desk staff, and fellow providers on workflow best practices.

• Identify system barriers to completion of AWVs and work collaboratively to improve clinic workflows and efficiency.

• Support Cahaba Medical Care’s system-wide goal of achieving a defined percentage of Medicare AWV completion prior to the calendar year’s end (goal to be determined annually).

• Provide occasional care for acute, walk-in visits if clinically appropriate and needed on-site.

• Participate in organizational quality and training initiatives, special projects, and data-driven improvement work related to population health.

Required Skills/Abilities:

• Excellent communication and interpersonal skills.

• Strong clinical judgment and problem-solving abilities.

• Cultural competency and sensitivity to the needs of diverse populations.

• Ability to work independently and within a multidisciplinary team.

• Excellent attention to detail and ability to balance competing priorities.

Preferred Skills/Abilities

• Experience with value-based care, quality metrics (e.g., HEDIS, STAR ratings), and population health initiatives.

• Familiarity with payer-specific documentation or HCC coding workflows.

• Training or teaching experience (e.g., MA or provider education) strongly valued.

• Spanish language proficiency is a plus but not required.

Qualifications:

• Certified Nurse Practitioner or Physician Assistant with active Alabama license.

• At least 2 years of experience preferred, particularly in outpatient primary care, geriatrics, or quality improvement.

• Strong understanding of Medicare Annual Wellness Visit components and CMS documentation requirements.

• Exceptional attention to detail and follow-through.

• Willingness and ability to travel to multiple clinic locations across Central Alabama (reliable transportation required).

• Demonstrated commitment to underserved populations and mission-driven care.

• Comfortable working independently while coordinating with a multidisciplinary team.

Location

• Six-County Region (including Bibb, Perry, Chilton, Jefferson, Dallas, and Wilcox Counties)

• Travel is required with mileage reimbursement. This position involves driving to multiple Cahaba Medical Care sites across Central Alabama.