Value Based Care Jobs

Job Overview

The Medical Assistant – Value-Based Care / WellMed Coordinator supports patient service and medical office workflows through accurate medical assisting, records management, and electronic health records (EHR) documentation. This role also suits a technology-fluent professional who can use data to support clear, actionable reporting. Your impact: Reliable documentation and useful insights help care teams coordinate patient services and make informed decisions.

Giraldo Internal Medicine is seeking a highly motivated, detail-oriented, and experienced Medical Assistant with a strong emphasis on Value-Based Care and WellMed programs to join our growing internal medicine practice.

The ideal candidate will have experience working with WellMed, Medicare Advantage plans, HEDIS quality measures, HCC risk adjustment, and care-gap management.

This position combines traditional Medical Assistant responsibilities with administrative and clinical coordination focused on improving patient outcomes, meeting quality performance measures, and ensuring accurate and timely completion of value-based care requirements.

We are looking for someone who is organized, technologically proficient, proactive, and comfortable working independently in a fast-paced medical environment.

Key Responsibilities

Value-Based Care / WellMed Management

• Manage and monitor WellMed and other Medicare Advantage value-based care programs.
• Review, prepare, and process WellMed attestations through the designated payer portal, including ePRG and applicable successor platforms.
• Identify and track open HEDIS quality measures and patient care gaps.
• Coordinate with providers to obtain documentation necessary to support care-gap closure.
• Assist with HCC risk adjustment workflows by identifying documentation opportunities for provider review.
• Track and follow up on outstanding diagnosis attestations, medical record requests, and quality submissions.
• Upload supporting medical records and documentation to payer portals.
• Monitor submission statuses, outstanding requests, and completion deadlines.
• Maintain accurate tracking logs and productivity reports.
• Assist with Medicare Annual Wellness Visits, preventive screenings, and chronic disease management initiatives.
• Support patient outreach for overdue screenings, preventive services, and follow-up appointments.
• Coordinate medication reconciliation and post-hospital discharge follow-up documentation.

AthenaOne EHR & Reporting

• Utilize AthenaOne to review patient charts, identify care gaps, and retrieve supporting clinical documentation.
• Generate and maintain reports related to quality measures, patient compliance, and preventive services.
• Track patients requiring follow-up appointments, laboratory testing, and specialty referrals.
• Ensure accurate documentation and timely completion of assigned tasks.
• Identify opportunities to streamline workflows and reduce manual processes.

Clinical Medical Assistant Duties - as needed

• Coordinate laboratory testing, referrals, and preventive screenings.
• Maintain accurate and complete patient records.

Required Qualifications

• Previous experience as a Medical Assistant in a primary care or internal medicine setting.
• Knowledge of Medicare Advantage and value-based care programs.
• Strong understanding of medical terminology and clinical documentation.
• Proficiency with electronic health records and Microsoft Excel.
• Excellent organizational, communication, and time-management skills.
• Ability to manage multiple priorities and meet deadlines.
• Strong attention to detail and accountability.
• Ability to communicate professionally with providers, staff, patients, and insurance representatives.

Highly Preferred Qualifications

• Direct experience with WellMed attestations and payer portals.
• Experience with HEDIS quality measures and care-gap closure.
• Familiarity with HCC risk adjustment and diagnosis documentation.
• Experience with AthenaOne EHR.
• Experience working with Prominence Health Plan or other Medicare Advantage programs.
• Knowledge of Annual Wellness Visits, Transitional Care Management, Chronic Care Management, and Remote Patient Monitoring.
• Bilingual in English and Spanish.
• Certified or Registered Medical Assistant (CMA/RMA).

Ideal Candidate

We are especially interested in candidates who:

• Understand the importance of value-based care and quality performance.
• Have hands-on experience managing WellMed attestations.
• Are comfortable navigating multiple insurance portals.
• Can independently organize and prioritize large patient panels.
• Are proficient with Excel, electronic reporting, and digital workflows.
• Take ownership of assigned responsibilities and follow through to completion.
• Welcome process improvements, technology, and automation.
• Want to grow professionally as our practice expands.

Why Join Giraldo Internal Medicine?

We are a growing internal medicine practice committed to providing high-quality, patient-centered care. Our focus includes preventive medicine, chronic disease management, Medicare Advantage quality performance, and improved patient outcomes.

We offer an opportunity to become an important part of our value-based care operations while contributing to the continued growth and development of our practice.

Applicants with direct WellMed attestation, HEDIS, or value-based care experience are strongly encouraged to apply.

Pay: $15.50 - $18.00 per hour

Expected hours: No more than 40.0 per week

Benefits:

• Opportunities for advancement
• Paid time off

Application Question(s):

• How many years of experience do you have working with WellMed or Medicare Advantage value-based care programs?

• Have you personally completed WellMed attestations or uploaded supporting medical records through a payer portal?
• Which areas have you worked with?

[ ] HEDIS / care gaps
[ ] HCC / risk adjustment
[x] Medical record attestations
[ ] Medication reconciliation
[ ] None of the above

• Do you have experience using AthenaOne?
• Are you proficient in Excel and comfortable managing patient tracking reports?

Work Location: In person