The Why Behind Wellvana:
The healthcare system isn’t designed for health. We’re designed to change that. We’re Wellvana, and we help doctors deliver life-changing healthcare.
Through our elevated value-based care programs, we’re revitalizing an antiquated system that’s far too long relied on misaligned incentives that reward quantity of care not the quality of it.
Our enlightened approach—covering everything from care coordination to clinical documentation education to marketing— ties the healthy outcomes of patients directly to shared savings for primary care providers, health systems and payors.
Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care between appointments that is nothing short of life-changing.
Named a 2024 "Best in Business" and 2023 "Best Place to Work" by Nashville Business Journal, we’re one of the fastest-growing healthcare companies in America because what we do works. This is the way medicine is meant to be.
Clarity on the Role:
Value-based care works when the right patient gets the right care at the right time. As our Dedicated Healthcare Resource, you’ll make that happen for a primary care partner in the Medicare Shared Savings Program (MSSP).
You’ll use Clarity by Wellvana™, our population health analytics platform, to spot quality and documentation gaps and get clinicians what they need before each visit. You’ll also work with practice teams to build workflows that stick. You’re a Wellvana employee, but you’ll spend your days alongside the partner
practice’s providers and staff.
This is a consultative role. You’ll guide, advise, and equip the care team, and you won’t provide patient care yourself.
What's Expected:
- Prepare providers for visits. Build pre-visit packets that flag open quality gaps for each provider, including patients added during the week.
- Turn data into action. Use Clarity by Wellvana™ to produce weekly schedules of aligned patients, attribution rosters, open care gap lists, and Annual Wellness Visit (AWV) opportunity lists. Deliver them securely.
- Help close gaps. Find evidence of completed care in the practice’s records so gaps can be closed, and work with clinic staff to schedule aligned patients who haven’t been seen this year.
- Improve how the work gets done. Partner with practice leadership to design workflows that improve gap closure, then support the team as they adopt them.
- Track results and raise issues early. Monitor clinical quality metrics, summarize progress for Wellvana leadership, and escalate issues quickly, with context and a recommended path forward.
- Connect the right people. Coordinate Clarity access and MSSP education through our Provider Educator and coding educators, and partner with our Quality, Partner Success, and help desk teams.
- Other duties as assigned, consistent with the scope of the role.
Clear boundaries protect our partners, our patients, and you. This role does not include direct patient care or advice, documenting or scribing in the electronic health record (EHR), billing or coding, or claims work. You’ll support only patients aligned to the partner practice through the MSSP.
What’s Required:
- Integrity: The right way is the only way.
- Dependability: You do what you say you’re going to do.
- Advocacy: You fight for the best possible outcome for providers and their patients.
- Clarity: You make it all understandable.
Education:
- Bachelor’s degree in nursing, life science, or a related field preferred; advanced degree a plus.
Certifications:
- Active clinical license (for example, RN, NP, or PA) preferred, but not required. Any license you hold won’t be used for patient care in this role.
Years of Related Experience:
Four to six years of experience preferred in one or more of the following:
- Payers, management services organizations (MSOs), or value-based care companies, working in Medicare ACO (MSSP) or Medicare Advantage programs
- Program management or quality improvement
- A clinical or primary care setting
Skills/Competencies/Behaviors:
- Working knowledge of Medicare quality programs, CMS Hierarchical Condition Category (HCC) risk adjustment, and medical expenditure management
- Proficiency with population health analytics tools (Clarity experience is a plus) and with eClinicalWorks
- Strong spreadsheet and reporting skills, with careful attention to accuracy
- Solid understanding of HIPAA and secure handling of protected health information (PHI)
- Partner relationship management: you build trust quickly with providers, clinic managers, and staff
- Workflow design and change support: you turn insight into practical process improvements
- Clear communication: you translate quality data into plain-language next steps for clinicians and executives
- Consultative. You influence without direct authority and know where your role begins and ends.
- Dependable. You deliver on a weekly rhythm and anticipate what’s coming.
- Collaborative. You move faster by working with Quality, Partner Success, education, and clinic teams.
- Transparent. You flag issues early and bring solutions with them.
- Flexible. You’re comfortable working both onsite and virtually, and regular local travel to partner clinics is part of the job.