Senior Practice Support Specialist

<p>A field-based Senior Practice Support Specialist opportunity is open in Tampa, Florida, embedded within a value-based primary care network that serves more than 900,000 older adults across Texas and Florida through a system of 16,000-plus physician offices. This RN-level clinical liaison role sits at the intersection of population health, care coordination, and provider engagement — driving measurable reductions in avoidable utilization while supporting high-risk Medicare Advantage patients across contracted primary care practices. The single most compelling differentiator here is scope: this position influences care outcomes at a population level, working directly alongside medical directors, PCPs, hospitalists, and specialists to execute market-wide quality and cost strategies.</p>

<h3>Perks and Benefits</h3> <ul> <li>Annual salary range of $72,800 to $130,000 based on experience, education, and local market factors</li> <li>Comprehensive benefits package including medical, dental, and vision coverage</li> <li>Incentive and recognition programs tied to performance metrics</li> <li>Employee stock purchase plan (equity) and 401(k) with company contribution</li> <li>Career development pathways within a large, clinician-led national organization</li> <li>Drug-free workplace; pre-employment drug screening required</li> </ul>

<h3>Practice Highlights</h3> <ul> <li>Field-based role with 75–85% travel to contracted primary care provider offices across the assigned Florida market</li> <li>Reports to the Provider Relations Leader within a matrixed leadership structure; clinical activities directed by the WellMed Senior Medical Director</li> <li>Manages patient census across assigned practices with a focus on high-risk, high-cost cohorts — including Band 5 members requiring monthly in-person visits</li> <li>Monitors and actively influences key utilization metrics: ER visits, Admits/K, Readmits/K, SNF/ASC/hospital usage, and palliative care engagement</li> <li>Conducts weekly touchpoints with the medical director dyad partner to review admissions and determine escalation pathways</li> <li>Executes weekly "tuck-in calls" to high-risk members and facilitates timely post-discharge follow-up for transitions of care</li> <li>Supports contingency planning for high-risk diagnoses (heart failure, COPD), including advanced directive documentation and care bundle implementation</li> <li>Drives closure of HEDIS/STAR care gaps: medication adherence, preventive screenings, and quality measure documentation</li> <li>Facilitates Tier 1 Cardiology/Heart Failure clinic referrals and supports optimization of guideline-directed medical therapy (GDMT)</li> <li>Partners with PBM and Medical Director teams to analyze utilization and performance data, identify trends, and develop market-aligned action plans covering quality, cost, and risk adjustment coding</li> <li>Provides education and baseline support for risk adjustment documentation prior to coder SME engagement; assists practices in applying QRA strategies</li> <li>Produces scheduled and ad-hoc reports on key performance metrics for internal and provider-facing audiences</li> <li>Network context: 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians serving 900,000+ older adults — partnership with Optum established 2011</li> </ul>

<h3>Qualifications</h3> <ul> <li>Associate's Degree in Nursing required; Bachelor's degree in Business or Healthcare Administration preferred</li> <li>Current, unrestricted RN license in Florida required, or ability to obtain a compact license within 30 days of hire</li> <li>Minimum 4 years of combined experience in provider relations, network management, care management, and/or clinical operations</li> <li>Working knowledge of Medicare Advantage, HEDIS, STAR measures, CMS reimbursement models, and risk adjustment methodology</li> <li>Demonstrated proficiency in analytics, relationship-building, communication, and Microsoft Office suite</li> <li>CPC (Certified Professional Coder) certification preferred</li> <li>Experience in value-based care or population health management preferred</li> <li>Valid state-issued driver's license and ability to travel up to 75–85% of the time within the assigned market</li> <li>Ability to lift up to 25 lbs. and perform extended periods of sitting, standing, and driving</li> </ul>

<h3>About the Community</h3> <p>Tampa sits on Florida's Gulf Coast — a major metropolitan area of nearly 3.2 million people offering year-round warm weather, a low state income tax environment, and a cost of living that remains competitive relative to other large Sun Belt cities. The region is home to nationally ranked school systems, a thriving arts and culinary scene, professional sports franchises, and immediate access to some of the country's most celebrated Gulf beaches. For clinicians drawn to an active outdoor lifestyle alongside the professional energy of a growing healthcare market, Tampa delivers on both fronts.</p>