ACO Quality & Care Improvement Specialist

PBACO Holding LLC; Florida; On-site; USD 85,000 - 110,000; Full time

Job summary

PBACO is seeking an ACO Quality Specialist in Florida to manage Medicare, ACO REACH, and commercial quality reporting and drive care-gap closures. You will work with practices and consultants to ensure compliance and improve patient outcomes.

The role requires 3–5 years in healthcare quality, knowledge of CMS measures, and proficiency with Excel and EHR data. A Master’s degree is preferred and a collaborative, results-driven environment is offered.

Qualifications

• Bachelor's degree in Nursing, Public Health, Healthcare Administration (Master's preferred).
• 3–5 years of healthcare quality or performance improvement experience.
• Strong knowledge of CMS ACO measures, HEDIS, STARS, and CAHPS.
• Experience with Lean, Six Sigma, PDSA, or similar methodologies.
• Excellent communication, provider engagement, and training skills.
• Strong data analysis skills with Excel, PowerPoint and Word.

Responsibilities

• Manage day-to-day quality reporting for Medicare, ACO REACH, and Commercial programs.
• Track and close care gaps by distributing and monitoring Gaps-in-Care reports.
• Support data collection, validation, and analysis to identify opportunities for improvement.
• Train and educate providers and staff on quality program requirements and workflows.
• Support CAHPS survey readiness and strategies to improve response rates.
• Participate in payer audits and committee meetings as subject matter expert.
• Collaborate with practices to improve outcomes in diabetes, hypertension, and preventive screenings.

Skills

Quality Improvement

Healthcare Analytics

Data Analysis

Provider Engagement

Training & Education

Education

Bachelor's degree in Nursing, Public Health, Healthcare Administration

Tools

Excel

PowerPoint

Word

EHRs

Job description

PBACO is seeking an ACO Quality Specialist in Florida to manage Medicare, ACO REACH, and commercial quality reporting and drive care-gap closures. You will work with practices and consultants to ensure compliance and improve patient outcomes.

The role requires 3–5 years in healthcare quality, knowledge of CMS measures, and proficiency with Excel and EHR data. A Master’s degree is preferred and a collaborative, results-driven environment is offered.