Alternative Payment Model Coordinator (Hybrid/Troy, MI) - Health Alliance Plan
🔍 Troy, Michigan
GENERAL SUMMARY:
The Alternative Payment Model (APM) Coordinator supports the planning, implementation, and ongoing management of value-based care programs and alternative payment models across the organization. This role ensures accurate tracking of quality metrics, financial performance, reporting requirements, provider engagement, and compliance with payer and government program expectations. The APM Coordinator works closely with clinical, operational, financial, and analytics teams to improve outcomes and support organizational success in value‑based arrangements.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
- Coordinate activities related to CMS, commercial, and Medicaid/Medicare Advantage APMs (e.g., Shared Savings, Bundled Payments, PCMH, ACO programs).
- Maintain program timelines, deliverables, reporting requirements, and communication workflows.
- Support readiness assessments and implementation plan for new APM contracts or performance years.
- Tracks impactful program elements such as payment timelines & notification requirements.
- Monitor quality, cost, utilization, and risk-adjustment metrics tied to APM performance.
- Collaborate with analytics teams to validate data accuracy and identify trends or performance gaps.
- Assist in preparing dashboards and reports for clinical leadership and executive teams.
- Provider & Stakeholder Engagement.
- Serve as a liaison between clinical teams, administrative staff, payers, and leadership regarding APM activities.
- Coordinate provider education on program requirements, quality measures, risk coding, and performance updates.
- Support communication plans that drive provider alignment and engagement in APM initiatives.
- Ensure compliance with payer program guidelines, CMS reporting expectations, and contract requirements.
- Maintain accurate program documentation, audit files, and policy materials.
Assist with preparation of materials for internal and external audits. - Operational Support.
- Facilitate regular APM meetings, prepare agendas, track action items, and drive accountability.
- Support cross‑functional teams with workflow development, documentation updates, SOPs, and improvement initiatives.
- Monitor deadlines, submissions, and payer notifications to ensure timely completion.
- Perform additional responsibilities as assigned.
EDUCATION/EXPERIENCE REQUIRED:
- Bachelor’s degree in healthcare administration, Business, Public Health, or related field (or equivalent experience).
- Minimum of two (2) years of experience in healthcare administration, population health, value‑based care, managed care, or quality improvement.
- Understanding of APM concepts such as shared savings, bundled payments, risk adjustment, HEDIS measures, and value-based contracts.
- Strong analytical, organizational, and project coordination skills.
- Proficiency with Microsoft tools (Excel, Teams, SharePoint, PowerPoint) and data systems.
- Excellent verbal, written, and interpersonal communication abilities.
- Experience with CMS Innovation Center models, ACOs, or pay-for-performance programs, preferred.
- Familiarity with healthcare quality frameworks (NCQA, HEDIS, CMS Star Ratings, MIPS), preferred.
- Experience working with EMRs, population health platforms, or analytics tools, preferred.
- Project management or lean process improvement experience/certification (e.g., CAPM, Lean Six Sigma), preferred.
Overview
HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals, Â Â Â Â Â companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.
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Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a
$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites
including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and
other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system
now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one
of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the
health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s Â
major academic medical centers, receiving between $90-$100 million in annual research funding and
remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
pharmacists, radiology and respiratory technicians. visit HenryFord.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Â Henry
Ford Health System has a new approach for its employee benefits program - My Choice
Rewards. Â My Choice Rewards is a program as diverse as the people it serves. Â There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. Â As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness
and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other
benefits and services. Employee's classified as contingent status are not eligible for benefits
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.