Care Coordination Specialist (CCS)-Medicaid Incentive Payment Program

Supports Medicaid Incentive Payment (MIP) Program implementation across primary care practices in rural Kansas communities. This role focuses on using the electronic health record to identify eligible patients, optimizing clinical workflows for patient engagement, coordinating with Medicaid Managed Care Organizations for referrals, documenting and submitting incentive payments, and helping facilities adopt and sustain systemwide best practices. The position advances the Rural Health Transformation Program goal to improve Chronic Care Management adoption for Medicaid patients, address gaps in MCO performance, and coordinate with related initiatives including dual-eligible and remote patient monitoring programs.

Responsibilities

• Guide facilities through the implementation of system-defined best practices.
• Match patients to the right services (MCO CCM, organization processes, Patterson-funded support, or RPM/ambient tools if dual-eligible or high-risk).
• Identify dual-eligible patients for ambient listening/remote monitoring equipment deployment to prevent nursing facility placement.
• Coordinate with FQHCs via Community Care Network of Kansas (ACO context) and RHCs.
• Support high-risk maternity CCM where relevant.
• Embed processes in clinic workflows for identifying eligible Medicaid patients (via EHR reports or Medicaid data lists).
• Support patient consent processes.
• Validate clinical compliance, documentation accuracy, and process adoption.
• Coach rural teams, clinical champions, and operational leaders on MIP expectations and best practices.
• Generate, interpret, and distribute timely reports for facilities and system leadership.
• Establish incentive payment workflows and processes.
• Build strong, productive relationships with hospital leadership, clinic managers, quality leaders, and frontline teams.
• Participate in system committees, collaborative groups, and project teams focused on improvement and standardization.
• Extensive travel (up to 70%), including overnight stays and travel to rural clinics and community hospitals.
• Work independently while traveling with minimal on-site supervision.

Requirements

• Bachelor’s Degree in health care, business administration, or related field.
• Significant knowledge and experience in primary care clinic operations.
• Valid, unrestricted driver’s license, Kansas Class C or equivalent. MVR results must comply with Health System Safe Driving Program Policy.
• Access to reliable, personal transportation with insurance meeting at least the minimum automobile liability insurance levels required by the state(s) of operation.
• Proficiency in Microsoft Office and Teams.
• Baseline knowledge in Medicaid and Medicare reimbursement.

Preferred Qualifications

• Master’s Degree.
• 5 or more years of healthcare experience within ambulatory practices.
• Licensed Registered Nurse (LRN) - Single State - State Board of Nursing.

Schedule

Full time, days.