The Population Health Specialist provides clerical and data support for value based care initiatives. This position assists with both clerical and analytical functions of all value-based quality improvement projects. The Population Health Specialist is expected to effectively communicate outcomes and results, as well as design and create dynamic presentation materials. They are responsible for coordinating meetings, record-keeping, and tracking improvement initiatives.
SUMMARY OF RESPONSIBILITIES:
This position provides support to the Population Health Director by:
These include, but are not limited to:
In collaboration with the Population Health Director to ensure Plans meet clinical standards of care and achieve the desired outcome for UHC for Health Effectiveness Data and Information Set (HEDIS), and HEDIS STARS.
Work with leadership to improve the overall Risk Adjustment Factor (RAF) score of the Medicare and Medicare Advantage members.
Competency in gathering information and understanding context from several sources, with the ability to analyze this information and draw conclusions.
Work with other departments to maximize quality metrics and financial ROI across all value- based programs.
Provide feedback and collaborate with EHR and data teams to ensure reports are accurate, meaningful, and actionable.
Coordinating tracking and reporting of clinical outcomes and follow-up of corrective action plans from contracted Independent Physician Associations (IPAs) and Health Plans
Identifying gaps in care for patients with complex health needs to ensure that they receive appropriate follow-up care from specialists or other providers.
Assist in educating and training UHC staff on value-based initiatives and UHC’s quality patient measures.
PERFORMANCE AREA 1
Displays a positive, professional, and respectful demeanor at all times toward employees, peers, professional contacts, and patients served, maintaining a professional appearance and positive image for the health centers.
Contributes to the team by promoting positive staff interaction and maintaining open communication with other programs/departments.
Maintains detailed knowledge of federal, state, local, and internal rules, regulations, policies, and procedures governing UHC programs
QUALIFICATION REQUIREMENTS:
EDUCATION:
PRIOR EXPERIENCE:
SKILLS:
Competency in gathering information and understanding context from several sources, with the ability to analyze this information, draw conclusions, and make recommendations, is required.
Exceptional written and verbal communication skills with peers, executives, and other key stakeholders are required.
Must demonstrate advanced problem-solving skills and exceptional attention to detail.
Must be flexible and maintain positive working relationships with the ability to comfortably navigate ambiguity, significant autonomy, and a fast-paced, changing environment
Must have strong project management and prioritization skills combined with the ability to ensure sensitive timelines are me
Exceptional written and verbal communication skills with peers, executives, and other key stakeholders are required.
PHYSICAL REQUIREMENTS:
The pay range for this non-exempt position starts at $23.10 an hour. Our salary ranges are dependent on knowledge, skills, and experience.
In addition, our comprehensive benefits package for regular status employees includes:
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