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Position:

Population Health Specialist – Remote

Position Summary:

Responsible for engaging patients, providers and their staff through a data-based approach to implement and optimize value-based care workflows. Supports efforts to improve population health management, including cost, quality, access, network optimization, and documentation and coding. Assists the team and works directly with assigned provider organization(s) to achieve outcomes across provider engagement initiatives. Works to positively influence Accountable Care Team behavior and support practices in achieving value-based care, quality, and cost & utilization goals. Plays a critical role in supporting the collaborative relationship we seek to establish at the practice or clinic level by providing value-add services to our provider partners.

Job Description:

Primary Responsibilities

Supports Population Health Manager in successful implementation of provider engagement initiatives or programs at a practice or clinic level.
Contributes to improved provider experience with transition to value-based care and population health management through practice-based support.
Participates in coaching and management on pre-visit planning techniques and closure of gaps in care at the practice or clinic level.
Provides patient health promotion, and coordinate care (e.g. PCP appointments, reminders, care gaps, etc.).
Participates in workflows to support gap closure and other targeted provider engagement initiatives.
Follows practice progress/action plans, identifies potential concerns, and collaborates with Population Health Manager to achieve population health initiatives.
Ensures that expectations of members, providers, and medical management staff are continuously met, and problems are presented and addressed as they occur for immediate resolution.
Establishes strong personal relationships with Accountable Care Teams (providers, clinical staff, administrative staff and management).
Stays abreast of current industry, market, and policy landscape.
Documents and tracks activities in a business operation system.
Coordinates and completes special projects as assigned.
Performs other duties as assigned.

Qualifications

Bachelor’s degree in Healthcare Administration, Business Administration or related field or equivalent
1+ years of healthcare experience (i.e., health coach, medical assistant, practice-based role, patient navigation, etc.) or the knowledge, skills, and abilities to succeed in the role
Ability to operate in a fast-paced and dynamic environment
Effective communication skills with the ability to interact with multi-disciplinary teams and patients
Strong organization skills, detail-oriented, and ability to consistently meet and track timelines and goals
Knowledge of the U.S. healthcare system

Working Conditions

While performing the duties of this job, the employee works in normal office working conditions.

Disclaimer

The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

The hiring range for this position is:$49,200.00-$63,000.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more.