Population Health Specialist Senior

Job Summary

The Population Health Specialist Sr is responsible for outreach to patients with gaps in chronic disease management and preventive care. This role serves to support health status improvement through access to services, education, wellness support and reinforcing the importance of the patient/primary care provider relationship.

Essential Functions

• Utilizes the Medical Home model to provide targeted outreach to identified patients. Includes current and new patients.
• Utilizes EMR Systems, registries, health maintenance data, opportunity reports, payer portals and other data as available to validate gaps and conduct outreach activities as assigned.
• Maintains tracking of outreach and gap closure.
• Using EMR tools, initiates outreach via EMR portal messages, phone calls, and/or via letters.
• Updates EMR Systems and payer portals as appropriate.
• Supports supplemental data submission process for plans without electronic supplemental feeds.
• Collaborates with Practice Transformation Team on the identification of quality care improvements.
• Shares findings of identified concerns/issues/quality care improvements related to gap closure, ordering process and documentation of care with quality team so that they may be addressed and/or implemented efficiently and effectively.
• Prepares reports as needed.
• Collaborates with practice staff to provide additional information and coordination of practice level phone calls.
• Performs special focused projects/audits as assigned.
• Lead on eye exam project; lead training staff at ambulatory sites, supporting the development of work flows within the clinics, updating portal information, and ensuring practices receive results for all patients.
• Traveling to ambulatory sites.
• Investigation of community resources/assistance needed for patient population; ensure an agency guest and/or information is available monthly to support the development of the material provided to the clinics.
• Outreach to outside clinics and health systems for results and quality data needed for improvement of practice scores.
• Represent the organization at monthly conference calls to expand on knowledge of incentive programs.
• Perform quarterly quality measure audits to ensure practices compliance with documentation requirements.
• Create, analyze, and report out on completed quarterly quality audits.
• Support the development of educational modules and newsletters for various programs.
• Training of ambulatory practice staffs on data entry into EMR systems and/or payor portals.

Qualifications

Required

• High School Diploma or equivalent
• Minimum of 4years of experience as a medical assistant in a physician clinical practice, a clinical nursing program, or 4+ years of in a population health related role.

Preferred

• Completion of an accredited Medical Assistant program or LPN, EMT, ER Tech, or equivalent of education and relevant experience.

• Experience in data entry.

• CRT-Medical Assistant, Certified (CCMA) - NHA National Health career Association Upon Hire

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Corewell Health Southfield Center - 26901 Beaumont Blvd

Department Name

Arvon CIN - Corporate

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8:00 a.m. - 5:00 p.m

Days Worked

Monday - Friday

Weekend Frequency<