Population Health Transformation Specialist

We are currently seeking high energy, engaging leaders with a passion for Population Health to help transform healthcare in the southeast. As a Population Health Transformation Specialist, you will lead the journey to outcomes-based care at several different clinics by serving as the “go-to” partner for all things Population Health for the providers, managers, and staff at each location. This role requires frequent site visits to assigned practices to support providers in their growth in understanding and utilization of all available population tools and technology. Specifically, you will:

· Assist in the development and implementation of pathways to support providers and practices as they shift into value-based care.

· Drive all department initiatives and tracking individual goal performance.

· Provide ongoing training and education to the practice on quality measures, accurate RAF reporting and coordinating strategies for closing gaps.

· Become an integral part of each partner practice and work collectively with the practices to achieve our Population Health priorities.

· Maintain up-to-date knowledge of regulatory (HEDIS/STARs) standards and guidelines.

Requirements

• Strong communication and relationship building skills.
• Serve as a liaison to practice directors and managers along with clinical staff to facilitate implementation of Population Health initiatives.
• Provide direct support for provider achievement in improved financial, process and clinical outcomes.
• Problem solve with the intent to achieve effective progression of implementing initiatives.
• Work with the team to identify and develop recommendations for improvements as needed.
• Assist with the development of proposals, updates and summaries of provider performance.
• Assist in the development and execution of work plans to drive improvement in capturing quality measures and properly set patient risk scores.
• Ability to communicate areas of concern, needed resources, or barriers to achieving goals.
• Assist with monitoring and developing pathways for success for any providers experiencing underperformance and communicate strategies developed by the pop-health department for improvement.
• Review and interpret summary data and performance reports for practices and clinicians.
• Meet project specific goals and timelines.
• Share best practices within the organization.

Minimum Qualifications:

• Greater than 3yrs experience with:
  • Value-Based Payor Programs (incl. understanding of HEDIS Coding)
  • HEDIS, STARS ratings and other Population Health initiatives.
  • Electronic Health Record (eHR) use and documentation. Allscripts/Veradigm experience preferred.
• Demonstrated experience training clinical staff on value-based programs and requirements
• Demonstrated experience with auditing documents for gap-closure requirements
• Associates Degree (healthcare or business related)

Physical & Mental Requirements:

• Ability to sit for extended periods of time
• Ability to stand for extended periods of time
• Ability to use fine motor skills to operate office equipment and/or machinery
• Ability to receive and comprehend instructions verbally and/or in writing
• Ability to use logical reasoning for simple and complex problem solving
• Ability to travel to multiple locations to support business needs as required