Population Health Coordinator

Metro Pediatrics; Portland (OR); On-site; USD 65,000 - 90,000; Full time

Job summary

Metro Pediatrics in Portland, OR is seeking a Population Health Coordinator to proactively track patient care needs and promote quality improvement across care processes and payer metrics.

The role involves engaging with families, maintaining provider panels, coordinating with health plans, and using data from multiple sources to drive care outcomes. Collaboration with clinic teams and confidentiality adherence are essential.

Qualifications

• College degree required, master’s preferred.
• 3+ years in a clinical or public health setting.
• Experience with panel management and quality metrics.
• Experience with EMR, EPIC preferred.
• Knowledge of PCPCH requirements and medical terminology.
• Strong customer service and multitasking abilities.

Responsibilities

• Lead population management by monitoring and sharing data to improve care outcomes.
• Champion proactive care for the population connected with Metro Pediatrics.
• Serve as subject matter expert on quality metrics and participate in quality improvement activities.
• Engage families and patients through outreach and timely follow-ups.
• Maintain provider panels and coordinate with health plans.
• Protect confidentiality of sensitive patient information and work in team settings.

Skills

Public health experience

Panel management

Quality metrics

EMR proficiency

Medical terminology

Customer service

Education

Bachelor’s degree or equivalent

Master’s preferred

Tools

EPIC

Job description

Want to giggle while you work? We love to work with kids and their families, providing important care, which is both fun and purposeful.

As an Equal Opportunity Employer our team of experienced, talented professionals honors the company values ofcompassion, stewardship, excellence, integrity, flexibility, service, and inclusivityin everything we do –it is an integral part of who we are and what we seek in future employees.

This position is eligible for our $1000 sign on bonus.

The Population Health Coordinator is an integral position that works with the organization proactively track the care needs of our patients and to ensure that patients receive the services they need to optimize their health and well-being. In addition the PHC oversees and promotes quality improvement as related to care processes and payer metrics. The diverse responsibilities can include, but are not limited to: encouraging patient engagement through direct contact with patients and their families, tracking and closing gaps in care, assuring accurate patient panels, coordination with health plans, and assimilation of multiple data sources to ensure and share an accurate picture of the quality of care of the patient population as requested.

Essential Functions:

• Lead the population management process by actively monitoring and sharing patient and population quality data throughout the organization in order to facilitate improvement in care outcomes.
• Understand and champion proactive care for the entire population of patients connected with Metropolitan Pediatrics, not just those who come in for visits.
• Be the subject matter expert of all quality metrics for which the Organization is held accountable.
• Participate as an active member of the clinics medical home teams.
• Support/lead the organization’s quality improvement activities through a strong understanding of QI methodologies, strong relationships with Managers and Providers and in-depth knowledge of QI and metric related goals and benchmarks.
• Proactively contact families/patients identified for health maintenance and other needed care, whether contacting individually, or through monitoring and upkeep of automated programs and workflows.
• Engage with families/patients through routine outreach utilizing phone contact, scheduled and unscheduled face-to-face meetings before, during, and after medical appointments in addition to directing PAS outreach activities chosen to close gaps and meet goals.
• Identify and decrease the impact of barriers interfering with a patient’s access to health care.
• Actively maintain the provider panel section of the clinic database.
• Partner with clinical champions to ensure they have timely and accurate data to facilitate quality improvement efforts in various areas.
• Ensure optimal monthly partial capitation and/or quality payment programs by maintaining accurate provider panel lists, timely onboarding of newly assigned patients, and working with health plans and families to move incorrectly assigned patients to their appropriate medical home.
• Escalate areas of concern as noticed through regular tracking to ensure MP maintains the highest level of metric/capitation/quality payment possible.
• Maintain confidentiality of sensitive patient information at all times.
• Participate in site-specific and clinic-wide initiatives on an ongoing basis. Provide workflow training to other staff members as necessary related to population health and metric goals.
• Attend and actively participate in huddles and team meetings.
• Display high standards of office conduct.
• Successfully work closely with others in a team setting.
• Punctual, regular, timely, and dependable attendance.
• Successfully work in a fast-paced, changing environment with effective time management and ability to multitask and prioritize workload.

Qualifications

• College degree or equivalent required, master’s in public health or other clinically related field preferred.
• 3+ years of experience in a clinical or public health setting required.
• Experience with panel management and quality metrics preferred.
• Experience with EMR required, EPIC preferred.
• Understanding of PCPCH (Patient-Centered Primary Care Home) requirements.
• Knowledge and understanding of medical terminology and clinical procedures.
• Minimum of 3 years of experience in customer service, computers, general office procedures, multitasking, and understanding of insurance terms.