Population Health Coordinator

Bon Secours Health System; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a Population Health Coordinator to manage payer panels related to value-based contract quality and gap closure. The role is remote and requires strong communication and data management skills to support quality improvement efforts. Ideal candidates will have significant healthcare experience and hold relevant certifications. Competitive salary and comprehensive benefits package offered.

Benefits

Competitive pay

Medical, dental, vision coverage

Tuition assistance

Paid time off

Professional development support

Qualifications

• 5 years of experience in a healthcare setting, preferably ambulatory practice.
• Certified Medical Assistant or Licensed Practical Nurse license in good standing.

Responsibilities

• Manage payer panels for value-based contract quality and gap closure.
• Support quality improvement efforts for Population Health Patients.

Skills

Clinical Data

Data Evaluation

Patient Outreach

Electronic Medical records

Data Management

Communication with all levels

Critical thinking

Time management

Education

High School Education or GED

Associates Degree

Tools

EPIC Electronic Health Record

Microsoft Excel

Job description

Thank you for considering a career at Bon Secours Mercy Health!

Scheduled Weekly Hours: 40

Work Shift: Days (United States of America)

Primary Function/General Purpose of Position

The Population Health Coordinator is responsible for managing payer panels related to value-based contract quality and gap closure. This role serves as the primary lead for payer panel workflows, including monitoring and tracking patient-level detail through each stage of the workflow, and includes leading and operationalizing system-wide, bi-directional communication strategies with patients. This role is a vital component to the success of the value-based contract quality outcomes.

This is a remote/work from home position. Hire must be able to work eastern time zone hours.

Essential Job Functions

• Acts as Bon Secours Mercy Health (BSMH) system-wide subject matter expert on value-based contract quality measures. This includes maintaining an expert level knowledge base of measures such as Breast Cancer Screening and Colorectal Cancer Screening.
• Actively operationalizes workflows for bidirectional communication with patients to support system-wide patient prevention and outreach strategies.
• Acts as a subject matter expert to support payer portals, including enhancing value-based contract performance with the identification of clinically relevant data.
• Optimizes workflows to support provider engagement through pre-visit planning, pre-visit charting, tracking outcomes data trends, and conducting patient outreach in coordination with practice guidelines.
• Supports and works closely with Program Managers and Clinical Integration leaders to support quality improvement efforts for Population Health Patients that are covered through any value-based contracts.
• Represents the Clinical Integration team and actively participates in payer operations meetings and responsible for providing updates to the BSMH Clinical Integration leaders and payers as it relates to assigned patient panel trends.
• Processes and maintains Protected Health Information (PHI) in compliance with BSMH policies and procedures, including electronically managing payer portals, patient lists and value-based patient level quality data.
• Utilizes value-based payer portals to identify data trends, upload clinically relevant data, and monitor progress toward overall value-based contract goal.
• Effectively communicates with patients to support gap closure workflows. This includes communication workflows including, but not limited to, phone calls and electronic medical record (EMR) platforms.
• Leads system-wide efforts to inform patient charts and payer portals with clinically relevant data to close value-based contract gaps.
• Maintains accurate patient lists to support value-based outcomes validation processes.
• Communicates clinical escalations when necessary. Conducts timely written, verbal, and electronic communication with providers, care teams, payers and BSMH leadership on patient specific opportunities.
• Leads outreach strategies and operations to support patients care gap closure. This includes directly communicating with patients via phone, email, and EMR.
• Performs patient research and documents findings in payer portals or other documentation system to support gap closure and demonstrated outcome delivery. This includes utilizing the Care Everywhere platform, the Epic EMR platform and various payer platforms.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Licensing/Certification

Certified Medical Assistant accredited by a recognized nationally organization or Licensed Practical Nurse (LPN) license in good standing. (required)

Education

High School Education or GED (required)

Associates Degree (preferred)

Work Experience

5 years of experience in a healthcare setting (required), preferably ambulatory practice with data management skills

Training

EPIC Electronic Health Record (preferred)

Language

None

Patient Population

Not applicable to this position

Working Conditions

Periods of high stress and fluctuating workloads may occur.

Long-distance or air travel as needed- not to exceed 10% travel.

General office environment.

May be exposed to high noise levels and bright lights.

May be exposed to physical altercations and verbal abuse.

May be exposed to adverse weather conditions; cold, hot, dust, wind, etc.

May have periods of constant interruptions.

Required to car travel to off-site locations, occasionally in adverse weather conditions.

Prolonged periods of working alone.

Skills

Clinical Data

Data Evaluation

Data abstraction

Medical Charts

Electronic Medical records

Patient Outreach

Payer Integration Platforms

Microsoft Excel

Data Management

Following Instructions

Clinical Expertise

Prioritization

Active listening

Attention to detail

Relationship building

Critical thinking

Communication with all levels

Teamwork

Time management

Goal oriented

Self-motivating

Flexible

Problem-solving

Accountable

Bon Secours Mercy Health is an equal opportunity employer.

As a Bon Secours Mercy Health associate, you’re part of a Mission that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
• Paid time off, parental and FMLA leave, shot- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

Department: Clinical Transformation/Medical - Population Health Service Organization

Bon Secours Mercy Health is an equal opportunity employer. It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability.