Population Health Lead - Care Coordination & Analytics

Henrietta Johnson Medical Center; Wilmington (DE); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health Insurance

Long-Term Disability

EAP

Short-Term Disability Option

Job summary

Henrietta Johnson Medical Center in Delaware is seeking a Population Health Coordinator to advance value-based care through registry management, quality analytics, patient outreach, and care coordination strategies. This role improves preventive care and chronic disease outcomes while strengthening contract performance and reducing avoidable costs.

You will collaborate with clinical and front-desk teams, validate data, produce actionable insights, coordinate referrals, and support UDS and

Qualifications

• Bachelor's degree in public health, health administration, nursing, data analytics, or related field; equivalent relevant experience may be considered.
• Two years of experience in population health, care coordination, quality improvement, managed care, or healthcare analytics.
• Experience working with electronic health records, registries, reporting tools, and patient outreach workflows.
• Strong organizational, communication, and analytical skills.

Responsibilities

• Maintains and works on assigned registries, dashboards, and reports to identify patients due for preventive, chronic care, and transitional care services.
• Conducts outreach to engage patients with overdue screenings, immunizations, chronic disease follow-up, and other quality measures tied to payer and regulatory requirements.
• Partners with clinical, front-desk, referral, and care management teams to close care gaps and support high-risk patient interventions.
• Assists with data validation, reconciliation, and documentation workflow improvement to support accurate quality performance and reporting.
• Prepares and shares actionable worklists, panel insights, and performance trends with operational and clinical leaders.
• Coordinates referrals, diagnostic follow-up, and tracking processes that support continuity of care and reduce leakage. Supports UDS, value-based contract measures, and quality improvement projects.
• Maintains compliance with HIPAA, organizational policies, and minimum-necessary access principles in all data handling activities.

Skills

Data analytics

Communication

Analytical skills

Organizational skills

Care coordination

Education

Bachelor's degree in public health / health administration / nursing / data analytics

Tools

EHR systems

Registries / reporting tools

Job description

Henrietta Johnson Medical Center in Delaware is seeking a Population Health Coordinator to advance value-based care through registry management, quality analytics, patient outreach, and care coordination strategies. This role improves preventive care and chronic disease outcomes while strengthening contract performance and reducing avoidable costs.

You will collaborate with clinical and front-desk teams, validate data, produce actionable insights, coordinate referrals, and support UDS and