Population Health Specialist

Alpine Physician Partners; Denver (CO); On-site; USD 23,000 - 32,000; Full time

Job summary

Alpine Physician Partners is seeking a Population Health Specialist to drive Medicaid quality outcomes within Colorado’s Health First Colorado program. The role collaborates with clinical operations, health plan teams, and leadership to identify care gaps, conduct audits, and coordinate outreach for data-driven improvements.

The ideal candidate has 1–3 years in healthcare support roles, familiarity with EMR systems, and strong MS 365 skills.

Qualifications

• High School Diploma or GED required; associates or bachelor’s degree preferred.
• 1–3 years’ experience in healthcare support roles (Medical Assistant, Medical Records Technician, or Referral Coordinator).
• Experience with medical records or patient interactions in a healthcare setting beneficial.

Responsibilities

• Conduct clinical quality audits and data collection to identify quality improvements.
• Perform attestations to improve quality metrics.
• Coordinate outreach with external partners to close care gaps.
• Support HIPAA compliance and data privacy in all tasks.
• Assist with annual HEDIS reviews and related data collection.

Skills

Microsoft 365

EMR systems

Diagnosis codes CPT codes

Communication skills

Project coordination

Time management

Self-management

Written and verbal communication

Customer service

Education

High School Diploma/GED; associate or bachelor’s degree preferred

Tools

Microsoft 365 suite

Job description

Are you looking to work for a company that has been recognized for over a decade as a Top Place to Work? Apply today to become a part of a company that continues to commit to putting our employees first.

Job Description

OVERVIEW OF POSITION

The Population Health Specialist supports Colorado Community Health Alliance (CCHA)’s Medicaid members by driving performance on the state's Medicaid quality metrics. This role works closely with clinical operations team, CCHA leadership, and health plan teams to identify care gaps, conduct quality audits, coordinate outreach, and support data-driven interventions that improve outcomes for Colorado Medicaid members. The Population Health Specialist plays a central role in ensuring CCHA meets or exceeds Health First Colorado quality benchmarks and value-based contract requirements. The position supports Alpine's commitment to improving health outcomes for Colorado's Medicaid members through data-informed quality improvement and population health strategy.

Colorado Residency Is Required For This Position

ESSENTIAL DUTIES

• Conducts clinical quality audits by collecting and organizing data to identify areas for quality improvement
• Performs attestations to improve quality metrics
• Performs outreach to external partners
• Provide valuable information to external facing partners in support of improving clinical quality measures and patient care through various reports used in educational forums
• Identify care gaps at the member and population level and coordinate outreach strategies to close gaps in preventive care, chronic disease management, and behavioral health screening.
• Identifies and communicates potential obstacles and errors and develops action plans to overcome those obstacles
• Identifies improvement opportunities and communicates ideas to others
• Provides support with audit appeals research
• Responds to practice inquiries in a timely and accurate manner
• Supports annual HEDIS medical record review and data collection processes as needed.
• Stays current on Colorado Medicaid policy changes, quality program updates, and RAE contract amendments that affect quality performance.
• Participate in special projects and perform other duties as assigned.
• Maintains confidentiality and ensures compliance with HIPAA regulations
• Other duties as assigned

EDUCATION

High School Diploma/GED; associate or bachelor’s degree preferred.

EXPERIENCE

• 1-3 years’ experience as a Medical Assistant, Medical Records Technician, or Referral Coordinator
• 1-3 years’ experience working with medical records and/or patients in a healthcare setting

Preferred experience:

• Experience working directly with a Colorado RAE or Medicaid managed care organization.
• Experience with care gap closure programs and member outreach strategy.

KNOWLEDGE, SKILLS, ABILITIES

• Proficiency in Microsoft 365 office suite, including Outlook, Excel, PowerPoint, Word, Teams and SharePoint
• Knowledge of Electronic Medical Record systems
• Knowledge of diagnosis codes, CPT codes, and medical terminology
• Ability to learn and use new software and data tools
• Great customer service skills
• Self-motivated and self-managed
• Written and verbal communication skills.
• Proven project coordination skills.
• Ability to prioritize, self-direct, and perform detailed tasks with minimal supervision.
• Ability to manage multiple priorities and deadlines effectively
• Ability to establish and maintain effective working relationships with others
• Home office, that is HIPAA compliant for all remote or hybrid work arrangement positions as outlined by the company policies and procedures

Salary Range

$19.71+