Population Health Specialist

United Health Centers of the San Joaquin Valley; Fresno (CA); Vor Ort; USD 30.000 - 43.000; Vollzeit

Benefits dieser Stelle

Medical, Dental, Vision insurance

Paid time off

401k plan with matching

Educational Assistance

Employee discounts and more

Zusammenfassung

United Health Centers of the San Joaquin Valley is seeking a Population Health Specialist to provide clerical and data support for value-based care initiatives in Fresno, CA. The role supports the Population Health Director, helps design dynamic presentations, tracks improvement initiatives, and coordinates meetings.

The ideal candidate has 1+ year clerical healthcare experience, familiarity with HEDIS measures and RAF scores, and proficient in Word/Excel/PowerPoint.

Qualifikationen

• AS/AS or equivalent required; Bachelor's preferred.
• Healthcare-related degree or certification preferred.
• 1+ year clerical or healthcare experience; value-based experience beneficial.
• Experience with HEDIS or value-based healthcare measures.
• Familiarity with codesets and RAF scores.
• Advanced Word/Excel/PowerPoint experience.

Aufgaben

• Support the Population Health Director with clerical and data tasks.
• Assist with value-based quality improvement projects and reporting.
• Develop and present results to stakeholders; create presentations.
• Coordinate meetings, records, and tracking of improvement initiatives.
• Identify gaps in care and support follow-up with specialists or providers.
• Collaborate with departments to improve quality metrics and ROI.
• Maintain confidentiality and adhere to HIPAA and organizational policies.
• Train UHC staff on value-based initiatives and quality measures.

Kenntnisse

HEDIS metrics

RAF scores

Office suite

Data analysis

Communication

Attention to detail

Team collaboration

Problem solving

Ausbildung

AS/AS or equivalent

Healthcare-related degree preferred

Bachelor's degree preferred

Tools

HEDIS knowledge

Codesets (CD100/CPT/CDT)

EHR systems

Jobbeschreibung

Overview

The Population Health Specialist provides clerical and data support for value based care initiatives. This position assists with both clerical and analytical functions of all value-based quality improvement projects. The Population Health Specialist is expected to effectively communicate outcomes and results, as well as design and create dynamic presentation materials. They are responsible for coordinating meetings, record-keeping, and tracking improvement initiatives.

Responsibilities

SUMMARY OF RESPONSIBILITIES:

This position provides support to the Population Health Director by:

These include, but are not limited to:

• IncollaborationwiththePopulationHealthDirectortoensurePlansmeetclinicalstandardsof careandachievethedesiredoutcomeforUHCforHealthEffectivenessDataandInformationSet(HEDIS),andHEDISSTARS.

• WorkwithleadershiptoimprovetheoverallRiskAdjustmentFactor(RAF)scoreofthe MedicareandMedicareAdvantagemembers.

• WorkwithHealthplansandPopulationHealthplatforms.

• Competency in gathering information and understanding context from several sources, withtheabilitytoanalyzethisinformationanddrawconclusions.

• WorkwithotherdepartmentstomaximizequalitymetricsandfinancialROIacrossallvalue- basedprograms.

• ProvidefeedbackandcollaboratewithEHRanddatateamstoensurereportsareaccurate,meaningful, andactionable.

• Coordinatingtrackingandreportingofclinicaloutcomesandfollow-upofcorrectiveactionplansfromcontractedIndependentPhysicianAssociations(IPAs)andHealthPlans

• Identifyinggapsincareforpatientswithcomplexhealthneedstoensurethattheyreceiveappropriatefollow-upcarefromspecialistsorotherproviders.

• AssistineducatingandtrainingUHCstaffonvalue-basedinitiativesandUHC’squalitypatientmeasures.

• Assistingeneralclerical/officedutiesassociatedwiththedepartment.

PERFORMANCE AREA 1

• Schedulesandorganizescomplexactivitiessuchasmeetingsanddepartmentactivities.
• Performsdesktoppublishing.Creatinganddevelopingvisualpresentationsforthequality improvementactivities.
• Establishes,develops,maintains,andupdatesthefilingsystem
• Organizesandprioritizesinformationandcalls
• Respondstoregularlyoccurringrequestsforinformation.
• Typesanddesignsgeneralcorrespondence,memos,charts,tables,graphs,businessplans,etc.Proofreadscopyforspelling,grammar,andlayout,makingappropriatechanges. Responsiblefortheaccuracyandclarityofthefinalcopy.
• Workscloselywithonsiteperformanceimprovementteamstodesign,implement,andmonitorqualityimprovementinitiatives.
• Attendsandactivelyparticipatesinallmeetings(e.g.,departmentmeetings,programmeetings,employeestaffmeetings)andotheractivitiesasrequiredorassigned.
• Attendsworkshops/seminarsasnecessarytoincreaseskillsandknowledgetoprovide effective care,treatment,and/orleadership.
• Supportstheoverallneedsofthedepartmentbyworkingflexibleorextendedhourswhennecessary.
• SupportstheneedsofthehealthcenterbytravelingtootherUHChealthcenterswhendepartment needsdictate.
• Demonstratesawarenessof,andcompliancewith,theorganizationalmissionandobjectives ofUHCtoprovidehealthcareaccessandsupportservicesforallmembersofthecommunity.
• Otherwork-relateddutiesasassignedbysupervisor.
• Maintainsconfidentialityandrespectforinformationregardingpatientsandotherteam members; abidesbyUHCRulesofConfidentialityandgeneralHIPAAregulationsregardingprivacy.

• Displaysapositive,professional,andrespectfuldemeanoratalltimestowardemployees, peers,professionalcontacts,andpatientsserved,maintainingaprofessionalappearanceandpositiveimageforthehealthcenters.

• Contributestotheteambypromotingpositivestaffinteractionandmaintainingopencommunicationwithother programs/departments.

• Researches,tabulates,andpreparesprogramperformanceinformation.

• Maintainsdetailedknowledgeoffederal,state,local,andinternalrules,regulations,policies,andproceduresgoverning UHCprograms

Qualifications

QUALIFICATION REQUIREMENTS:

EDUCATION:

• AS/AS or equivalent required. Bachelor’s Degree preferred.
• Degree/certification in healthcare related field preferred (e.g., BS in Health Education, Medical Assistant certification).

PRIOR EXPERIENCE:

• 1 or more years of clerical experience or experience in a health care setting
• Value-based experience

SKILLS:

• ExperiencewithHEDISorvalue-basedclinicalperformancemeasures
• ComfortableunderstandingofCodesets(e.g.,CD100,CPT,CDT,etc.),especiallyHierarchicalConditionCategory(HCC)coding.
• ComfortableunderstandingofRiskAdjustmentFactor(RAF)scores
• AdvancedWord/ExcelPowerPointexperience

• Competency in gathering information and understanding context from several sources, withtheabilitytoanalyzethisinformation,drawconclusions,andmakerecommendations,isrequired.

• Exceptionalwrittenandverbalcommunicationskillswithpeers,executives,andotherkeystakeholders arerequired.

• Mustdemonstrateadvancedproblem-solvingskillsandexceptionalattentiontodetail.

• Mustbeflexibleandmaintainpositiveworkingrelationshipswiththeabilitytocomfortably navigateambiguity,significantautonomy,andafast-paced,changingenvironment

• Musthavestrongprojectmanagementandprioritizationskillscombinedwiththeabilitytoensuresensitivetimelinesareme

• Exceptionalwrittenandverbalcommunicationskillswithpeers,executives,andotherkeystakeholders arerequired.

• Able to quickly build and maintain rapport with staff of differing backgrounds; team player
• Customer-service oriented
• Positive professional insight
• Strong writing and verbal skills
• Flexibility and dependability
• Demonstrated good problem-solving skills; sound judgmentil
• Attention to detail and excellent follow-through on work tasks
• Able to handle multiple tasks simultaneously

PHYSICAL REQUIREMENTS:

• Must be able to lift up to 20 pounds and push up to 50 pounds (on wheels).
• Must be able to hear staff on the phone and those who are served in-person, and speak clearly in order to communicate information to patients and staff.
• Must be able to read memos, computer screens, personnel forms and clinical and administrative documents.
• Must have high manual dexterity.
• Must be able to reach above the shoulder level to work, must be able to bend, squat and sit, stand, stoop, crouch, reach, kneel, twist/turn

The hourly wage range that UHC reasonably expects to pay for the position upon hire starts at $26.62an hour. Our salaries are dependent on knowledge, skills, and experience.

In addition, our comprehensive benefits package for regular status employees includes:

• Medical, Dental, and Vision insurance with low premium cost
• Paid time off and paid holidays
• 401k plan with matching contribution
• Educational Assistance
• Employee discounts and more!