Population Health Specialist

MLK Community Healthcare; Los Angeles (CA); On-site; USD 33,000 - 52,000; Full time

Job summary

MLK Community Healthcare seeks a Population Health Specialist to close care gaps and improve outcomes. You will lead data analysis on patient compliance, ensure Cerner data integrity, and develop outreach strategies to enhance appointment adherence across multiple clinics.

You will collaborate with the Population Health Manager to conduct chart audits, monitor performance metrics, and drive quality improvement while maintaining privacy guidelines. Some travel may be required.

Qualifications

• Bachelor’s degree in a health-related field is required.
• At least one year of customer service experience in a healthcare setting.
• Fluent in English; Spanish preferred; valid CA driver’s license.

Responsibilities

• Lead data analysis and monthly reporting on disease management and preventative health.
• Synchronize patient data with Cerner to ensure data integrity for care delivery.
• Identify patients with missed appointments and develop outreach to improve adherence.
• Oversee appointment scheduling, tracking, and reporting across clinics.
• Document interactions in Cerner and follow up on missed visits.
• Monitor patient experience surveys and provide quality improvement insights.
• Conduct chart audits to ensure compliance with documentation standards.
• Collaborate with Population Health Manager to address medical group needs.
• Maintain confidentiality and privacy per regulations.
• Travel as needed to support multidisciplinary teams across locations.

Skills

Data analysis

Cerner

Healthcare data

Patient engagement

Quality reporting

Process improvement

Education

Bachelor’s degree in health administration / public health / related field

Tools

Cerner system

Job description

Position Summary

The Population Health Specialist is focused on closing care gaps and enhancing patient outcomes in a multi-specialty healthcare environment. This role leads data analysis on patient compliance in disease management while ensuring accurate data integration from the Cerner system. Key responsibilities include developing outreach strategies to improve adherence, scheduling and tracking appointments, and monitoring performance metrics. The Specialist collaborates with the Manager of Population Health to conduct chart audits and maintain quality compliance. By fostering teamwork with clinic administrators and healthcare providers, the Specialist optimizes workflows to address care gaps and meet performance goals effectively. Proactive patient engagement through follow-ups and outreach is essential for improving health outcomes. Confidentiality and compliance with privacy regulations are critical, and the role may involve travel to support multidisciplinary teams, along with flexibility for additional duties as required.

• Data Analysis and Reporting: Lead the generation of comprehensive monthly reports analyzing patient compliance in Disease Management and Preventative Health initiatives across multi-specialty settings. Prepare and present in-depth quality metrics to stakeholders for performance evaluation and strategic decision-making.
• System Management and Data Integration: Manage the synchronization of patient data between Cerner and ensure the accuracy and integrity of data to facilitate coordinated care delivery and care gap closure.
• Patient Engagement and Follow-Up: Analyze quality reports to identify and prioritize patients who do not adhere to scheduled appointments. Develop and implement outreach strategies to improve appointment adherence rates.
• Appointment Scheduling and Tracking: In collaboration with the Manager of Population Health, oversee the scheduling, tracking, and reporting of patient appointments, ensuring streamlined care pathways across multiple clinics and specialties.
• Proactive Patient Outreach: Execute targeted outreach initiatives for patients requiring follow-up on preventive care and chronic disease management. Schedule required appointments and accurately document interactions within the Cerner system.
• Monitors documentation of appointments in Cerner to follow up if appointment is missed.
• Patient Experience Oversight: Strategically monitor and evaluate Patient Experience survey results, compiling and analyzing data to provide actionable insights for quality improvement initiatives.
• Compliance and Quality Assurance: Conduct thorough chart audits to ensure adherence to documentation standards and regulatory compliance, driving quality assurance within the care delivery process.
• Strategic Collaboration: Partner with the Manager of Population Health to identify and prioritize the needs of the Medical Group, driving initiatives that enhance patient care strategies.
• Confidentiality and Compliance Adherence: Uphold the highest standards of confidentiality, ensuring that the use and disclosure of identifiable health information adheres strictly to minimal necessary guidelines per privacy regulations.
• Collaborative Performance Management: Collaborate with clinic site administrators and nurse supervisors to develop and monitor strategies aligned with performance metrics. Ensure effective communication to assess patient care quality, optimize workflows, and enhance staff training.
• Provider Collaboration for Workflow Optimization: Work closely with healthcare providers to streamline clinical workflows that meet performance measures. Facilitate ongoing discussions to identify challenges and offer tailored support, ensuring providers have the tools and knowledge needed to adhere to best practices and improve patient outcomes.
• Traveling as Needed: Willingness to travel as required to fulfill job responsibilities and strengthen support for multi-disciplinary teams across locations.
• Other Duties as Assigned: Fulfill other duties as assigned, demonstrating flexibility and a commitment to the evolving needs of the organization and its patient population.

Pay Rate Type

Hourly

Salary Range (Depending on Experience)

$24.24 - $37.57

Position Summary

The Population Health Specialist is focused on closing care gaps and enhancing patient outcomes in a multi-specialty healthcare environment. This role leads data analysis on patient compliance in disease management while ensuring accurate data integration from the Cerner system. Key responsibilities include developing outreach strategies to improve adherence, scheduling and tracking appointments, and monitoring performance metrics. The Specialist collaborates with the Manager of Population Health to conduct chart audits and maintain quality compliance. By fostering teamwork with clinic administrators and healthcare providers, the Specialist optimizes workflows to address care gaps and meet performance goals effectively. Proactive patient engagement through follow-ups and outreach is essential for improving health outcomes. Confidentiality and compliance with privacy regulations are critical, and the role may involve travel to support multidisciplinary teams, along with flexibility for additional duties as required.

Essential Duties And Responsibilities

• Data Analysis and Reporting: Lead the generation of comprehensive monthly reports analyzing patient compliance in Disease Management and Preventative Health initiatives across multi-specialty settings. Prepare and present in-depth quality metrics to stakeholders for performance evaluation and strategic decision-making.
• System Management and Data Integration: Manage the synchronization of patient data between Cerner and ensure the accuracy and integrity of data to facilitate coordinated care delivery and care gap closure.
• Patient Engagement and Follow-Up: Analyze quality reports to identify and prioritize patients who do not adhere to scheduled appointments. Develop and implement outreach strategies to improve appointment adherence rates.
• Appointment Scheduling and Tracking: In collaboration with the Manager of Population Health, oversee the scheduling, tracking, and reporting of patient appointments, ensuring streamlined care pathways across multiple clinics and specialties.
• Proactive Patient Outreach: Execute targeted outreach initiatives for patients requiring follow-up on preventive care and chronic disease management. Schedule required appointments and accurately document interactions within the Cerner system.
• Monitors documentation of appointments in Cerner to follow up if appointment is missed.
• Patient Experience Oversight: Strategically monitor and evaluate Patient Experience survey results, compiling and analyzing data to provide actionable insights for quality improvement initiatives.
• Compliance and Quality Assurance: Conduct thorough chart audits to ensure adherence to documentation standards and regulatory compliance, driving quality assurance within the care delivery process.
• Strategic Collaboration: Partner with the Manager of Population Health to identify and prioritize the needs of the Medical Group, driving initiatives that enhance patient care strategies.
• Confidentiality and Compliance Adherence: Uphold the highest standards of confidentiality, ensuring that the use and disclosure of identifiable health information adheres strictly to minimal necessary guidelines per privacy regulations.
• Collaborative Performance Management: Collaborate with clinic site administrators and nurse supervisors to develop and monitor strategies aligned with performance metrics. Ensure effective communication to assess patient care quality, optimize workflows, and enhance staff training.
• Provider Collaboration for Workflow Optimization: Work closely with healthcare providers to streamline clinical workflows that meet performance measures. Facilitate ongoing discussions to identify challenges and offer tailored support, ensuring providers have the tools and knowledge needed to adhere to best practices and improve patient outcomes.
• Traveling as Needed: Willingness to travel as required to fulfill job responsibilities and strengthen support for multi-disciplinary teams across locations.
• Other Duties as Assigned: Fulfill other duties as assigned, demonstrating flexibility and a commitment to the evolving needs of the organization and its patient population.

Position Requirements

• Education
• Bachelor’s degree required in a relevant subject area such as health administration, public health, nursing, social work, business administration, or related field.
• Qualifications/Experience
• One year of customer service experience in a healthcare setting or similar.
• Valid unrestricted CA Driver’s License with proof of vehicle insurance. Must present both within 30 days of hire/transfer.
• Advanced Skills/Knowledge
• Bilingual Proficiency: Fluent in English and Spanish for effective communication with diverse patient populations.
• Professionalism in Patient Care: Maintain high standards of professionalism, prioritizing patient-centered care and quality relationships.
• Multitasking and Operational Excellence: Skilled at managing multiple priorities to ensure operational effectiveness and completion of essential duties.
• Collaborative Team Orientation: Strong team player who adheres to systems and protocols to achieve common goals.
• Organizational and Communication Skills: Highly organized with excellent oral and written communication for impactful interactions.
• Community Engagement: Build partnerships with community healthcare organizations to enhance patient care initiatives.
• Critical Thinking: Utilize sound judgment and proactive decision-making to improve processes and patient outcomes.
• Exemplify advanced customer service, time management, and organizational leadership competencies while maintaining a strong focus on quality of care.
• Leadership in Quality Service Delivery: Demonstrate advanced customer service, time management, and leadership while ensuring quality care.