Population Health Specialist

Oak Orchard Health; Village of Brockport (NY); In loco; USD 60.000 - 80.000; Tempo pieno

Descrizione del lavoro

Oak Orchard Health is seeking a Population Health Specialist to coordinate outreach, identify gaps in care, and assist with preventive screenings, AWVs, and chronic disease management programs. You will work closely with clinical teams and the Population Health Manager to improve patient engagement and promote better health outcomes across the patient population.

The role focuses on engaging patients, maintaining accurate records, and contributing to quality performance measures within a

Competenze

• Strong organizational skills with attention to detail and accuracy.

Mansioni

• Identify and engage patients overdue for preventive screenings and AWVs to close gaps in care.
• Conduct daily patient outreach via calls, portal messages, and other approved methods.
• Maintain patient information, health assessments, and documentation while monitoring quality measures.

Conoscenze

Communication skills

Organizational skills

Patient engagement

Time management

Population health basics

Care gap identification

Documentation accuracy

Teamwork

Formazione

Associate degree in Public Health/Health Sciences/Healthcare Administration

1–2 years healthcare experience

Familiarity with EHR and healthcare quality measures

MS Office experience

Strumenti

Electronic Health Records (EHR)

Microsoft Office

Descrizione del lavoro

Description

Position Summary:

The Population Health Specialist supports the organization's population health initiatives by coordinating patient outreach, identifying gaps in care, and assisting with preventive health screenings, Annual Wellness Visits (AWVs), and chronic disease management programs. This position works closely with clinical teams and the Population Health Manager to improve patient engagement, support quality performance measures, and promote positive health outcomes across the patient population.

Job Responsibilities:

• Identify and engage patients who are overdue for preventive screenings, Annual Wellness Visits (AWVs), chronic disease follow-ups, and other recommended healthcare services to improve patient outcomes and close gaps in care.
• Conduct and document daily patient outreach through phone calls, patient portal messages, and other approved communication methods, meeting established productivity goals for outreach attempts, successful patient contacts, appointment scheduling, and completed follow-ups.
• Collect, review, and maintain accurate patient information, health assessments, and required documentation while monitoring UDS, and other applicable quality measures. Maintain outreach tracking reports and provide regular updates on patient engagement, appointment conversion rates, and quality improvement outcomes.

Requirements

Required Knowledge, Skills & Abilities

• Strong organizational skills with attention to detail and accuracy.
• Excellent verbal and written communication skills.
• Ability to engage patients professionally and compassionately.
• Ability to manage multiple priorities and meet established deadlines.
• Basic understanding of preventive healthcare, chronic disease management, and population health initiatives.
• Ability to interpret patient information, identify gaps in care, and maintain accurate documentation.
• Ability to work independently and collaboratively within a multidisciplinary healthcare team.
• Commitment to patient confidentiality, healthcare quality, and improving community health outcomes.

Education/Experience:

Education & Experience Requirements

• Associate degree in Public Health, Health Sciences, Healthcare Administration, or a related field preferred; equivalent healthcare experience may be considered.
• Minimum of 1–2 years of experience in healthcare, patient outreach, care coordination, medical administration, or population health preferred.
• Familiarity with Electronic Health Records (EHR), preventive care screenings, and healthcare quality measures preferred.
• Experience with patient data collection, reporting, and Microsoft Office applications preferred.