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Population Health Specialist at ConnextCare

Pulaski, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

28 May, 26

Salary

21.0

Posted On

27 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Audits, Data Capture, Value Based Contracts, HEDIS Measures, Patient Outreach, Chart Audits, Reporting, Referral Management, Order Reports, Communication Skills, Judgment, Decision-Making, Computer Proficiency, Electronic Medical Record System

Industry

Hospitals and Health Care

Description

Description Basic Function: To identify areas for improvement regarding patient care quality by conducting audits, and identifying trends, supporting data capture for Value Based Contracts and HEDIS Measures. Principal Accountabilities: Review Gaps in Care for Quality Incentive initiatives through payor contracts, Independent Provider Association (IPA) contracts, Accountable Care Organization (ACO) contracts, and Social Care Networks Contracts Patient outreach as required by contracts or as requested by Supervisor Complete Value Based Payments (VBP) and other alternative payment metric evaluations and follow-up as requested by management as well as insurance companies (payors) by performing chart audits Generate reports on population health metrics and outcomes Assist other departments with pending/open referrals and open order reports as requested by Supervisor Assist with and promote all processes associated with the Coleman initiative Promoting Patient Centered Medical Home (PCMH) initiatives Other duties and responsibilities as requested by supervisor and/or management Requirements Knowledge/ Education Requirements: A. High school graduate or GED, associate degree preferred B. Prior population health or ambulatory care experience preferred C. Verbal and written communication skills, medical office applications preferred D. Demonstrate proper judgment and decision-making skills E. Must demonstrate computer proficiency with electronic medical record system

Responsibilities

The specialist will identify improvements in patient care quality by conducting audits, identifying trends, and supporting data capture for Value Based Contracts and HEDIS Measures. Key duties include reviewing Gaps in Care, performing chart audits for payment evaluations, generating population health reports, and assisting with referrals and PCMH initiatives.