POSITION SUMMARY The Population Health Specialist will be responsible for collecting and reviewing patient population data and analyzing it to provide risk stratification. They will serve as a leader of population health based teams to ensure metrics are being addressed for the patient population. The Population Health Specialist will serve as the liaison to health plans and healthcare organizations participating in the care of our patients. The goal of the population health management program is to facilitate high-value, patient-centered care that improves timely access to and provision of preventive services and chronic disease treatment
ESSENTIAL FUNCTIONS

• Identify and address care gaps within patient populations, especially in patients with chronic illnesses and diseases
• Contributes to a positive experience for patients and families through courteous telephone interactions and interview activities, as well as referral to appropriate clinical staff when necessary
• Gather and organize patient data to identify patient unmet needs, engage patients in care and communication between the patient and their care team
• Operates systems such as EMR, health plan portals and population health analytics tools
• Uses data to risk stratify patients and allocate appropriate resources to patients based on risks
• Prepares and submits reports and other relevant work products timely and accurately.

EDUCATION/QUALIFICATIONS

• A high school diploma or GED equivalent required, Two-year degree preferred
• Proficient with electronic medical records and have the ability to provide detailed patient charting
• Medical office experience strongly preferred
• Strong interpersonal & communication skills & the ability to work effectively with a wide range of constituencies in a diverse community
• Proficient in Microsoft Office Suite applications
• Must be bilingual.(Spanish)

Two years' experience administrative services and customer services