Population Health Coordinator

Thank you for considering a career at Bon Secours Mercy Health! Primary Function/General Purpose of Position The Population Health Coordinator is responsible for managing payer panels related to value-based contract quality and gap closure. This role serves as the primary lead for payer panel workflows, including monitoring and tracking patient-level detail through each stage of the workflow, and includes leading and operationalizing system-wide, bi-directional communication strategies with patients. This role is a vital component to the success of the value-based contract quality outcomes. Essential Job Functions Acts as Bon Secours Mercy Health (BSMH) system-wide subject matter expert on value-based contract quality measures. This includes maintaining an expert level knowledge base of measures such as Breast Cancer Screening and Colorectal Cancer Screening. Actively operationalizes workflows for bidirectional communication with patients to support system-wide patient prevention and outreach strategies. Acts as a subject matter expert to support payer portals, including enhancing value-based contract performance with the identification of clinically relevant data. Optimizes workflows to support provider engagement through pre-visit planning, pre-visit charting, tracking outcomes data trends, and conducting patient outreach in coordination with practice guidelines. Supports and works closely with Program Managers and Clinical Integration leaders to support quality improvement efforts for Population Health Patients that are covered through any value-based contracts. Represents the Clinical Integration team and actively participates in payer operations meetings and responsible for providing updates to the BSMH Clinical Integration leaders and payers as it relates to assigned patient panel trends. Processes and maintains Protected Health Information (PHI) in compliance with BSMH policies and procedures, including electronically managing payer portals, patient lists and value-based patient level quality data. Utilizes value-based payer portals to identify data trends, upload clinically relevant data, and monitor progress toward overall value-based contract goal. Effectively communicates with patients to support gap closure workflows. This includes communication workflows including, but not limited to, phone calls and electronic medical record (EMR) platforms. Leads system-wide efforts to inform patient charts and payer portals with clinically relevant data to close value-based contract gaps. Maintains accurate patient lists to support value-based outcomes validation processes. Communicates clinical escalations when necessary. Conducts timely written, verbal, and electronic communication with providers, care teams, payers and BSMH leadership on patient specific opportunities. Leads outreach strategies and operations to support patients care gap closure. This includes directly communicating with patients via phone, email, and EMR. Performs patient research and documents findings in payer portals or other documentation system to support gap closure and demonstrated outcome delivery. This includes utilizing the Care Everywhere platform, the Epic EMR platform and various payer platforms. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification Certified Medical Assistant accredited by a recognized nationally organization or Licensed Practical Nurse (LPN) license in good standing. (required) Education High School Education or GED (required) Associates Degree (preferred) Work Experience 5 years of experience in a healthcare setting (required), preferably ambulatory practice with data management skills Training EPIC Electronic Health Record (preferred) Language None Patient Population Not applicable to this position Working Conditions Periods of high stress and fluctuating workloads may occur. Long-distance or air travel as needed- not to exceed 10% travel. General office environment. May be exposed to high noise levels and bright lights. May be exposed to physical altercations and verbal abuse. May be exposed to adverse weather conditions; cold, hot, dust, wind, etc. May have periods of constant interruptions. Required to car travel to off-site locations, occasionally in adverse weather conditions. Prolonged periods of working alone. Physical Requirements Physical Demands Frequency 0% 1-33% 34-66% 67-100% Lifting/ Carrying (0-50 lbs.) X Lifting/ Carrying (50-100 lbs.) X Push/ Pull (0-50 lbs.) X Push/ Pull (50-100 lbs.) X Stoop, Kneel X Crawling X Climbing X Balance X Bending X Work Position Frequency 0% 1-33% 34-66% 67-100% Sitting X Walking X Standing X Additional Physical Requirements/Hazards Physical Requirements Manual dexterity (eye/hand coordination) Hear alarms/telephone/audio recordings Reach above shoulder Repetitive arm/hand movements Finger Dexterity Color Vision Acuity – far Acuity – near Hazards Not applicable to this position Skills Clinical Data Data Evaluation Data abstraction Medical Charts Electronic Medical records Patient Outreach Payer Integration Platforms Microsoft Excel Data Management Following Instructions Clinical Expertise Prioritization Active listening Attention to detail Relationship building Critical thinking Communication with all levels Teamwork Time management Goal oriented Self-motivating Flexible Problem-solving Accountable Bon Secours Mercy Health is an equal opportunity employer. Many of our opportunities reward* your hard work with: Comprehensive, affordable medical, dental and vision plans Prescription drug coverage Flexible spending accounts Life insurance w/AD&D Employer contributions to retirement savings plan when eligible Paid time off Educational Assistance And much more *Benefits offerings vary according to employment status Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Department: Clinical Transformation/Medical - Population Health Service Organization All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com. For nearly 200 years, the historical founders of Bon Secours Mercy Health has been providing care to those in need. Today, the ministry is one of the top 20 health systems in the United States and part of the top performing quartile of Catholic health systems for lowest cost per case for patient care. This quality care is provided by more than 57,000 employees serving communities throughout Florida, Kentucky, Maryland, New York, Ohio, South Carolina and Virginia. The health care ministry provided care for patients more than 10.3 million times in 2017 through its network of more than 1,000 care sites. Consistent with its commitment to serve each patient with dignity, Bon Secours Mercy Health provides nearly $2 million per day in community benefit. The Mission of Bon Secours Mercy Health is to extend the compassionate ministry of Jesus by improving the health and well-being of its communities and bring good help to those in need, especially people who are poor, dying and underserved. For more information, visit www.bsmhealth.org.