Population Health Resource

Pennant Services

1d

About The Position

The Population Health Resource is responsible for supporting organization-wide and regional population health initiatives. This role is responsible for driving measurable performance across value-based care program partnerships through advanced data analysis, dashboard developments, partner accountability frameworks, workflow development, and team accountability. This role translates complex data into actionable insights, ensuring partners are aligned, accountable, and continuously improving within value-based arrangements. The population health resource will collaborate with the Population Health Director, Managed Care Team, and ACO Director to coordinate and execute population health-based partnerships and outcomes.

Requirements

• LPN or RN required
• 8+ years in healthcare, with strong experience in hospital, post-acute, or care coordination settings
• Direct experience working with value-based care models (ACO, BPCI-A, CJR strongly preferred)
• Experience managing relationships with hospitals and physician groups
• Background in care transitions, intake, or referral management highly desirable
• Experience with data tools such as Power BI, Tableau, or similar reporting platforms
• Familiarity with various digital platforms (EMRs, HCHB, Allscripts, Meditech, PCC, Careport, Curaspan, etc.)
• Experience with population health tools (Trella, SHP, Medalogix, etc.)

Nice To Haves

• Health Information Technology education or certification strongly preferred

Responsibilities

• Support performance across organization-wide risk contract partnerships including TEAM, ACO, JV partnerships, LEAD, and others.
• Monitor utilization, outcomes, and cost drivers to identify opportunities for improvement.
• Collaborate with internal and external stakeholders to align care delivery with program goals.
• Implement care coordination workflows for High-Risk ACO patients, in collaboration with ACO Director.
• Lead initiatives to improve hospital-to-home transitions for high-risk patient populations.
• Identify and manage high-risk patients to reduce avoidable readmissions.
• Partner with care teams to implement best practices in post-discharge care planning and follow-up.
• Audit readmissions cases and drive targeted clinical and operational improvements.
• Build and maintain strong relationships with hospitals, physician groups, SNFs, ALFs, and other referral sources.
• Serve as a key liaison between post-acute providers and acute care partners.
• Participate in collaborative meetings with contracted partners to review performance and align improvement strategies.
• Analyze trends in readmissions, utilization, and patient outcomes to inform strategy.
• Support development and use of reporting tools (dashboards, Power BI, care coordination reports, JOC reports).
• Translate data into actionable insights for clinical teams, leadership, and external partners.
• Partner with business development teams to grow referral networks.
• Assist in development of presentations and data-driven materials for partner engagement.
• Provide educational outreach to demonstrate value in population health-based relationships and contracts.
• Identify workflow inefficiencies across referral intake, care coordination, and transition processes.
• Support implementation of new tools, technologies, and standardized processes.
• Train and mentor staff across care coordination and intake functions.

Benefits

• The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com. Pennant Group is one of the most dynamic and progressive companies in the rapidly expanding senior living, home health, hospice, and home care industries. Affiliates of Pennant now operate more than 250 senior living, home health, hospice, and home care operations across 16 states and we are growing! These operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the “Service Center,” a world-class service team that provides the centralized clinical, legal, risk management, HR, training, accounting, IT and other resources necessary to allow on-site leaders and caregivers to focus squarely on day-to-day care and business issues in their individual agencies. More information about Pennant is available at https://pennantgroup.com/. Something else that sets us apart from other companies is the quality of our most valuable resources – our people! We are dedicated to living out our culture as defined by our core values, CAPLICO: Customer Second Accountability Passion for Learning Love One Another Intelligent Risk Taking Celebrate Ownership By incorporating these principles at all levels of our organization, our employees feel valued and excited about their impact on our service center team members and operational partners. Our culture fosters excellence both personally and professionally and promotes development that leads to continued success. We are an equal opportunity employer committed to ensuring that all conditions and privileges of employment, including recruitment, hiring, evaluation, transfer, promotion, discipline, determination of compensation and/or benefits, and termination of employment, for all job classifications, are based on qualifications and work record. No employment decision is made, nor do we discriminate, on the basis of race, color, religion, creed, sex/pregnancy, sexual orientation, gender identity, gender expression, age, national origin, ancestry, veteran status, or disability.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree