Population Health Specialist, Population Health, Full Time, Day

Valley Health System • Blacksburg, VA

2d • Onsite

About The Position

The Population Health Specialist (PHS) will work in the VHS ColigoCare/Population Health Department to provide individualized service, navigating, and supporting all provider practices within the clinically integrated network (CIN) to improve patient quality of care. The PHS will support all ColigoCare provider practices, including Valley Medical Group and Independent physicians, by developing and implementing processes designed to meet quality targets established by CMS and commercial payors. The PHS acts as an integral liaison between payors/insurers and the practices to analyze electronic quality reports and format these into actionable data at the practice level. The PHS facilitates this data-driven approach by conducting face-to-face visits at the practice site with office managers and/or providers to discuss opportunities for improvement. The PHS participates in providing educational seminars for practice managers and clinicians. The PHS regularly attends interactive meetings with commercial payors to better align our network with these payors and maximize our results in their shared savings programs. Under the direction of the Quality Supervisor, the PHS strives to influence behavior at the practice and provider levels to succeed in value-based care programs and improve the triple aim: improved quality, decreased cost of care, and improved patient experience.

Requirements

• Proficient in Microsoft Word and Excel; skilled in compiling and analyzing data.
• Knowledgeable in population health, utilization management, case/care management, healthcare contracts, and benefit eligibility.
• Strong critical thinking, problem-solving, decision-making, and time management abilities.
• Excellent oral and written communication skills; highly organized and adaptable.
• Self-starter with ability to multitask and support multiple professionals.
• Understanding of business fundamentals and cost management; committed to high-quality, cost-effective care.
• Exceptional interpersonal and customer service skills; able to respond promptly and professionally to customer needs.
• Maintains confidentiality and demonstrates courtesy, patience, and tact in all interactions.
• Team-oriented, fostering cooperative relationships and demonstrating respect, compassion, and professionalism.
• Skilled in influencing and motivating others; effective collaborator across all organizational levels.
• Demonstrates accountability, reliability, and commitment to organizational goals and behavioral standards.

Nice To Haves

• Associates degree or higher preferred. In lieu of degree, 3+ years’ experience in health- related field accepted.
• Experience working with physician practices including provider education, practice management, or quality assurance preferred.

Responsibilities

• Provide individualized service, navigating, and supporting all provider practices within the clinically integrated network (CIN) to improve patient quality of care.
• Support all ColigoCare provider practices by developing and implementing processes designed to meet quality targets established by CMS and commercial payors.
• Act as an integral liaison between payors/insurers and the practices to analyze electronic quality reports and format these into actionable data at the practice level.
• Conduct face-to-face visits at the practice site with office managers and/or providers to discuss opportunities for improvement.
• Participate in providing educational seminars for practice managers and clinicians.
• Attend interactive meetings with commercial payors to better align our network with these payors and maximize our results in their shared savings programs.
• Influence behavior at the practice and provider levels to succeed in value-based care programs and improve the triple aim: improved quality, decreased cost of care, and improved patient experience.

Benefits

• Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees)
• Group Term Life Insurance and AD&D(Full Time Employees)
• Flexible Spending Accounts and Commuter Benefit Plans
• Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.)
• 6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness
• Retirement Plan
• Tuition Assistance
• Employee Assistance Program (EAP)
• Valley Health LifeStyles Fitness Center Membership Discount
• Day Care Discounts for Various Daycare Facilities

What This Job Offers

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