Population Health Transformational Specialist

Southeast Medical Group•Warner Robins, GA

23d

About The Position

We are currently seeking high-energy, engaging leaders with a passion for population health to help transform healthcare in the southeast. As a Population Health Transformation Specialist, you will lead the transition to outcomes-based care across multiple clinics, serving as the primary partner for providers, managers, and staff at each location on all matters related to population health. This role involves frequent site visits to assigned practices to support providers in understanding and utilizing available population health tools and technology. Specifically, you will assist in the development and implementation of pathways that support providers and practices in transitioning to value-based care. You will drive department initiatives, track individual performance goals, and provide ongoing training and education on quality measures, accurate RAF reporting, and strategies for closing care gaps. As an integral member of each partner practice, you will collaborate with them to achieve population health priorities while staying up-to-date with regulatory standards and guidelines, including HEDIS and STARs.

Requirements

Strong communication and relationship building skills.
Demonstrated experience with: Value-Based Payor Programs (incl. understanding of HEDIS Coding); HEDIS, STARS ratings and other population health initiatives.
Electronic Health Record (eHR) use and documentation. Allscripts/Veradigm experience preferred.
Demonstrated experience training clinical staff on value-based programs and requirements
Demonstrated experience with auditing documents for gap-closure requirements
High-school graduate (Associates preferred)
Ability to lift up to 50 pounds
Ability to push or pull heavy objects using up to 50 pounds of force
Ability to sit for extended periods of time
Ability to stand for extended periods of time
Ability to use fine motor skills to operate office equipment and/or machinery
Ability to receive and comprehend instructions verbally and/or in writing
Ability to use logical reasoning for simple and complex problem solving
Ability to travel to multiple locations to support business needs as required

Responsibilities

Serve as a liaison to practice directors and managers along with clinical staff to facilitate implementation of population health initiatives.
Provide direct support for provider achievement in improved financial, process and clinical outcomes.
Problem solve with the intent to achieve effective progression of implementing initiatives.
Work with the team to identify and develop recommendations for improvements as needed.
Assist with the development of proposals, updates and summaries of provider performance.
Assist in the development and execution of work plans to drive improvement in capturing quality measures and properly set patient risk scores.
Ability to communicate areas of concern, needed resources, or barriers to achieving goals.
Assist with monitoring and developing pathways for success for any providers experiencing underperformance and communicate strategies developed by the pop-health department for improvement.
Review and interpret summary data and performance reports for practices and clinicians.
Meet project specific goals and timelines.
Share best practices within the organization.