Population Health Specialist

The Population Health Specialist is responsible for supporting CHIPA’s partner organizations in achieving quality improvement outcomes across numerous payor programs through practice coaching and transformation support. The Population Health Specialist role is a hands-on position leading their assigned practices in improving Key Performance Indicators (KPIs) outlined in CHIPA’s Value Based Payment (VBP) agreements, as well as other quality improvement contract. These KPIs include clinical quality measures, membership engagement, facility utilization, and costs and coding measures.

Professional Conduct:

• Demonstrates the highest level of professionalism, integrity, and ethical values.
• Presents themselves in a positive disposition, is highly effective in communicating with internal and external individuals to foster successful team collaboration and encourage a positive organizational culture.

Responsibilities: Practice Development and Quality Improvement

• Helps practices adopt, transform, and sustain CHIPA’s value-based model of care.
• Acts as a principal contact for partner FQHCs.
• Establishes a strong and positive culture of collaboration with assigned CHIPA partner FQHCs, including but not limited to:
  • Educating and training teams on quality measures specifications, including knowledge of appropriate billing codes and/or documentation needed by the payor to meet measure compliance.
  • Designing, implementing, and monitoring quality improvement processes, including continuous assessment of challenges in achieving stated goals.
  • Coordinates additional training initiatives needed by the FQHC, such as in the Population Health analytics tool and its application.
• Assesses the capability of the FQHC to meet contract goals, considering its resources and experience around KPIs.
• Maintains a reporting system to measure success and areas for improvement during the implementation and maintenance phases of transformation. Assists in creating performance dashboards and facilitating the request of custom reports to ensure the success of partners.
• In collaboration with CHIPA partners, develop an outreach plan of action and follow-up for each quality measure to maximize contract terms.
• Recommend resources that may be helpful to their assigned practice’s patient population, such as access to community resources, and self-management materials in multiple languages.
• Building and coordinating innovative partnerships with multiple stakeholders (i.e. sharing best practices among partners), and when appropriate, assisting practices with patient engagement efforts.
• Recommends changes in workflows and adoption of new technologies (i.e. texting platforms and retinal imaging camaras) at partner sites. Identifying new/needed skills, processes, or methods to support a culture of performance improvement (i.e. project management and change management training).
• Remains knowledgeable regarding the most up to date measure specifications for each contract measure.
• When appropriate, research additional best practices to help with improvement initiatives. Coordinate meetings (in person or virtually) with staff for the purposes of training, and to discuss the performance of selected projects.
• Attends and participates in meetings with stakeholders to include managed care plans, vendors, and workgroups.

Responsibilities: Data Analytics & Reporting

• Coordinates practice training on the data analytics platform and makes recommendations for additional staff training. Coaches practices to independently access, analyze, and utilize analytic platforms to review their performance on KPIs.
• Monitor performance of the clinical measures set forth by each contract at the FQHC-level, and at least on a quarterly basis, produces and analyzes KPI reports to identify measure trends, strengths and areas needing performance improvement plans. Provides feedback of such performance and analysis with their assigned practice.
• Validates MCO and analytics platform data to ensure integrity of information and data hygiene using data mining techniques. Works with the appropriate liaison to achieve data accuracy.
• When appropriate, reports practice-level performance information on KPIs with the VP of Population Health to support decision-making efforts.

Responsibilities: Facilitating Workgroup

• With selected chair and co-chair, facilitates a monthly peer-to-peer workgroup comprised of health center staff, and at times, consultants. This includes, but is not limited to coordinating meeting schedules, completing meeting notes and meeting materials, distributing such materials and notes to the workgroup, and maintaining a central repository for documents and information from past meetings.
• Develops workgroup projects, objectives, goals, and roadmaps
• Encourages collaboration between workgroup members, as well as with other CHIPA existing workgroups
• With input from workgroup leaders, summarize and report on workgroup progress to the Clinical Strategy Committee

Qualifications

Minimum Qualifications:

• Two years of relevant experience
• Highly organized with excellent oral and written communication skills
• Able to manage multiple tasks and projects simultaneously
• Excellent interpersonal, troubleshooting, and decision-making skills
• Comfortable with continuous changes and self-initiating
• Proficiency with Microsoft Office Suite (e.g., Excel, Word, Outlook) and Teams
• Experience with electronic medical record systems
• Familiar with HEDIS and QARR measures
• Previous experience with quality improvement process
• Basic knowledge of Project Management
• Ability to maintain a non-judgmental disposition and communicate with a diverse population.

Preferred Qualifications:

• Understanding of medical billing and coding in a practice setting
• Basic knowledge of payor claims processes

Responsibilities:

Relation to Mission
The mission of Sun River Health is to increase access to comprehensive primary and preventive health care and to improve the health status of our community, especially for the underserved and vulnerable.

Equal Employment Opportunity
Sun River Health provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, sexual preference, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function.

Americans with Disabilities Act
Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

Job Responsibilities
The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of the position. Sun River Health may change the specific job duties with or without prior notice based on the needs of the organization.

Salary : $60,000 - $65,000