Population Health Specialist
Core
Identify, engage, and coordinate care for patient populations requiring preventive services, chronic disease management, and care gap closure to improve quality outcomes and access.
Role type
Population Health Specialist (Care Coordination & Outreach)
Builds
Preventive care programs, chronic disease management workflows, and value-based care initiatives.
Domain
Healthcare / Population Health Management
Deliverable
dashboards & analysis
Required skills
Patient outreach, care coordination, EHR/EMR systems, data validation, quality reporting, HIPAA compliance, multi-tasking
Preferred skills
HEDIS/STAR/risk adjustment knowledge, population health software, medical terminology, bilingual English/Spanish
Technologies
EHR/EMR, Microsoft Office, patient registries, quality reporting platforms
Responsibilities
Conduct patient outreach via phone/text/portals to close care gaps; Coordinate appointments, screenings, referrals, and follow-ups; Monitor and track population health performance metrics; Assist patients with scheduling, transportation, and healthcare navigation; Prepare routine reports on outreach volume and unresolved barriers; Collaborate with interdisciplinary teams to address care barriers.
Seniority
Mid-level, hands-on IC