Population Health Specialist

Position Overview

Population Health Specialist at United Health Centers. Provides clerical and data support for value‑based care initiatives. Assists with clerical and analytical functions of all value‑based quality improvement projects, communicates outcomes, designs dynamic presentation materials, coordinates meetings, record‑keeping, and tracks improvement initiatives.

• Collaborate with the Population Health Director to ensure plans meet clinical standards of care and achieve desired outcomes for UHC Health Effectiveness Data and Information Set (HEDIS) and HEDIS STARS.
• Work with leadership to improve the overall Risk Adjustment Factor (RAF) score of Medicare and Medicare Advantage members.
• Coordinate with Health plans and Population Health platforms.
• Gather information from multiple sources, analyze it, and draw conclusions.
• Work with other departments to maximize quality metrics and financial ROI across all value‑based programs.
• Collaborate with EHR and data teams to ensure accurate, meaningful, actionable reports.
• Track and report clinical outcomes and follow up on corrective action plans from contracted Independent Physician Associations (IPAs) and Health Plans.
• Identify gaps in care for patients with complex health needs to ensure appropriate follow‑up care from specialists or other providers.
• Educate and train UHC staff on value‑based initiatives and UHC’s quality patient measures.
• Assist in general clerical and office duties associated with the department.
• Schedule and organize complex activities such as meetings and department activities.
• Perform desktop publishing and develop visual presentations for quality improvement activities.
• Establish, develop, maintain, and update the filing system.
• Organize and prioritize information and calls.
• Respond to regularly occurring requests for information.
• Types and design general correspondence, memos, charts, tables, graphs, business plans, etc.; proofread copy for spelling, grammar, and layout.
• Work closely with onsite performance improvement teams to design, implement, and monitor quality improvement initiatives.
• Attend and actively participate in all meetings (e.g., department meetings, program meetings, employee staff meetings) and other activities as required or assigned.
• Attend workshops or seminars as necessary to increase skills and knowledge for effective care, treatment, and/or leadership.
• Support the overall needs of the department by working flexible or extended hours when necessary.
• Support the needs of the health center by traveling to other UHC health centers when department needs dictate.
• Demonstrate awareness of, and compliance with, the organizational mission and objectives of UHC to provide health care access and support services for all members of the community.
• Perform other work‑related duties as assigned by supervisor.
• Maintain confidentiality and respect for information regarding patients and other team members; abide by UHC Rules of Confidentiality and general HIPAA regulations regarding privacy.
• Display a positive, professional, and respectful demeanor and a professional appearance to maintain a positive image for the health centers.
• Promote positive staff interaction and maintain open communication with other programs or departments.
• Research, tabulate, and prepare program performance information.
• Maintain detailed knowledge of federal, state, local, and internal rules, regulations, policies, and procedures governing UHC programs.

• Associate’s degree (AS/AS) or equivalent required;
  Bachelor’s Degree preferred.
• Degree or certification in a healthcare‑related field preferred (e.g., BS in Health Education, Medical Assistant certification).

• One or more years of clerical experience or experience in a healthcare setting.
• Experience with value‑based care initiatives.

• Experience with HEDIS or value‑based clinical performance measures.
• Comfortable understanding of code sets (e.g., CD 100, CPT, CDT) and Hierarchical Condition Category (HCC) coding.
• Understanding of Risk Adjustment Factor (RAF) scores.
• Advanced Word, Excel, and PowerPoint skills.
• Competency in gathering information from multiple…