Population Health Coordinator

** Requisition number:
** 2369039

** Job category:
** Medical & Clinical Operations

Optum NY/NJ, is seeking a  
** Population Health Coordinator
** to join our team in Lake Success, NY. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career and will empower you to live your best life at work and erience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country.

Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while  
** Caring. Connecting. Growing together.*
* ** Schedule** : 40-hour work week. Monday - Friday 8am - 5:00pm EST. (May be able to work from home as well as onsite the schedule will be determined by the hiring manager upon hire)

*
* Location:

** 1 Dakota Drive, Lake Success, NY 11042

If you live near Lake Success, NY, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.

*
* Primary Responsibilities:

*
* + Contacts patients for the purpose of achieving established outreach program goals. This may include contacting patients via telephone, email and/or direct mailings to stress the clinical importance of receiving their recommended lab work and attending their medical appointments

+ At the request of a Clinician, may place lab order and/or schedule appointments in electronic medical record system

+ Generates reports using Healthy Planet Registry in Epic EMR to identify patients who require additional labs to be ordered as well as identifying patients who are over-due for labs

+ Consults with clinicians to determine required population reports and/or patient lists for analysis and outreach

+ Communicates and collaborates with care coordination staff to optimize patient care, and supports patient care plans by assisting with linkages to, coordination of, and monitoring identified service needs

+ Recognizes and reports data inconsistencies, gaps in performance, and opportunities to improve results to appropriate personnel

+ Review daily, weekly, and monthly HEDIS/STAR gap reports, registries, and dashboards to identify open care gaps

+ Prioritize outreach based on measure impact, audit risk, and payer timelines

+ Work measures across preventive care, chronic disease management, medication adherence, and wellness visits

+ Conduct proactive outreach to members via phone, patient portal, and mail to close open HEDIS/STAR gaps

+ Educate patients on the importance of preventive screenings, chronic condition follow‑ups, and medication adherence

+ Address social, logistical, or access‑related barriers to care and escalate concerns when needed

+ Deliver outreach using scripts and workflows aligned to payer and regulatory requirements

+ Schedule appointments directly with primary care providers and specialists to close quality measure gaps

+ Coordinate lab testing, imaging, and referrals required for measure compliance

+ Ensure appointments are scheduled within payer‑required or measure‑specific time frames

+ Perform follow‑up outreach for missed or rescheduled appointments

+ Ensure accurate and timely documentation in the EHR to support HEDIS abstraction and CMS STAR reporting

+ Verify completion of services and confirm correct coding, diagnosis capture, and measure specific requirements

+ Flag documentation…