Population Health Specialist

Population Health Specialist

At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact.

Responsible for engaging patients, providers and their staff through a data-based approach to implement and optimize value-based care workflows. Supports efforts to improve population health management, including cost, quality, access, network optimization, and documentation and coding. Assists the team and works directly with assigned provider organization(s) to achieve outcomes across provider engagement initiatives. Works to positively influence Accountable Care Team behavior and support practices in achieving value-based care, quality, and cost & utilization goals. Plays a critical role in supporting the collaborative relationship we seek to establish at the practice or clinic level by providing value-add services to our provider partners.

Primary Responsibilities

• Supports Population Health Manager in successful implementation of provider engagement initiatives or programs at a practice or clinic level.
• Contributes to improved provider experience with transition to value-based care and population health management through practice-based support.
• Participates in coaching and management on pre-visit planning techniques and closure of gaps in care at the practice or clinic level.
• Provides patient health promotion, and coordinate care (e.g. PCP appointments, reminders, care gaps, etc.).
• Participates in workflows to support gap closure and other targeted provider engagement initiatives.
• Follows practice progress/action plans, identifies potential concerns, and collaborates with Population Health Manager to achieve population health initiatives.
• Ensures that expectations of members, providers, and medical management staff are continuously met, and problems are presented and addressed as they occur for immediate resolution.
• Establishes strong personal relationships with Accountable Care Teams (providers, clinical staff, administrative staff and management).
• Stays abreast of current industry, market, and policy landscape.
• Documents and tracks activities in a business operation system.
• Coordinates and completes special projects as assigned.
• Performs other duties as assigned.

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration or related field or equivalent
• 1+ years of healthcare experience (i.e., health coach, medical assistant, practice-based role, patient navigation, etc.) or the knowledge, skills, and abilities to succeed in the role
• Ability to operate in a fast-paced and dynamic environment
• Effective communication skills with the ability to interact with multi-disciplinary teams and patients
• Strong organization skills, detail-oriented, and ability to consistently meet and track timelines and goals
• Knowledge of the U.S. healthcare system

Preferred

• Experience as a Medical Assistant

Working Conditions

• While performing the duties of this job, the employee works in normal office working conditions.

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements.

The hiring range for this position is:

$49,200.00-$63,000.00

Benefits of working at Lumeris

• Medical, Vision and Dental Plans
• Tax-Advantage Savings Accounts (FSA & HSA)
• Life Insurance and Disability Insurance
• Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
• Employee Assistance Program
• 401k with company match
• Employee Resource Groups
• Employee Discount Program
• Learning and Development Opportunities
• And much more...

Be part of a team that is changing healthcare!

Location: New Hampshire

Time Type: Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.