Population Health Coordinator

Population Health Coordinator

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 at home. Experience 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 timeframes
• 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 issues or discrepancies for clinical reviews to prevent measure fallout
• Update care gap status and outreach outcomes in quality tracking tools
• Performs other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED
• 2+ years of experience in healthcare operations, quality improvement, population health, or care coordination. Direct experience working with HEDIS, STAR measures, or value-based care programs
• 1+ years of direct experience working with HEDIS, STAR measures, or value-based care programs
• 1+ years of computer proficiency experience to include Microsoft office (specifically excel worksheets)
• Ability to be remote and work independently
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
• Reside within commutable distance of 1 Dakota Drive, Lake Success, NY 11042

Preferred Qualifications:

• Proficient with data manipulation including the ability to develop spreadsheets, build data tables and extract data
• Knowledge of preventive care and chronic disease guidelines
• Proficiency with electronic medical record systems
• Knowledge and understanding of medical terminology

Soft Skills:

• Ability to work independently and as a team, and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.