Clinical Support Specialist-Remote

Position Summary:

The Clinical Support Specialist plays a key role in supporting care coordination programs and driving clinical and financial performance across Population Health value-based contracts. This position assists in evaluating current performance, implementing improvement initiatives, and monitoring ongoing outcomes to ensure high-quality, cost-effective care delivery.

Essential Functions and Responsibilities:

1. Care Coordination Services - Performs care coordination services using ADT systems, population health tools, patient outreach and assessment, resource coordination, and communication across the care continuum (physician offices, home care, hospitals, SNFs, and payors).

2. Lead Navigator Duties - Serves as the Lead Population Health Navigator, overseeing daily operations, mentoring new staff, and collecting quality/compliance data for process improvement.

3. Super-User Responsibilities - Acts as a super-user for Population Health software, provider databases, and related applications.

4. Data Tracking & Reporting - Compiles and analyzes reports supporting department operations, provider practices, and McLaren subsidiaries. Examples include ADT utilization, TOC eligibility/scheduling, program billing reports, and other population health metrics.

5. Quality Performance Support - Identifies opportunities to improve physician performance related to quality initiatives from contracted health plans, payers, and government agencies, and assists in developing new processes to support providers, practices, and McLaren subsidiaries in delivering Population Health services.

Required:

• Associate degree in healthcare or related field.
• 3 years of ambulatory practice experience
• 2 years experience in a health plan or Physician Organization environment with Care Coordination, Utilization Management, disease management, and/or population health
• 2 years experience of high functioning data spreadsheet manipulation

Preferred:

• Bachelor's Degree in healthcare or related field.