Preventative Care Engagement Specialist

Job Description

Job Description

About Christ Community Health Services 

Since 1995, Christ Community Health Services (CCHS) has provided high-quality healthcare to the underserved in the context of distinctively Christian service. As a faith-based Federally Qualified Health Center (FQHC), we serve approximately 60,000 patients each year across our Memphis health centers, offering primary care, dental, behavioral health, pharmacy, and specialty services to the communities that need them most.

About the Role

We are seeking a proactive, relationship-driven Preventative Care Engagement Specialist to advance population health and quality outcomes by supporting our Patient-Centered Medical Home (PCMH) initiatives. In this role, you identify and stratify patients based on risk and quality metrics, drive targeted outreach to close care gaps, and coordinate preventive services that keep our patients healthier. Using data from the EHR, payer reports, and population health tools, you'll be the driving force behind closing care gaps, boosting preventive screening compliance, and reducing avoidable health risks across your assigned population.

Our Core Values — and What They Look Like in This Role  

At CCHS, how the work is done matters as much as what is done. Our core values aren't wall art — they are performance expectations, and here is what they mean for a Preventative Care Engagement Specialist:

• Intentional Love -  Love here is a choice, not a feeling. In this role it means reaching patients with culturally competent, patient care, building genuine trust with people who may be hard to reach, and treating barriers like transportation, scheduling, or health literacy as problems to solve with compassion, not inconveniences.
• Devoted Service - We are go-getters who take initiative instead of waiting for someone else to act. In this role it means making the extra outreach attempt, following a referral all the way through to a completed screening, and owning your assigned population's care gaps until they're closed.
• Humble Excellence - Excellence is not perfection, but we reject mediocrity. In this role it means accurate documentation, strong quality performance, and pursuing the highest standard of population health work — while staying teachable: welcoming feedback, admitting mistakes early, and asking for help before something breaks.

What You'll Do 

• Collect and track quality metrics data for your assigned patient population to support improvement efforts. 
• Identify and prioritize patients with gaps in care related to preventive services, such as Annual Wellness Visits, cancer screenings, and chronic disease management. 
• Conduct targeted outreach to patients to schedule, coordinate, and complete preventive services, supporting organizational performance on quality measures like HEDIS, UDS, and payer-specific metrics. 
• Execute high-volume, strategic outreach by phone, text, EHR messaging, and other methods, making multiple outreach attempts and accurately documenting all interactions in the EHR and tracking systems. 
• Build and maintain relationships with patients to increase engagement, trust, and adherence to care plans, using culturally competent communication strategies to effectively reach diverse populations. 
• Collect, track, and analyze data on outreach efforts, care gap closure, and patient outcomes, using EHR systems, payer reports, and population health tools to monitor performance and spot opportunities for improvement. 
• Maintain accurate documentation of outreach activities, patient responses, and completed services, and prepare and submit reports on engagement outcomes, productivity, and quality performance as directed. 
• Identify and address barriers to care such as transportation, scheduling challenges, health literacy, or social determinants of health.
• Collaborate with clinical teams, care coordinators, and external partners to ensure patients receive appropriate preventive services, and facilitate referrals and follow-up care to ensure continuity and completion of recommended screenings and services.
• Participate in quality improvement initiatives aimed at improving preventive care outcomes and patient engagement, and collaborate across clinical, operations, and managed care departments to align outreach efforts with organizational goals.
• Use internal and external data sources, including claims data, Managed Care Organization registries, and pharmacy data, to refine outreach strategies and improve patient contact success rates.
• Support departmental and organizational initiatives related to preventive care and population health. 
• Perform other duties as assigned.

What You'll Bring

• Certified Medical Assistant (CMA) credential; Bachelor's degree preferred. 
• One to two years of experience working in a healthcare setting and with underserved populations. 
• Working knowledge of basic medical terminology, along with proficiency in Microsoft Word and Excel and strong data management and reporting skills. 
• Current Certified Medical Assistant (CMA) certification. 
• A high level of concentration and attention to detail — this role requires close, intermittent focus, as the number of steps and variables involved creates the possibility of errors without careful attention. 
• Comfort balancing desk work with time on your feet: this position is approximately 50% sitting at the phone or computer, 25% standing while talking with patients and doctors, and 25% walking through the clinic to engage patients and care teams, with occasional light lifting, pulling, or pushing (up to 30 lbs.). 
• Willingness to travel on the job between 5%–30% of the time, depending on assignment. 
• Comfort in a typical office environment with regular exposure to patients or family members who may be emotionally unstable, and to patients with infectious or contagious illness.

What We Offer

• Competitive salary and comprehensive benefits, including medical, dental, and vision coverage. 
• Generous Paid Time Off (120 hours in your first year) plus paid holidays. 
• 401(k) retirement plan. 
• Annual paid Restorative Day supporting wellness and work-life balance. 
• Mission-driven culture, employee recognition programs, and the opportunity to do work that directly expands healthcare access in Memphis.