The Population Health Specialist uses knowledge of HEDIS quality metrics to complete documentation gap closures for payer programs using data collected from patients' electronic medical records and information submitted by clinics. This role identifies care gaps, coordinates with team members, requests patient records when needed, updates electronic medical records, ensures timely data submission to payers, tracks and reports gap closures, and supports clinic trainings and quality program materials.

The position also supports practice improvement efforts, works with multiple payer platforms, collaborates with internal teams on patient attribution and contract performance, and uses healthcare data, chart reviews, and evidence-based practices to improve quality performance across the network.

Qualifications

High school diploma or GED required

Bachelor's degree in healthcare preferred

2–3 years of healthcare experience in an outpatient medical practice preferred

Proficiency with computer applications, especially Microsoft Office

Experience with electronic medical records preferred

Experience building training materials and training staff preferred

1–2 years of experience with lean or Six Sigma methodologies

Experience with payer quality programs preferred