Population Health Job Description

Population Health Job Description

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Population health provides healthy Meal Plans for members with specific diagnosis, e.g., Diabetes, Cardiovascular Disease, Coronary Heart Disease, High Cholesterol, High Blood Pressure, Gastrointestinal Disorders, or other chronic condition requiring medical nutrition therapy.

Population Health Duties & Responsibilities

To write an effective population health job description, begin by listing detailed duties, responsibilities and expectations. We have included population health job description templates that you can modify and use.

Sample responsibilities for this position include:

Prospect and build new business within an assigned territory
Build relationships by meeting with senior executives (CEO, CFO, CMO, ) to discuss their strategic and operational challenges, present best practice solutions and effectively sell the vision of their capabilities
Create and manage ACO clinical affordability projects with internal partners, including but not limited to UHC pharmacy, other clinical and network affordability teams and ACO pilots
Analyzes and reconciles claims data for bundled payments, shared savings, and other payment innovation initiatives
In collaboration with Director, Data Analysis, key stakeholders, IT, , designs and maintains regular dashboards on quality, financial information outcomes, population health management (PHM) measures, and other metrics
Design, develop and automate front-end presentation tools such as charts, tables, and dashboards to present various data inquiries to non-technical audiences
Utilizes risk stratification tool to identify targeted high risk patient population dependent on age, hospitalizations, ED visits, comorbid diagnoses
Participates in Care Link meetings and forums
Participates in rounds on panels of patients with multi-disciplinary care management team
Researches and designs standardised clinically appropriate content

Population Health Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Population Health

List any licenses or certifications required by the position: BLS, CMA, AHA, RMA, ABR, HCP, CPR, AAMA, CPA, PMP

Education for Population Health

Typically a job would require a certain level of education.

Employers hiring for the population health job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Business, Public Health, Health, Education, Nursing, Healthcare, Health Care, Social Sciences, Business/Administration, Statistics

Skills for Population Health

Desired skills for population health include:

Medical terminology
Excel
HEDIS
NCQA
Disease processes
Medical decision making
Prior experience in utilizing disease registries
Similar databases
Access
Behavior change theory

Desired experience for population health includes:

Experience working in a team environment, independently and autonomously
Current unrestricted license by the State of Arkansas as a registered nurse
Masters degree in nursing, allied health or business administration is required
Five years Population Healthcare Management experience required
Ability to oversee and positively impact clinical operations in a Clinically Integrated Network
Current LPN license in Oregon and Washington

Population Health Examples

1

Population Health Job Description

Job Description Example
Our company is hiring for a population health. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for population health
  • Utilises knowledge of various clinical settings and venues to organise content as appropriate to the workflow needs
  • Consults with clients as an expert advisor in the design of clinical content
  • Directs prioritisation activities to ensure that clinical content and processes meet the organisational defined criteria, goals and benefits
  • Understands and incorporates outcome metrics/measures as appropriate into clinical design
  • Formats clinical content into clinical solutions
  • Bridge between multidisciplinary teams and technology design
  • Tests software content, defines and executes test plans
  • Develops supporting knowledge framework to manage ongoing clinical content development, dissemination, and updates of knowledge content
  • Contributes to internal team and external knowledge sharing environment
  • Works in accordance with corporate and organisational security policies and procedures
Qualifications for population health
  • Familiarity with hospital information systems
  • Bachelor’s degree in business, finance, or related field with quantitative focus required
  • Strong quantitative, computational and analytical skills
  • The ideal candidate will portray confidence, a sense of humor, and positive energy
  • MA, LPN, or relevant healthcare experience preferred
  • 2-3 years of prior healthcare experience in an outpatient medical practice preferred
2

Population Health Job Description

Job Description Example
Our company is looking to fill the role of population health. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for population health
  • Oversees the development of process, policies and practices of internal and external partners to maximize the value of the population health management program
  • Oversees the recruitment and educational needs of Care Management staff, providers and others
  • Continually synthesizes industry information, including trends, best practices and other information, to produce internal and external communiqués create recommendations for clients
  • Manages operations and productivity within the established guidelines
  • Actively and continuously analyzes workflows, organizational structure, staffing assignments or other factors to ensure optimal performance
  • Creation of SOPs and guidelines around clinical design policies
  • Supporting client and internal discussions as the knowledge expert for clinical quality measures
  • Work closely with clinical terminology and engineering teams to ensure successful implementation of solutions
  • Lead the design and development of complex data-driven operational and business solutions, predictive model-based solutions for Healthcare delivery systems
  • Oversight of the planning, implementation and evaluation of the population health programs.*
Qualifications for population health
  • Seven years of experience consulting in the healthcare industry or experience working in an academic medical center, hospital or health system
  • Bachelor’s degree from an accredited college/university with practice management experience
  • Outpatient medical practice
  • MA, LPN or other relevant healthcare license or certification preferred
  • Outreach to patients via phone, letter, and possibly email, to close gaps in care like preventive cancer screenings and diabetes exams
  • Conduct follow up outreach to ensure patient action was taken
3

Population Health Job Description

Job Description Example
Our innovative and growing company is hiring for a population health. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for population health
  • Responsible for pursing and maintaining PCMH recognition and participating in the evaluation of the program’s
  • Coordinates meetings and drafts/sends project communications.*
  • Updated continuously
  • The communication.*
  • Reviews, prepares and coordinates for CMS quarterly reporting needs
  • Ensure ease of timely submission with each practice.*
  • Coordinates and participates in the development and coordination of engagement activities for CHPG practices to
  • Maximize program effectiveness.*
  • Facilitates and participates in shared governance councils to assist in the dissemination and collection of
  • Information from stakeholders.*
Qualifications for population health
  • Coordinate with primary practices, ensuring patient outreach performed is approved and directed by the primary care provider
  • Appropriately escalate certain patients to an appropriate clinician if you believe they are high risk and may benefit from more intensive support
  • Collect, track, and report data as required
  • Identify areas for improvement to better aid patients and providers
  • Local resident or familiarity with the community
  • Ability to work with professionals as part of a medical team
4

Population Health Job Description

Job Description Example
Our company is searching for experienced candidates for the position of population health. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for population health
  • Implementation guides.*
  • Develops and maintains relationships that support and further the partnerships
  • Analyzes data to ensure integrity of databases
  • Program and monitoring effectives.*
  • Prepares and assists practices with virtual audits and site visit from regulatory agencies.*
  • Serves a key role in the research of current trends and models relevant to the department.*
  • Works, as a product marketing specialist, on the development of the medium term product marketing policy for his or her product portfolio, and processes results into a vision/roadmap
  • Formulates new product marketing solutions by integral, original thinking and adds new concepts/elements to his or her product portfolio
  • Combines abstract ideas at a high conceptual level, and generates new types of product marketing solutions
  • Formulates, as a recognized authority in product marketing, solutions across multiple disciplines to effectively achieve goals together
Qualifications for population health
  • Ability to reflect on and apply life experience
  • Ability to work with frequent interruptions and respond appropriately to unexpected situations
  • Open-minded (non-judgmental)
  • Knowledge of PHM
  • Ability to work within and manage an organization through significant organizational change
  • Professional healthcare qualification Dip Social Work
5

Population Health Job Description

Job Description Example
Our innovative and growing company is looking for a population health. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for population health
  • Create models to forecast business variables and develop Ad Hoc analysis for senior management to assess current and historical trends and potential operational impact
  • Develop and maintain quality dashboards to continually assess provider performance and identify improvement opportunities
  • Utilizes project management knowledge and skills for assigned projects
  • Works with other areas within HHC such as IT or Decision Support to design systems to allow data to be easy to use and readily accessible
  • Become an expert in and resource on the use of EPIC, Crimson, QlikView, and other relevant clinical and financial information on systems
  • Represent ICP on key data and analytical committees within HHC
  • Uses knowledge of systems to assist senior management in problem identification resolution options, and decision making to improve department efficiency and functioning
  • Develop ad hoc analysis in support of HHC and/or ICP initiatives
  • Works collaboratively with members of the healthcare team to develop tools and interventions designed to achieve optimal patient outcomes
  • Assists with creating provider and practice level quality performance reports
Qualifications for population health
  • Change management or Performance improvement qualifications (Six sigma/lean )
  • BS in Pharmacy, Pharm.D
  • Bachelor's degree in Health, Research or Healthcare IT
  • Professional healthcare qualification Registered Nurse
  • Experience working in a health or social care setting in a clinically managerial/operational role
  • 3 years of health or care clinical/operational management

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