population health specialist

Community Clinic

<div><p><b>About Us</b></p><p><i>
Community Clinic is a trusted regional healthcare system dedicated to delivering exceptional, whole-person care in a compassionate, professional, and welcoming environment. As we continue to grow across the region, we remain grounded in one belief: people matter. That includes our patients&mdash;and our team. Every employee plays a vital role in living out our promise: </i><b><i>We care. You belong.</i></b></p><p><b>
Position summary</b></p><p>
The Lead Value-Based Care (VBC) Specialist plays a critical role in improving the organization&rsquo;s performance under value-based care and population health programs. This position supports the execution of quality improvement strategies designed to improve clinical outcomes, enhance patient engagement, and maximize value-based incentive revenue across federal, state, and commercial payer programs. The role bridges clinical teams, analytics, quality improvement initiatives, and payer programs to support implementation of quality initiatives designed to improve value-based care performance</p><p><b>
Position Details</b></p><p>
Location: Flexible, can choose from multiple locations in Northwest Arkansas</p><p>
Employment Status: Full-Time</p><p>
Department: Quality</p><p>
Reports to: Value-Based Care Strategy Manager</p><p>
Classification: Non-Exempt (Hourly)</p><p><b>
Essential job functions</b></p><ul><li>
Monitor performance across HEDIS, UDS, Medicaid, Medicare, and commercial payer programs.</li><li>
Review quality reports to identify care gaps and support improvement efforts with clinic teams.</li><li>
Develop dashboards and track progress toward quality targets.</li><li>
Use EHR and reporting tools to review patient care gaps and support clinic teams.</li><li>
Validate reporting accuracy for payer submissions and regulatory reporting.</li><li>
Identify patient care gaps and develop strategies with clinics, providers, and care teams to improve preventive care and chronic disease management outcomes.</li><li>
Provide education and support to clinic teams on quality metrics, documentation, and best practices for improving value-based performance.</li><li>
Collaborate with Revenue Cycle, Care Coordination, Managed Care, and Clinical Operations to align workflows supporting VBC success.</li><li>
Assumes responsibility for VBC Specialist activities in the absence of the VBC Strategy Manager and reports to the Vice-President of Revenue Cycle Management/Quality.</li><li>
Oversees the daily functions of VBC Specialists, or other Population Health staff</li><li>
Assists the VBC Strategy Manager in leading VBC Specialists and population health staff by:<ul><li>
Training and onboarding new VBC Specialists or staff supporting quality and population health initiatives.</li><li>
Providing ongoing mentorship, guidance, and technical support related to quality metrics, reporting processes, and value-based program requirements.</li><li>
Supporting the development and maintenance of training materials, workflows, and best-practice guides for clinic teams.</li></ul></li><li>
Adhere to applicable regulatory guidelines and laws, including but not limited to HIPAA/HITECH, CLIA, HRSA and OSHA/Blood-Borne Pathogens regulations and standards.</li></ul><p><b>
Community Clinic Essential Competencies</b></p><ul><li>
Service: Treats every patient and coworker with empathy, respect, and a genuine desire to help.</li><li>
Ownership: Takes responsibility for their actions, follows through on commitments, and upholds high standards even when no one is watching.</li><li>
Adaptability: Remains flexible, open to change, and willing to learn in order to meet the evolving needs of our patients, teams, and organization.</li><li>
Collaboration: Works together with openness and respect, shares information freely, and supports co-workers to provide seamless, high-quality care.</li><li>
Problem Solving: Approaches challenges with curiosity, finds practical solutions, and takes initiative to improve processes and patient experiences.</li></ul><p><b>
Role Specific Essential Skills</b></p><ul><li>
Analyze clinical quality data, dashboards, and reports</li><li>
Perform root cause analysis to close care gaps through workflow improvements and patient outreach</li><li>
Translate payer requirements and quality measures into effective clinical and operational workflows</li><li>
Lead and mentor VBC Specialists and population health staff</li><li>
Develop, and update training materials and standard operating procedure descriptions</li><li>
Communicate complex data insights, performance results, and improvement strategies clearly to clinical teams and leadership</li><li>
Proficiency with EHRs, population health platforms, and reporting tools</li><li>
Organizational and project management skills</li><li>
Commitment to continuous improvement</li></ul><p><b>
Required qualifications</b></p><ul><li>
Bachelor&rsquo;s degree in Public Health, Healthcare Administration, Health Informatics, Business, or related field or equivalent experience</li><li>
Two or more years of experience in healthcare quality improvement, population health, analytics, or value-based care</li><li>
Experience with HEDIS, UDS, or payer quality programs</li><li>
Strong analytical and communication skills</li><li>
Experience with electronic health records and reporting tools</li><li>
Proficiency in Microsoft Excel and data analysis tools</li></ul><p><b>
Preferred qualifications</b></p><ul><li>
Master&rsquo;s degree (MPH, MHA, MBA, or related field)</li><li>
Experience in a Federally Qualified Health Center (FQHC) or safety-net healthcare setting</li><li>
Experience supporting population health platforms</li><li>
Experience working with payer incentive or risk-based programs</li></ul></div><p></p>

Lead Value-Based Care Specialist

University Of Washington

<div><p><b>Job Description
</b></p><p></p><div><div><div><p><b>UW Medicine Primary Care and Population Health - Kirkland </b>has an outstanding opportunity for a <b>Patient Services Specialist 2 - Panel Navigator </b><b>.
</b><br>
<br>
<b>WORK SCHEDULE
</b></p><ul><li>Full-time, 100% FTE (40 hours per week)
</li><li>Day Shift
</li></ul><p></p><p><b>DEPARTMENT DESCRIPTION
</b><br>
The Health/Panel Navigator is accountable for population health activities and tasks in the clinic which may include, but are not limited to the following: Enhance the patient experience through proactive engagement and outreach around wellness, preventative care and striving to improve the &ldquo;global&rdquo; patient experience. This role is accountable for population health activities working closely with the care team in the clinic. Examples of population health activities are to maintaining accurate panels, ensuring team-based panel management, gap closure, referring patients for care coordination, care management, addressing disparities in care for vulnerable populations and ensuring all patients&rsquo; needs are met.<br>
</p><p><br>
<b>POSITION HIGHLIGHTS
</b></p><ul><li>Conveniently located near public transportation
</li><li>Make a difference for the patients and employees we serve
</li>Opportunity to provide career growth<br>
<li>
</li></ul><p><br>
<b>PRIMARY JOB RESPONSIBILITIES
</b></p><ul><li>Engage the patient in care optimization
</li><li>Empower the patient with knowledge and access to support resources.
</li><li>Improve the patient and family experience of care.
</li><li>Participate in Patients Are First measures and associated Medical Home goals and objectives.
</li><li>Referrals tracking to internal and external resources.
</li><li>Contact relevant community agencies to increase knowledge of services available for patients and families and help eliminate barriers to care.
</li><li>Educate per protocol.
</li><li>Assist in the utilization of culturally relevant and language appropriate materials for target populations.
</li><li>When indicated through population review, provide outreach and assistance with patients/families in the coordination of various wellness and chronic disease activities in collaboration with the health care team.
</li>Other Duties as Requested<br>
<li>
</li></ul><p><br>
<b>REQUIREMENTS
</b></p><ul><li>High school graduation or equivalent AND
<ul><li>One year of healthcare, administrative, or customer service experience, OR
</li>An equivalent combination of education/experience<br>
<li>
</li></ul></li></ul><p></p><br>
<p><b>ABOUT UW MEDICINE PRIMARY CARE
</b></p><p>UW Medicine Primary Care is a network of clinics located throughout the Puget Sound region. The clinics offer a wide spectrum of primary care services, as well as secondary care, from pediatrics to geriatrics. Urgent care services are offered seven days a week at select locations.
</p><p>UW Medicine Primary Care is dedicated to improving the health of the public; our providers and staff are the cornerstones of our success. The foundation of our efforts to deliver exceptional care to our patients and families begins with our focus on the continuous development of our employees.
</p><p></p><p><b>Compassion. Innovation. Excellence.
</b></p><p></p><p><b>ABOUT UW MEDICINE &ndash; WHERE YOUR IMPACT GOES FURTHER
</b></p><p>UW Medicine is Washington&rsquo;s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine&rsquo;s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow&rsquo;s physicians, scientists and other health professionals.
</p><p>All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.
</p><p></p><p><b>Become part of our team. </b>Join our mission to make life healthier for everyone in our community.
</p></div></div></div><p></p><p><b>Compensation, Benefits and Position Details
</b></p><p></p><p><b>Pay Range Minimum:
</b></p>$23.82 hourly
<p><b>Pay Range Maximum:
</b></p>$34.66 hourly
<p><b>Other Compensation:
</b></p><ul><li></li></ul><p><b>Benefits:
</b></p>For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/
<p><b>Shift:
</b></p>First Shift (United States of America)
<p><b>Temporary or Regular?
</b></p>This is a regular position
<p><b>FTE (Full-Time Equivalent):
</b></p>100.00%
<p><b>Union/Bargaining Unit:
</b></p>SEIU 1199NW UWMC Northwest Service and Maintenance
<p></p><p><b>About the UW
</b></p><p></p><p>Working at the University of Washington provides a unique opportunity to change lives &ndash; on our campuses, in our state and around the world.
</p><p></p><p>UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
</p><p></p><p><b>Our Commitment
</b></p><p></p><p>The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 .
</p><p></p><p>To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu .
</p><p></p><p>Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law .</p></div>

Panel Navigator - Primary Care at Kirkland

Aledade, Inc.

<div><div>Join Aledade as a <b>Practice Transformation Specialist (PTS) </b>and personally make an impact on patient care. Practice Transformation Specialists are HQ&rsquo;s most direct interface with providers and can glean valuable insight into our partner practice&rsquo;s happiness and needs. A successful PTS is passionate about population health, and highly mission oriented around providing better care to patients while reducing costs. At Aledade, a PTS can impact the health of their community by transforming one practice at a time.</div>
<div></div>
<div><b>Please note: candidates must be based in southern Maryland to be considered.</b></div><br>
<div></div>
<div></div>
<div><b>Primary Duties:</b></div>
<h3 class="jobSectionHeader"><b>Direct Practice Support:
</b></h3><ul><li>Implement products and execute ACO initiatives with direction from Market Leadership.</li>
<li>Accountable for implementing and supporting wellness visits, transitions of care, active management and ensuring practices meet goals set forth in mutually developed Practice Transformation Plans.</li>
</ul><h3 class="jobSectionHeader"><b>ACO Training &amp; Development:</b></h3><ul>
<li>Work to assist in training office staff and physicians &amp; providers (in coordination with Aledade's Value Based Care Curriculum&quot;) on processes and technologies.</li>
<li>Provide continual assessment of practice&rsquo;s and staff&rsquo;s training needs.</li>
<li>Develop and nurture lasting relationships and engagement with physicians, providers, and healthcare system executives to support and enhance financial and quality performance across performance metrics.</li>
</ul><h3 class="jobSectionHeader"><b>Customer Success:</b></h3><ul>
<li>Listening to practices concerns, relaying important information to Manager/Leads to understand opportunities for improvement.</li>
</ul><h3 class="jobSectionHeader"><b>Minimum Qualifications:</b></h3><ul>
<li>Must be resident of Maryland</li>
<li>Graduate of an accredited college or university. 4-6 years of significant and relevant work experience in medical practice management in lieu of educational requirements may be accepted, particularly with significant administrative experience in a clinic setting.</li>
<li>3 years of experience with Electronic Health Records (EHR) for clinical/practice management processes</li>
</ul><h3 class="jobSectionHeader"><b>Preferred KSA's:</b></h3><ul>
<li>Excellent oral and written communication skills (i.e., public presentation skills), organizational and project management skills, and team-building skills</li>
<li>Familiarity with process mapping and work-flow analysis tools</li>
<li>Excellent computer skills and willingness to learn additional software applications</li>
</ul><h3 class="jobSectionHeader"><b>Physical Requirements:</b></h3><ul>
<li>Sitting for prolonged periods of time</li>
<li>Extensive use of computers and keyboard</li>
<li>Occasional walking and lifting may be required</li>
<li><b>Ability to travel to practices within the Maryland region up to 25% across the year (approx. 1x/week)</b></li>
</ul><div>Salary Range: $60,000-$80,000 base + bonuses</div>
<div>Compensation for the role will depend on a number of factors, including a candidate&rsquo;s qualifications, skills, competencies and experience.</div><div><b>
Who We Are:</b></div><div>
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.</div><div></div><div><b><br>
What Does This Mean for You?</b></div><div>
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.</div><div></div><div><br>
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:</div><div></div><div><br>
Flexible work schedules and the ability to work remotely are available for many roles</div><div>
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners</div><div>
Robust time-off plan (21 days of PTO in your first year)</div><div>
Two paid volunteer days and 11 paid holidays</div><div>
12 weeks paid parental leave for all new parents</div><div>
Six weeks paid sabbatical after six years of service</div><div>
Educational Assistant Program and Clinical Employee Reimbursement Program</div><div>
401(k) with up to 4% match</div><div>
Stock options</div><div>
And much more!</div><div></div><div><i><br>
At Aledade, we don&rsquo;t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.</i></div><div></div><div><br>
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants</div>
<p>
We may use automated tools, including artificial intelligence (AI), to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process, including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process, please contact us.</p></div>

Practice Transformation Specialist, Maryland

DataAnnotation

<div>
 We are looking for a
 <strong>
  Clinical Appeals Nurse
 </strong>
 to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model.
 <br/>
 <br/>
 In this role, you will need to be an expert in healthcare. We are interested in a wide range of expertise, so relevant backgrounds include Clinical Documentation &amp; HIM, Medication Management (PharmD), Laboratory Medicine and Pathology Services (MLS, MD), Quality Improvement &amp; Patient Safety, Regulatory Compliance, Accreditation &amp; Medical Staff, Care Coordination &amp; Case Management, Population Health &amp; Value-Based Care, and Managed Care &amp; Utilization Management.
 <br/>
 <br/>
 <strong>
  Benefits
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Full-time or part-time remote position
  </li>
  <li>
   Choose which projects you want to work on
  </li>
  <li>
   Flexible schedule
  </li>
  <li>
   Projects are paid hourly starting at $50+ per hour
  </li>
  <li>
   Bonuses available for high-quality and high-volume work
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Provide AI chatbots with diverse and complex healthcare-related problems
  </li>
  <li>
   Evaluate AI outputs for logic, accuracy, and performance
  </li>
  <li>
   Ensure the medical accuracy and overall quality of model responses
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Fluency in English (native or bilingual level)
  </li>
  <li>
   A current or in-progress medical or healthcare-related degree
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Notes:
 </strong>
 Payment is made via PayPal. We will never ask you for any money. PayPal will handle any currency conversions from USD. Only applicants in the United States will be considered for this role. This is an independent contractor position.
 <br/>
 <br/>
 <em>
  #medicine
 </em>
</div>


Clinical Appeals Nurse

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Lead Value-Based Care Specialist

Panel Navigator - Primary Care at Kirkland

Practice Transformation Specialist, Maryland

Clinical Appeals Nurse

Clinical Appeals Nurse

Clinical Appeals Nurse

Clinical Appeals Nurse