Population Health Supervisor
Milwaukee, WI 
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Posted 10 days ago
Job Description
Join our team who is committed to the delivery of the highest quality health care service. We are seeking a full-time Population Health Supervisor that is self-motivated, energetic, and a take charge individual. The Population Health Supervisor is responsible for coordinating and monitoring the value-based programs, working directly with the payers to resolve issues optimizing reimbursement and making recommendations for prioritization of work efforts of the team.  The supervisor will also perform the responsibilities of the Population Health Specialists for a portion of their work week.  

Job Responsibilities:
 
  1. Meet with the value-based program representatives to fully understand the programs and the payer processes for closing gaps in care.
  2. In collaboration with the Director, Quality Improvement, develop organizational priorities to optimize revenue impacts.
  3. Partners with QI Coordinator and Informatics Analyst to ensure current workflows support the reporting and quality needs of the organization. 
  4. Develop and manage reporting mechanism to review value-based contracts, their quality targets and provide dashboard reports for monitoring progress to goals.
  5. Supervise the Population Health Specialist including orientation, assisting with evaluations, corrective actions and creating a supportive, encouraging work environment. 
  6. Perform the responsibilities of the Population Health Specialist as follows:
  • Pull data and reports from multiple databases/portals and electronic health records to identify potential care gaps and follow the appropriate process to close those gap(s).
  • Work collaboratively with appropriate care teams to notify teams of missing documentation or to obtain documentation to close identified care gaps.
  • Perform outreach to patients in accordance with organizational policies and procedures to schedule follow-up appointments, conduct screenings or obtain patient reported documentation to facilitate closure of identified care gaps.
  • Work with payors to understand individual program requirements to close gaps and follow established processes within HIPAA regulation compliance.
  • Attend meetings and work with payors to obtain monthly reports and access to portals per their established protocols.
  • Work with payors to reflect patient attribution more accurately.
  • Ensure accuracy and timeliness in submission of records to payers.
  • Develop workflows and processes to attain targets established by the organization and value-based contracts.
  • Under the guidance of the Director, provides reports to leadership and various committee in a concise clear manner.
  • Utilize Office suite applications, EMR, and data management techniques to provide appropriate level of detail for problem solving and continuous improvement.
  • Schedule and coordinate follow-up visits for patients following hospitalizations to ensure medication reconciliation occurs timely.
  • Remain current with Motivational Interviewing skills.  May involve taking occasional courses
  • Provide patient education in clear, professional manner and in a manner that is understandable to patient and/or family.
  • Participate and support other tasks, such as patient navigation, for defined quality or value-based programs.
  • Comply with processes developed to ensure documentation requirements follow HIPAA regulations.
  1. Participate in regular department and organizational meetings as applicable

Qualifications:
 
  1. High School Diploma or General Equivalency Degree, minimum.  Associates Degree in a health care related field, preferred
  2. At least 3 years Medical Assistant experience or other health care experience preferably in a health education field
  3. At least 3 – 5 years’ experience with value-based programs in the health care setting.
  4. Excellent oral and written communication skills
  5. Ability to present information to groups
  6. Strong computer and typing skills, working knowledge of EHRs and Microsoft Office products
  7. Must demonstrate strong critical thinking and problem-solving skills
  8. Works autonomously and be accountable in a complex environment
  9. Ability to relate to people from diverse ethnic and cultural backgrounds
  10. Bilingual Spanish/English required
  11. Motivational Interviewing experience preferred but not required at time of start.  Will be required to maintain once onboard
  12. Knowledge of ACO, HEDIS, CMS and other quality measures preferred

 

 

Contact Information
No Phone Calls Please. Qualified applicants may send resume to Sue Raymond, Vice President of Human Resources, Sixteenth Street Community Health Center, 1337 S. 16th St., Milwaukee, WI 53204 or fax to 414-672-0413.Sixteenth Street Community Health Centers is an equal employment opportunity employer.
Job Summary
Start Date
Immediately
Employment Term and Type
Regular, Full Time
Hours per Week
40
Work Hours (i.e. shift)
1st Shift
Required Education
High School or Equivalent
Required Experience
3 to 5 years
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