[Hiring] Population Health Navigator @HonorHealth

Role Description

HonorHealth is looking for support as a Population Health Navigator who will work closely with 5 - 6 primary care clinics to assist in closing quality and risk gaps to improve the organization’s overall performance. To be successful in this role one must be familiar with the basic functions of excel, proficient in other Microsoft products, and demonstrate strong communication skills. This role involves working with several different electronic systems, therefore one must be comfortable with working with new technology and adapt well to change. This position will require a high volume of patient outreach as well as correspondence with providers and clinic staff to improve quality and risk performance.

Responsibilities

  • Assist the department in ongoing Healthcare Effectiveness Data and Information Set (HEDIS) collection and Quality Improvement Activities to close gaps in care for insurance companies, Innovation Care Partners (ICP) and other internal quality projects.
  • Collaborate with onsite leadership, medical assistants, and providers at each clinic for gap closure and to complete quality care goals.
  • Assist clinical teams with proper documentation/requirements for quality requirements.
  • Participate in chart scrubbing, retrieval of medical records, and data collection to support monthly and ongoing ICP initiatives for quality improvement and to close outstanding care gaps.
  • Identify all patients with outstanding care gaps via roster from ICP or insurance payer.
  • Pre-screen all scheduled patients via Electronic Medical Records (EMR) to identify opportunities to close gaps.
  • Follow outreach protocols to schedule patients for necessary visits, labs, procedures, etc.
  • Analyze quality measures and identify opportunity trends for better patient health outcomes.
  • Update health maintenance as indicated during chart auditing.
  • Use multiple insurance and quality databases with ICP to support successful Care Gap closure for patients.
  • Responsible for ongoing data submission to ICP and insurance payers.
  • Participate in monthly ICP meetings or webinars.
  • Perform other duties as assigned.

Qualifications

  • Associate's Degree or 2 years' work related experience in Business, Health Administration or related field - Preferred
  • High School Diploma or GED - Required
  • 1 year outpatient, ambulatory care, specialty care, population health or community health experience - Required
  • 1 year working knowledge of medical terminology - Required
  • Prior medical assistant (MA) experience in a primary care setting - Preferred

Requirements

  • Monday - Friday; 8am to 5pm
  • Medical Assistant with experience in Primary Care setting preferred
  • Medical terminology required
  • Must have healthcare experience
  • Remote work - MUST LIVE IN ARIZONA
  • High level of comfortability on the phone and great email etiquette
  • Ability to learn quickly and absorb information
  • Limited travel is required for quarterly meetings and other team meetings with reimbursement for mileage

Benefits

  • Diverse benefits portfolio for full-time and part-time team members
  • Opportunities to make a difference through various programs
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