Population Health Specialist jobs in Wilmington, NC

About Wilmington Health

Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.

Purpose:

The Population Data Analyst supports organization-wide quality and performance improvement activities. The Population Data Analyst will trend and analyze key performance metrics to allow for more informed decision making toward improved clinical care processes, and clinical, service and financial outcomes. This position is responsible for operationalizing population level patient outreach and developing a comprehensive understanding of value-based quality incentive payment programs that fiscally impact Wilmington Health.

Essential Duties/Responsibilities: 

• Manage value-based reporting requirements for various payer programs, including the development, maintenance, quality assurance, and timely submission of clinical data
• Research and assemble information and trends in clinical outcomes, population statistics, and performance metrics for use in strategic planning and performance evaluation
• Correctly interpret and effectively communicate information to leadership to assist in decision making
• Maintain knowledge of HEDIS, ACO, and other quality and pay for performance metrics, and develop measurement systems to assess effectiveness of improvement strategies
• Develop, implement and maintain population level outreach initiatives to close gaps in patient care and/or improve the care of identified disease populations
• Apply knowledge of socioeconomic factors impacting the coordination and delivery of care to raise awareness of potential risk factors and promote better health outcomes
• Oversee outreach team members performing chart review and data submission to improve performance in clinical metrics
• Assist with coordinating and scheduling patient referrals from area hospitals and urgent clinics

Other Duties:

• Maintains a professional appearance.
• Maintains strict confidentiality
• Appears for work on time and attends meetings as required.
• Follows directions from a supervisor and accepts constructive criticism.
• Communicates courteously and appropriately with patients, physicians, and coworkers.
• Understands and follows posted work rules and procedures.
• Maintain patient satisfaction by effectively handling service recovery opportunities and escalating issues to manager, associate director, or clinical director when necessary.
• May fill-in for other support staff when necessary. 

Qualifications

Required: 

• Bachelor’s Degree in related field or combination of education and clinical/administrative experience
• Knowledge of EMR, practice management software; strong skills in Microsoft Office, specifically Microsoft Excel
• Must have strong organization skills, problem solving skills, time management skills, attention to detail, customer service techniques, knowledge of current medical laws rules and policies.
• Knowledge of organizational policies, procedures and protocols.
• Knowledge of HEDIS measure guidelines.
• Ability to demonstrate compassion and listen carefully to patient needs. 
• Ability to communicate clearly and accurately and work well with physicians and others on your team.
• Knowledge of medical terminology and procedures 
• Full COVID 19 vaccination is required as a condition of employment for all position with Wilmington Health. Documentation is required prior to orientation. 

Preferred: 

• Experience in a medical office/clinic setting
• Bachelor’s Degree in public health, clinical research, or analytics
• Knowledge of Microsoft Access and Microsoft SQL Server
• Experience scheduling patient appointments in medical office

Wilmington Health is an Equal Opportunity Employer committed to providing equal opportunities to all applicants and employees. We are committed to treating everyone equally and with respect regardless of race, age, sex, religion, national origin, citizenship, marital status, veteran’s status, sexual preference, disability, genetic information or any other class protected under state or federal law.