Website Beth Israel Deaconess Medical Center
Population Health Specialist
Department Description: Healthcare Associates (HCA) is a robust adult primary care practice at Beth Israel Deaconess Medical Center offering comprehensive health services to enhance the quality of life for our patients. Healthcare Associates (HCA) has received Level 3 (scale 1-3 with 3 as the highest) recognition as a Patient Centered Medical Home and averages 400 patient visits per day and manages a panel of 41,000 patients.
Job Location: Boston, MA
Job Summary: The Population Health Specialist serves to collaborate with and support primary care providers and practice support staff to improve population health performance and achieve quality incentives related to managed care contracts by managing and organizing data, engaging patients, and optimizing workflow, with the goal of optimizing our patients’ health and wellbeing.
Essential Responsibilities:
- Facilitates and assists with outreach to patients via phone calls, mail or electronic messaging, to schedule appointments, screenings, and preventive tests.
- Extracts data from practice EMR (OMR) or network database (Arcadia) to identify care gaps and assess positive and negative changes in quality scores month over month.
- Tracks, monitors, and assesses quality scores and performance related to screening, chronic disease (ie diabetes, cardiovascular disease, depression) management and outcomes for patients, providers and the practice at large.
- Reviews registries with PCPs and/or key office staff to identify care gaps and opportunities for outreach and/or care gap closure.
- Facilitates pre-visit planning, reminders, and processes on the day of the visit, and loop closure related to tests and referrals following visits towards the aim of improved population health.
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