Population Health Navigator

Position Summary : The position is the primary contact between Key Medical Group and the medical practice supporting Quality and Risk activities. Primary responsibilities include, but are not limited to, supporting all efforts towards Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare STARS achievement. The position will report to the Program Manager of Quality & Risk and will intersect with many levels of leadership and various departments. Essential Functions : -Regular and predictable on-site attendance.-Provide embedded office support, including scheduling, Patient Assessment Forms (PAF) education, retrieving medical records to close gaps in care, systems education, member intake, and assisting with orders for preventative screenings.-Provide education to members and physician office staff.-Patient and provider outreach calls, coordination of and participation in Health Fair events.-Review and approve documents submitted by providers to close preventative gaps in care.-Identifies department quality gaps and trends and assists with prioritizing and recommending improvements.-Initiate and facilitate member phone calls supporting quality initiatives.-Identify targeted measured improvement programs. Develop and manage member outreach campaigns from end to end.-Track and trend the results of department efforts through reporting and data.-Work collaboratively with internal departments and external partners to maximize department goals and objectives.-Create and maintain operational workflows.-Provide administrative support and cross-coverage to meet business needs.

Education, Licensing, and Experience : -A high school diploma or GED equivalent is preferred.-Certified Medical Assistant or 3 - 5 years of experience in a healthcare-related field required. IPA or Managed Care experience preferred.-CPR Certified-Drivers' License - Must have a valid, unrestricted CA drivers' license.