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At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide:

• Comprehensive health benefits that start day 1
• Student Loan Repayment Assistance & Reimbursement Programs
• Family-focused benefits
• Wellness incentives
• Ongoing mentorship, development, leadership programs...and more!

• Tasked with leading population health initiatives including healthcare quality improvement activities for patients attributed to the Emory Healthcare Network (EHN), inclusive of the Emory Healthcare Primary Care Service Line.
• This includes direct patient engagement and coordination with primary care physicians (PCP) and practice administrative or clinical staff with the goal of improving the overall health of our patients.
• The work setting for the embedded Population Health Coordinator will be hybrid between the EHN office at Northlake and the primary care practice office(s) and may include the assignment of various locations.
• This position will report directly to their assigned Population Health Manager and the Director of Value-Based Performance Improvement.
• The embedded Population Health Coordinator job responsibilities will include, but are not limited to: Direct patient engagement via pre-visit and post visit planning process (face to face, telephonic, EMR messaging, etc.) to assist with coordination of health maintenance screenings/assessments directly related CMS/HEDIS quality measures and medication adherence measures by referral to EHC specialists, other EHC healthcare facilities and RN Ambulatory Care Coordinators as needed to improve or maintain overall patient health.
• Coordinate with primary care office staff and/or providers to ensure appropriate referrals, orders, and tests are in place for the patient.
• This coordination should take place at an EHC facility to ease with transitions of care and to improve overall domestic network integrity.
• Monitoring / addressing medication adherence issues to ensure interaction with the PCP, pharmacy, and pharmacy benefit manager as needed and indicated by adherence reports.
• Performs chart audits within the Electronic Medical Record and abstracts medical record documentation, labs, screenings, results, etc. to identify compliant screenings for submission to health insurers (payers) and identify needed improvements/deficiencies in data capture that impact CMS Star measures through various payer portals.
• Performs chart audits within the Electronic Medical Record and identify chronic conditions/diagnoses that are present from previous visits but have not yet been recaptured during a recent office visit.
• Observance, analysis, improvement of all quality metrics data in various report formats that are identified on health plans contracted with the EHN.
• Development and implementation of population health improvement processes within the assigned practices to involve use of available data and EMR resources. Aggregation/analysis/presentation of all population health related data (quality measures) for assigned practices to identify and address performance trends and possible quality improvement activities.
• Provide weekly progress updates to assigned Population Health Manager and provider/practice admin.
• Coordinate quarterly performance meetings with providers/practice admin, Population Health Manager and EHN Director of Value-Based Performance Improvement.
• Maintain current knowledge about relevant guidelines/specifications for all quality measures and population health management initiatives.

MINIMUM QUALIFICATIONS:

• Bachelor's degree highly preferred.
• Two years of similar experience highly preferred.
• Outstanding interpersonal skills, both telephonic and in person, required.
• Basic computer skills, including Microsoft Excel and Outlook, required.
• Experience with EMR systems that includes data capture, data mining and reporting within the EMR is required.
• Must be a true team player and self-starter.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

ACCOMMODATIONS: EHC will provide reasonable accommodation to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Leave and Accommodations.  

PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks. 
 
ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.