Job Description
Population Health Coordinator Watts Healthcare Corporation - 3.0 Los Angeles, CA Job Details Full-time $60,000 - $75,000 a year 3 hours ago Benefits Health insurance Dental insurance 401(k) Tuition reimbursement Paid time off Employee assistance program Vision insurance Flexible schedule Life insurance Retirement plan Qualifications Electronic health records (EHR) management Customer service In-person customer service HIPAA Attention to detail Customer engagement Organizational skills Working with individuals from diverse cultural backgrounds Health information management Productivity software Associate's degree Full Job Description Job Summary We are seeking a dynamic and dedicated Population Health Coordinator to support the organization's value-based care, quality improvement, patient access, and panel management initiatives by coordinating outreach, care gap closure, patient scheduling support, and population health activities across clinic sites. This role combines core responsibilities of population health coordination with panel coordination and access coordination functions to improve continuity of care, patient outcomes, and access to services for underserved communities. The Population Health Coordinator works collaboratively with providers, nursing staff, front office teams, referral specialists, and leadership to support patient engagement, preventative care compliance, chronic disease management, and efficient patient flow.
Essential Function and Responsibilities:
Population Health Coordination Perform activities aimed at closing of care gaps related to HEDIS, UDS, HRSA, Medi-Cal Managed Care, and value-based care metrics for assigned patients. Conduct outreach to patients regarding preventative screenings, chronic disease follow-up, annual wellness visits, immunizations, and other quality initiatives. Coordinate follow-up care for high-risk and high-utilizer patients. Support chronic disease management initiatives including diabetes, hypertension, asthma, and behavioral health integration. Provide education on chronic conditions and preventive care as needed Document patient outreach and care coordination activities accurately in the EHR. Schedule patient appointments and partner with clinical teams to remove barriers to access and completion of care. Support telehealth and alternative visit option Monitor daily/weekly progress on gap closure targets and adjust tactics in real time. Participate in daily huddles, quality meetings, and population health initiatives. Quality Management Quality improvement coach for site assigned locations. Lead quality improvement projects and workflow optimization initiatives at assigned location reporting results and progress to manager Use data to prioritize high-impact interventions and resource allocation. Generate and maintain patient registries and reports using the electronic health record (EHR) and reporting tools. Track progress toward targets for assigned sites such as care gap closure rates, outreach success rates, and appointment completion Administrative & Compliance Maintain confidentiality and comply with HIPAA regulations Support compliance with HRSA, FTCA, UDS, managed care agreements and organizational standards Prepare reports and track outreach outcomes and productivity metrics. Participate in mandatory trainings and staff development activities. Perform other duties as assigned Qualification Requirements Education Associate degree required; Bachelor's degree in Public Health, Healthcare Administration, Social Services, or related field preferred. Experience Minimum of 2 years of experience in an FQHC, medical clinic, managed care, or healthcare setting preferred. Experience with population health, care coordination, scheduling, referrals, or panel management strongly preferred. Experience working with underserved populations preferred. Knowledge, Skills, and Abilities Knowledge of population health principles and quality metrics. Familiarity with HEDIS, UDS, Medi-Cal Managed Care, and value-based care preferred. Strong customer service and patient engagement skills. Ability to communicate effectively with diverse patient populations. Strong organizational skills and attention to detail. Ability to manage multiple priorities in a fast-paced environment. Proficiency in electronic health records and Microsoft Office applications. Bilingual English/Spanish preferred. Work Environment This position operates in a clinical and office environment within a community health center setting serving medically underserved populations. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee occasionally works in outside weather conditions. The noise level in the work environment is usually moderate. These are general guidelines based on the minimum experience normally considered essential to the satisfactory performance of this job. Individual abilities may result in some deviation from these guidelines. Pay:
$60,000.00 - $75,000.00 per year Benefits:
401(k) Dental insurance Employee assistance program Flexible schedule Health insurance Life insurance Paid time off Retirement plan Tuition reimbursement Vision insurance Work Location:
In person
