Population Health Transformational Specialist

Population Health Transformational Specialist

Location
:
Onsite in Primary Care clinics in Stockbridge, McDonough, and Fayetteville, Georgia.

We are currently seeking high-energy, engaging leaders with a passion for population health to help transform healthcare in the southeast. As a Population Health Transformation Specialist, you will lead the transition to outcomes‑based care across multiple clinics, serving as the primary partner for providers, managers, and staff on all matters related to population health. Your role involves frequent site visits to assigned practices to support providers in understanding and utilizing available population health tools and technology.

You will assist in developing and implementing pathways that support providers and practices in transitioning to value‑based care, drive department initiatives, track individual performance goals, and provide ongoing training and education on quality measures, accurate RAF reporting, and strategies for closing care gaps. As an integral member of each partner practice, you will collaborate with them to achieve population health priorities while staying up‑to‑date with regulatory standards and guidelines, including HEDIS and STARs.

Lead the transition to outcomes‑based care across multiple clinics; serve as primary partner for providers, managers, and staff at each location; conduct site visits to support providers in understanding and using population health tools; develop and implement pathways for value‑based care; drive department initiatives, track performance goals, and provide ongoing training on quality measures, RAF reporting, and care‑gap strategies; collaborate with partner practices to achieve priority outcomes while adhering to regulatory standards (HEDIS, STARs).

• Strong communication and relationship‑building skills.
• Liaison to practice directors, managers, and clinical staff to facilitate implementation of population health initiatives.
• Direct support for providers to achieve improved financial, process, and clinical outcomes.
• Problem‑solving skills aimed at progressing implementation initiatives.
• Identify and develop recommendations for improvements with the team.
• Assist with proposals, updates, and summaries of provider performance.
• Develop and execute work plans to improve capturing quality measures and properly set patient risk scores.
• Communicate concerns, needed resources, or barriers to achieving goals.
• Assist with monitoring and developing pathways for providers experiencing underperformance and communicate improvement strategies.
• Review and interpret summary data and performance reports for practices and clinicians.
• Meet project‑specific goals and timelines.
• Share best practices within the organization.

• Demonstrated experience with Value‑Based Payor Programs (including HEDIS coding); HEDIS, STARS ratings, and other population health initiatives.
• Electronic Health Record (EHR) use and documentation;
  Allscripts/Veradigm experience preferred.
• Experience training clinical staff on value‑based programs and requirements.
• Experience auditing documents for gap‑closure requirements.
• High‑school graduate (Associate’s preferred).

• Understanding of Value‑Based Payer Programs.
• Working knowledge of SEMG Value‑Based Care (VBC) programs.
• Understanding of core principles of HEDIS gap closure with CPT II coding.
• Ability to explain basic VBC concepts to clinical team members clearly and practically.

• Ability to lift up to 50 pounds.
• Ability to push or pull heavy objects using up to 50 pounds of force.
• Ability to sit for extended periods of time.
• Ability to stand for extended periods of time.
• Ability to use fine motor skills to operate office equipment and/or machinery.
• Ability to receive and comprehend instructions verbally and/or in writing.
• Ability to use logical reasoning for simple and complex problem solving.
• Ability to travel to multiple locations as required.

FLSA Classification:
Non‑exempt

Southeast Primary Care Partners is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.