Population Health Specialist at Independence Blue Cross LLC in Cranbury, New Jersey

Job Description:

At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve. 

Job Summary

Servicing a defined segment of multiple provider types (e.g. pediatric practices, family/internal medicine practices, specialist practices, etc.) with various levels of complexity in New Jersey and is a primary contact for assigned practices and/or health system partners.

Position Summary:

The Population Health Specialist will collaborate and support the efforts of the Manager, Population Health, Medical Directors, and various interdisciplinary Independence teams to develop extensive practice relationships to drive continuous quality improvement.  This effort will be directed at enhancing the efficiency, effectiveness, and experience of the Independence provider community in working with Independence Blue Cross.

The Population Health Specialist’s responsibilities include, but are not limited to:

• Plan, stage, and follow-up on provider visits


• Manage meeting preparation, scheduling, and material content plus follow-up on presentations to multiple provider types


• Understand and communicate detailed elements of Independence pay-for-performance programs to multiple provider types


• Hold accountability for practice performance and proactively work with assigned practices to improve clinical performance


• Independently develop schedule and targeting methodology for holistic quality improvement across assigned offices


• Consistently partner with assigned practices to improve provider experience with Independence


• Manage administrative elements of role in support of Population Health and interdisciplinary teams

Qualifications:

Education: Bachelor’s degree; Master’s degree in health-related fields a plus (e.g. MPH)

Experience, Knowledge, and Skills

• Ability to travel in the New Jersey area required (driver’s license and insured vehicle)


• 3-5 years’ experience working in a primary care physician office or health system required


• Demonstrated knowledge and experience with the CMS Medicare Stars Program required


• Demonstrated experience with HEDIS® measures required


• Knowledge of medical billing, claims processing systems, and health care information terminology preferred


• Strong verbal and written communication skills including but not limited to effective group presentations to professional staff and management


• Must be self-motivated, organized, and detail oriented


• Must be able to work moderate complexity tasks independently


• Must have strong knowledge of Microsoft Office products (Outlook, Word, Excel, and PowerPoint)


• Must have strong analytical, influencing, and problem-solving skills