Population Health Specialist

The role

The Population Health Specialist supports value-based care strategy by identifying, engaging, and coordinating care for patient populations. This role involves managing care gaps, conducting patient outreach, and collaborating with providers to improve quality outcomes.

What you will do

• Conduct patient outreach and engagement activities to close preventive and chronic care gaps.
• Coordinate appointments, screenings, referrals, and follow-up services.
• Support organizational quality improvement and value-based care initiatives.
• Maintain accurate patient documentation and outreach records.
• Collaborate with interdisciplinary teams to address barriers to care.
• Monitor and track performance metrics related to population health outcomes.
• Support patient retention, engagement, and continuity of care efforts.
• Identify patients with open quality, preventive, and chronic care gaps.
• Educate patients on preventive care recommendations and available healthcare resources.
• Maintain accurate records within the electronic health record and population health platforms.

Required qualifications

• Five or more years of quality or value-based care experience in a medical group, IPA, MSO, health plan, or ACO.
• Experience utilizing EHR/EMR systems and Microsoft Office applications.
• Strong communication, customer service, organizational, and problem-solving skills.
• Ability to manage multiple priorities in a fast-paced, metric-driven environment.
• Ability to work effectively with diverse patient populations and interdisciplinary teams.
• Knowledge of HIPAA and patient privacy requirements.
• Ability to sit and/or stand for prolonged periods of time.
• Ability to move/carry objects up to 20 pounds.
• Moving from one work site to another as needed.
• Ability to communicate with others to exchange information.
• Ability to use and/or type on a laptop/keyboard.
• Ability to utilize telephone and computer systems throughout the workday.

Nice to have

• Bachelor’s degree in health administration, public health, nursing, business, or a related field.
• Certified Professional in Healthcare Quality (CPHQ); Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC).
• Experience with HEDIS, STAR ratings, risk adjustment, Medicare Advantage, Medi-Cal, ACOs, or value-based care programs.
• Experience using population health software, patient registries, or quality reporting platforms.
• Knowledge of medical terminology and healthcare referral workflows.
• Experience working within a multi-site medical group environment.
• Bilingual English/Spanish

Benefits

• Health benefits include medical, dental and vision
• 401K
• Long-term disability
• Unlimited PTO
• Life insurance
• Paid Leave Program

About the company

Akido builds AI-powered doctors and is an AI-native care provider. It serves 500K+ patients across California, Rhode Island, and New York.