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Beth Israel Deaconess Medical Center Population Health Specialist in Boston, Massachusetts

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Population Health Specialist

Department Description:This role supports our Pharmacy Ambulatory Administration team.

Job Location:Boston, Massachusetts

Req ID:47628BR

Job Summary:The Population Health Specialist serves to collaborate with and support primary care providers and practice support staff to improve population health performance and achieve quality incentives related to managed care contracts by managing and organizing data, engaging patients, and optimizing workflow, with the goal of optimizing our patients' health and wellbeing.

Essential Responsibilities:

  • Facilitates and assists with outreach to patients via phone calls, mail or electronic messaging, to schedule appointments, screenings, and preventive tests.

  • Extracts data from practice EMR (OMR) or network database (Arcadia) to identify care gaps and assess positive and negative changes in quality scores month over month.

  • Tracks, monitors, and assesses quality scores and performance related to screening, chronic disease (ie diabetes, cardiovascular disease, depression) management and outcomes for patients, providers and the practice at large.

  • Reviews registries with PCPs and/or key office staff to identify care gaps and opportunities for outreach and/or care gap closure.

  • Facilitates pre-visit planning, reminders, and processes on the day of the visit, and loop closure related to tests and referrals following visits towards the aim of improved population health.

Required Qualifications:

  • High School diploma or GED required.

  • Certificate 1 Medical Admin Assistant Cert preferred., and Certificate 2 Medical Assistant Certificate preferred.

  • 3-5 years related work experience required.

  • 1-3 years experience in a healthcare setting, such as a physician's office, hospital department, or provider relations, and a familiarity with standard quality measures, e.g., HEDIS.

  • Familiar and proficient with medical terminology.

  • Experience with computer systems, including web based applications. Must be highly attentive to detail, accuracy, and achieving end results.

  • Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.

Preferred Qualifications:

  • Familiarity with electronic medical records.

  • A mature, energetic, and confident individual who will be able to participate in role development and who will be able to adapt to role changes as they evolve.

  • The ability to develop relationships and establish rapport when working with physicians and staff in the community setting.


  • Decision Making:Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.

  • Problem Solving:Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.

  • Independence of Action:Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.

  • Written Communications:Ability to communicate clearly and effectively in written English with internal and external customers.

  • Oral Communications:Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.

  • Knowledge:Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.

  • Team Work:Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.

  • Customer Service:Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.

Physical Nature of the Job:

Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally

EOE Statement



As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. BILH requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.