Population Health Operations Specialist

Turn insight into impact at TriHealth. As a Population Health Operations Specialist, you’ll partner directly with practices to transform how care is delivered, using data, education, and improvement strategies to drive better outcomes for the people and communities we serve. Join a collaborative culture where your expertise is valued, your voice is heard, and your work helps shape the future of value-based care. 

Bring your talents to TriHealth and discover a career where you can make a meaningful difference, grow with purpose, and feel truly valued.

Location: 625 Eden Park Drive., Cincinnati OH 

Schedule: Monday-Friday, Day shift. 

Benefits: https://careers.trihealth.com/what-we-offer/benefits *Please note: OPTIONAL positions are not eligible for TriHealth benefits* 

We offer competitive shift differentials where applicable, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement.

Job Requirements:

High School Diploma or GED (Required) 
Bachelor's Degree (Preferred)
2 - 3 years relevant experience (Required)

EPIC Experience (Preferred) 

Healthcare Experience (Required) 
Highly organized with excellent oral and written communication skills • Able to manage multiple tasks and projects simultaneously 
Excellent interpersonal, troubleshooting, and decision-making skills • Comfortable with continuous changes and self-initiating 
Proficiency with Microsoft Office Suite (e.g., Excel, Word, Outlook) • Experience with electronic health records. • Ability to maintain a non-judgmental disposition and communicate with a diverse population. 
Understanding of medical billing and coding in a practice setting • Basic knowledge of payor claims processes

Job Overview: 

The Population Health Operations Specialist is responsible for supporting value-based care delivery for the organization and providers by playing a central role in achieving quality improvement outcomes across numerous payor programs. The Population Health Operations Specialist role is a hands-on position leading their assigned practices in improving Key Performance Indicators (KPIs) outlined in s Value Based Payment (VBP) agreements. These KPIs include clinical quality measures, membership engagement, facility utilization, and costs measures.

Job Responsibilities:

Practice Development and Quality Improvement 
Helps practices adopt, transform, and sustain value-based model of care 
Educates and trains teams on quality measures specifications, including knowledge of appropriate billing codes and/or documentation needed by the payor to meet the measure. 
Participates in the design, implementation and monitoring of quality improvement processes, including continuous assessment of challenges in achieving stated goals. 
Maintains a reporting system to measure success and areas for improvement during the implementation and maintenance phases of transformation. Assists in creating performance dashboards and facilitating the request of custom reports to ensure the success of partners

Working Conditions:

Bending - Rarely 
Climbing - Rarely 
Concentrating - Frequently 
Continuous Learning - Consistently 
Hearing: Conversation - Consistently 
Hearing: Other Sounds - Consistently 
Interpersonal Communication - Consistently 
Kneeling - Rarely 
Lifting <10 Lbs. - Rarely 
Lifting 50+ Lbs. - Rarely 
Lifting <50 Lbs. - Rarely 
Pulling - Rarely 
Pushing - Rarely 
Reaching - Rarely 
Reading - Consistently 
Sitting - Frequently 
Standing - Frequently 
Stooping - Rarely 
Talking - Consistently 
Thinking/Reasoning - Consistently 
Use of Hands - Consistently 
Color Vision - Frequently 
Visual Acuity: Far - Frequently 
Visual Acuity: Near - Frequently 
Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS... 
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello" 
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist 
• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS... 
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met 
• Offer patients and guests priority when waiting (lines, elevators) 
• Work on improving quality, safety, and service

Respect: ALWAYS... 
• Respect cultural and spiritual differences and honor individual preferences. 
• Respect everyone's opinion and contribution, regardless of title/role. 
• Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS... 
• Value the time of others by striving to be on time, prepared and actively participating. 
• Pick up trash, ensuring the physical environment is clean and safe. 
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS... 
• Acknowledge wins and frequently thank team members and others for contributions. 
• Show courtesy and compassion with customers, team members and the community