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Salary: USD 74,000 - 78,000 / annual
Akido Labs is an AI-native healthcare provider serving 500K+ patients across California, Rhode Island, and New York. The company combines cutting-edge AI technology with a nationwide medical network to address physician shortages and expand access to exceptional healthcare across 26 specialties, from serving unhoused communities in Los Angeles to ride-share drivers in New York.
The Population Health Specialist supports Akido's value-based care strategy by identifying, engaging, and coordinating care for patient populations requiring preventive services, chronic disease management, and care gap closure. This role is central to improving quality outcomes, patient engagement, continuity of care, and access to services.
Key responsibilities include:
**Population Health & Care Gap Management:** Identify patients with open quality, preventive, and chronic care gaps through approved reports, registries, and work queues. Conduct outreach via phone, text, patient portals, and other approved channels. Coordinate Annual Wellness Visits, preventive screenings, immunizations, specialty referrals, chronic disease follow-up, and diagnostic testing. Document outreach efforts, patient responses, barriers, and intervention outcomes. Prioritize patient outreach based on clinical risk, health plan requirements, and organizational goals.
**Patient Engagement & Care Coordination:** Serve as a primary point of contact for assigned patient populations. Educate patients on preventive care recommendations and available healthcare resources. Assist with scheduling, referrals, transportation resources, and healthcare navigation. Collaborate with clinical and operational teams to address care barriers. Escalate clinical concerns and complex needs to licensed team members.
**Quality & Value-Based Care Support:** Support HEDIS, STAR, risk adjustment, Medicare Advantage, Medi-Cal, and other value-based care initiatives. Review quality reports and assigned patient lists to identify intervention opportunities. Assist with chart review, data validation, documentation improvement, and quality audits. Monitor progress toward care gap closure and quality performance goals.
**Data Management & Reporting:** Maintain accurate records within the EHR and population health platforms. Track outreach volume, completion rates, and unresolved patient barriers. Prepare routine reports and communicate trends, risks, and workflow issues to leadership. Maintain HIPAA compliance and patient confidentiality.
**Collaboration & Continuous Improvement:** Work collaboratively with physicians, advanced practice providers, nurses, medical assistants, referral coordinators, and clinic operations teams. Participate in team meetings, quality reviews, and process improvement initiatives. Support implementation of new population health programs and workflow enhancements.
**Requirements:**
- High School Diploma or equivalent
- Minimum 2 years of experience in healthcare operations, population health, patient outreach, care coordination, managed care, or quality improvement
- 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
**Preferred Qualifications:**
- Associate's or Bachelor's degree in Public Health, Healthcare Administration, Nursing, Business Administration, or related field
- 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
