Population Health & Quality Engagement Specialist

About the role

A Population Health & Quality Engagement Specialist (PHQES) at AIDS Healthcare Foundation (AHF) blends the mission with proactive engagement of attributed and high-risk populations to ensure timely access to care, closure or mitigation of quality care gaps, and fulfillment of payer contractual obligations.

Responsibilities

• Operationalize population health strategies through structured outreach, documentation, and performance reporting, directly supporting quality outcomes, retention, compliance, and value-based revenue care coordination.
• Work in conjunction with the Payor Relations Quality Improvement & Contracting teams to ensure that all attributed patients have access to primary care services, addressing urgent healthcare needs, overdue screenings, or unmanaged chronic conditions, and reducing avoidable ER visits and hospitalizations.
• Serve as a critical link between attribution, access, quality performance, and reporting, ensuring engagement efforts are measurable, auditable, and aligned with organizational and payer expectations.
• Maintain a concentrated customer focus and cultural competency to enhance AHF's reputation by improving access to care and promoting improved health outcomes.
• Support closure or mitigation of quality care gaps related to HEDIS, STARs, preventive care, and chronic condition management.
• Prepare regular performance summaries for leadership, quality, and population health teams, identify trends, gaps, and opportunities for improvement, and escalate risks related to access, quality, or contractual compliance.
• Support closing quality care gaps via supplemental data submission.

Requirements

• Excellent written and verbal communication skills.
• Familiarity with EHR systems and clinical practices.
• The ability to multi-task, set priorities, and manage time effectively.

Qualifications

• Previous experience in a customer support role required.
• Managed Care experience preferred.
• Bilingual Spanish preferred.

Skills

• Strong communication and interpersonal skills.
• Proficiency in EHR systems and clinical practices.
• Ability to prioritize and manage multiple tasks.

Benefits

Founded in 1987, AIDS Healthcare Foundation (AHF) is the largest specialized provider of HIV/AIDS medical care in the world. Our mission is to provide cutting-edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research, and other activities, AHF provides access to the latest HIV treatments for all who need them.

Pay

N/A

Schedule

N/A