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Title:Population Health Specialist
Company:Mosaic Medical

Mosaic Medical prides itself on being an innovative health system that pioneers unique and creative ways to provide and improve patient access to health care. Since our founding in 2002 we have proudly served insured and uninsured patients regardless of age, ethnicity, or income.

We focus on a holistic approach to patient care by incorporating behavioral health, pharmacy, and nutrition support to serve patients in the most meaningful way. At Mosaic Medical, you will work with incredibly dedicated and mission-centered peers and be part of a dynamic team based environment.

Mosaic Medical offers more than just a job, it is a lifestyle. A lifestyle of serving others. A lifestyle of being an integral part of your community. A lifestyle that offers work/life balance. A lifestyle of enjoying the outdoors! Central Oregon offers over 300 days of sunshine a year, so enjoy a PTO day on the mountain, biking/hiking trails, or the river! A lifestyle that improves lives, including yours. Of course, we also offer a great benefit package!


The Population Health Specialist (PHS) applies a broad range of professional quality improvement and population management skills to facilitate excellent quality, patient experience, and outcomes. The PHS role is a significant contributor to Mosaic’s success in a value-based payment environment. This role has three tiers that reflect varying levels of responsibility, project complexity, and expertise required.


  • Work with clinics to identify and test improvement ideas using “Plan-Do-Study-Act,” LEAN, and other standard improvement methods.
  • Monitor clinic performance on key quality and patient health metrics and facilitate discussion at clinics about performance, goals, and improvement opportunities.
  • Actively participate in clinic quality huddles and other quality-related meetings to provide a “system-level” perspective, such as sharing best-practices from other Mosaic clinics or external organizations.
  • Contribute to development of procedures/protocols related to population health and quality
  • Maintain detailed knowledge of quality metric definitions and performance targets relevant to Mosaic populations (e.g., from the CCO or other payers, Oregon Health Authority, Oregon Primary Care Association).
  • Collaborate with clinical leaders to identify patient groups that require proactive outreach for preventive health maintenance and/or disease monitoring, including: women’s health, diabetes, adolescent, flu shots, unestablished patients, etc.
  • Work with clinics and other relevant departments to ensure Mosaic engages with patients on a regular basis using standard schedules and methods (phone calls, bulk mailings, My Chart, text messaging).
  • Ensure that clinic staff are aware of available patient education materials endorsed by Mosaic and have adequate supplies.
  • Work with Epic Clinical Applications and Quality Improvement teams to maintain detailed knowledge of Epic features that support panel management (e.g., Healthy Planet, Best Practice Alerts) and serve as an additional training support to clinics when necessary.
  • Participate in chronic disease management plan development, protocols, metrics, and workflows in partnership with clinical leaders.

Skills & Knowledge

Basic personal computer skills and comfort with Microsoft Windows® operating system. EHR experience, EPIC experience a plus. Must possess the ability to work independently with strong organizational, communication and interpersonal skills to support the management of multiple priorities, at multiple locations, with significant attention to detail for completion of both verbal and written external communications.

Contact:Whitney Lundy
Address:600 SW Columbia St.
Bend, OR 97702



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