Job Title: LPN – HEDIS and Population Health Management Specialist

Compensation
Salary Range: $75,000 – $85,000 per year

Location: Midtown Manhattan, NY
Hybrid (3 days onsite / 2 days remote)

Position Summary

As an LPN – HEDIS and Population Health Management Specialist, you will support HEDIS and Population Health initiatives by identifying opportunities to improve member health outcomes, close care gaps, and increase utilization of preventive health services. This role involves data collection, analysis, provider and member outreach, health education, and reporting activities to ensure compliance with TRICARE, NCQA HEDIS, and organizational requirements. You will collaborate with internal and external stakeholders to develop and implement population health strategies that improve quality metrics and overall community health.

Responsibilities

Schedule / Shift

• Shift details: Hybrid Schedule (3 days onsite / 2 days remote)
• Hours per week: 40

Key Duties:

• Conduct provider and member outreach to support HEDIS compliance, care gap closure, and population health initiatives
• Collect, retrieve, analyze, and maintain healthcare data and medical records in accordance with HEDIS specifications
• Develop and maintain reporting tools, analyze trends, and recommend quality improvement initiatives
• Support disease prevention, health promotion, and patient education programs using evidence-based practices
• Collaborate with internal teams, providers, vendors, and community partners to improve health outcomes and program performance

Requirements

Education

• Required: High School Diploma or equivalent
• Preferred (if applicable): Associate Degree in a health-related field

Licenses & Certifications

• Required: N/A
• Additional certifications (if applicable): Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) preferred; Certified Health Education Specialist (CHES) preferred

Skills:

• Strong knowledge of HEDIS measures, population health management, and preventive healthcare practices
• Understanding of medical terminology, anatomy, physiology, ICD-10, CPT, and HCPCS coding
• Strong analytical, data management, and problem-solving skills
• Proficiency with Microsoft Office applications including Excel, Word, Outlook, and PowerPoint

About Us

RCM Healthcare Services works with professionals across schools, healthcare, and community-based settings nationwide. We support both contract and direct hire opportunities, connecting people early in their careers and experienced professionals to roles that align with their experience and preferences.

With more than 50 years of staffing experience, our team understands the environments you’re stepping into and what it takes to be successful in them. We stay closely involved from first conversation through placement, with consistent communication, a reliable point of contact, and follow-through at every step. We’re committed to caring for the professionals we work with and the communities they support, and offer competitive pay and benefits designed to support your well-being.

RCM Healthcare Services is Joint Commission certified, reflecting a commitment to quality, compliance, and a consistent experience.

Equal Employment Opportunity & Reasonable Accommodation

RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.

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