Description
Title:
Population Health Clinical Navigator & Enrollment Specialist
Department:
Care Management
Reports To:
VP, Care Management & Pharmacy Services
Schedule:
Full-time, Days
Overview
The Greater Rochester Independent Practice Association (GRIPA) is a physician-led organization representing over 1,400 primary care and specialty physicians, in partnership with Rochester Regional Health, serving patients across a 10-county region. Founded in 1996, GRIPA is a national model for physician-hospital collaboration focused on improving health care quality, innovation, and cost efficiency. This position is employed by GRIPA and is not a Rochester Regional Health (RRH) employee role.
Summary
The Population Health Clinical Navigator / Enrollment Specialist is a key member of the multidisciplinary Care Management team. This hybrid role combines patient outreach, education, enrollment support, and data/workflow management to improve population health outcomes.
The position is responsible for engaging patients in care management services, educating them on appropriate health care utilization, coordinating care, and maintaining accurate documentation. This role requires collaboration with GRIPA and RRH care managers, physicians, insurance companies, and other health care professionals across multiple care settings.
Key Responsibilities
Patient Outreach & Engagement
- Conduct outbound calls to patients to introduce and enroll them in care management services
- Provide education on appropriate utilization of health care services and preventive care
- Educate patients on improving communication with their care team and navigating the health system
- Empower patients to make informed decisions aligned with their personal health goals
- Perform follow-up outreach as directed by the care management team
- Provide triage support for incoming calls (eligibility, resource needs, general inquiries)
Care Coordination & Support
- Coordinate care activities with medical practices, care managers, and providers
- Direct patients to appropriate community resources and support services
- Participate in employer-specific and value-based care initiatives
- Support population health strategies aligned with attribution models and contract goals
Data Management & Documentation
- Ensure accurate and timely documentation of all patient and provider interactions in electronic medical records and relevant systems
- Perform data entry, data validation, and patient identity resolution within GRIPA systems
- Monitor population metrics and assist in tracking quality and cost outcomes
- Maintain compliance with documentation policies and confidentiality standards
Performance Improvement & Reporting
- Monitor individual and team performance metrics to support population health outcomes
- Identify workflow improvement opportunities and support implementation efforts
- Report on successes, trends, and areas for improvement
- Participate in quality improvement initiatives
Administrative & Team Support
- Provide coverage for team roles (e.g., Co-Coordinator) as needed
- Assist with community events and engagement activities
- Train and cross-train staff on workflows and systems
- Maintain up-to-date knowledge of GRIPA programs and services
- Demonstrate flexibility to support evolving organizational needs
Professional Standards
- Maintain a professional image in all interactions (phone, email, in-person)
- Adhere to ethical, legal, and care management practice standards
- Work independently while maintaining strong collaboration with team members
Required Qualifications
- Associate degree (AAS) or equivalent combination of education and experience
- 3–5 years of experience, preferably in a health care, physician office, or hospital setting
- Strong computer skills (Microsoft Office, databases such as Excel/Word)
- Ability to learn new software systems and applications
- Excellent interpersonal and communication skills
- Strong organizational skills and attention to detail
- Ability to work independently with minimal supervision
Preferred Qualifications
- Experience in population health or care management
- Bilingual language skills
- Familiarity with value-based care models and health care coordination
Additional Requirements
- Local candidates only; this position is based in the Greater Rochester, NY area
- Hybrid/remote work flexibility may be considered
Benefits
GRIPA offers competitive wages, a 401(k) plan, comprehensive health benefits, and paid vacation time.
If interested, please forward your cover letter and resume to cori.wyman@rochesterregional.org
Or mail to:
Cori Wyman, Pharm.D., BCGP, CDCES
Vice President, Care Management and Pharmacy Services
Greater Rochester Independent Practice Association
100 Kings Highway South, Suite 2500
Rochester, NY 14617
EQUAL OPPORTUNITY EMPLOYER. Cognisight, LLC is an Equal Opportunity Employer and does not discriminate against any person because of race, creed, color, religion, national origin, age, sex, sexual orientation, gender identity, genetic information, protected veteran status, or disability.
PHYSICAL REQUIREMENTS: Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67–100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver’s license.
PAY RANGE: $22.00 - $28.50
The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, clinical licensure date, relevant qualifications, specialty, internal equity, location, and contracts.
