Population Health Clinical Navigator & Enrollment Specialist - GRIPA

Population Health Clinical Navigator & Enrollment Specialist

Care Management

VP, Care Management & Pharmacy Services

Full-time, Days

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.

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.

• 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)

• 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

• 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

• 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

• 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

• 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

• 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

• Experience in population health or care management
• Bilingual language skills
• Familiarity with value-based care models and health care coordination

• Local candidates only; this position is based in the Greater Rochester, NY area
• Hybrid/remote work flexibility may be considered

The posted pay range is a good faith representation of potential base pay for this position. It may be modified in the future and eligible for additional pay components. Individual annual salaries/hourly rates could vary based on position details and FTE. Pay is determined by considering factors including, but not limited to, experience, relevant qualifications, specialty, internal equity, locations, and contracts.