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Population Health Navigator

April 30, 2026

87762

• Monday - Friday; 8am to 5pm • Medical Assistant or Reg Sched highly preferred • Medical terminology required • Must have healthcare experience • Remote work - ***MUST LIVE IN ARIZONA*** HonorHealth is looking for support as a Population Health Navigator who will work closely with 5 - 6 primary care clinics to assist in closing quality and risk gaps to improve the organization’s overall performance. To be successful in this role one must be familiar with the basic functions of excel, proficient in other Microsoft products, and demonstrate strong communication skills. This role involves working with several different electronic systems, therefore one must be comfortable with working with new technology and adapt well to change. This position will require a high volume of patient outreach as well as correspondence with providers and clinic staff to improve quality and risk performance. Our ideal candidate must meet the minimum requirements of the role that includes a HSD/GED, one (1) year outpatient, ambulatory care, specialty care, population health or community health experience along with one (1) year working knowledge of medical terminology. Additionally, a high level of comfortability on the phone and great email etiquette. The ability to learn quickly and absorb information will also allow you to be successful in this role. Limited travel is required for quarterly meetings and other team meetings that may occur with a reimbursement for mileage. Overview Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare together. HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 17,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Population Health Navigator is responsible to assist the department in ongoing Healthcare Effectiveness Data and Information Set (HEDIS) collection and Quality Improvement Activities to close gaps in care for insurance companies, Innovation Care Partners (ICP) and other internal quality projects. This position includes ongoing quality improvement activities to assure the organization's quality programs with ICP are implemented and meet all requirements for successful quality metric reporting. Essential Functions

Collaborates with onsite leadership, medical assistant and providers at each clinic for gap closure and to complete quality care goals. Assist clinical teams with proper documentation/requirements for quality requirements.
Participates in chart scrubbing, retrieval of medical records and data collection to support monthly and ongoing Innovation Care Partners (ICP) initiatives for quality improvement and to close outstanding care gaps.
Identify all patients with outstanding care gaps via roster from ICP or insurance payer. Pre-screen all scheduled patients via Electronic Medical Records (EMR) to identify opportunities to close gaps. Follow outreach protocols to schedule patients for necessary visits, labs, procedures, etc.
Analyze quality measures and identify opportunity trends for better patient health outcomes. Update health maintenance as indicated during chart auditing.
Ability to use multiple insurance and quality data bases with ICP to support successful Care Gap closure for patients.
Responsible for ongoing data submission to ICP and insurance payers.
Participate in monthly ICP meetings or webinars.
Performs other duties as assigned.

Education

Associate's Degree or 2 years' work related experience Business, Health Administration or related field - Preferred
High School Diploma or GED - Required

Experience

1 year outpatient, ambulatory care, specialty care, population health or community health experience. - Required
1 year working knowledge of medical terminology - Required
Other Prior medical assistant (MA) experience in a primary care setting - Preferred

Licenses and Certifications

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...