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Population Health Specialist- Care Transitions Remote Opportunity

Work Arrangement: 

Requisition Number:  269601

Regular or Temporary:  Regular

Location: 

Durham, NC, US, 27710

Personnel Area:  DIN/Connected Care

Date:  May 5, 2026

Duke Connected Care, a community-based, physician-led network, includes a group of doctors, hospitals and other healthcare providers who work together to deliver high-quality care to Medicare Fee-for-Service patients in Durham and itssurrounding areas.

Job Summary

The Population Health Specialist will develop, implement, and evaluate comprehensive patient plans to ensure that patients receive appropriate overall medical care, therapy and training services, in an effort to enable their recovery or management of complex, chronic health conditions. The Population Health Specialist is responsible and accountable for supporting clinical expertise for specific complex patient populations. This role will perform supporting clinical disease management, assessment of disease states and utilization, care plan development and facilitation, referral to appropriate levels of care, etc. The Population Health Specialist functions as an integral part of an interdisciplinary team, ensuring excellence in patient care, in an effort to achieve optimal clinical outcomes through a seamless model of access and care. Focus on improving transitions in care for patients, physicians, family and community. Patient base consists of patients who are sub-optimal users of healthcare and/or management of chronic disease. Identify any barriers to proper utilization and determine best steps for following treatment recommendations, as well as providing resource/benefit education, counseling and self-care processes. Focus on improving transitions in care for patients, physicians, family and community. The Population Health Specialist will work as an integral part of an interdisciplinary team, ensuring excellence in patient care, in an effort to achieve optimal clinical outcomes through a seamless model of access and care.

Hours:

Full-time, remote opportunity

Work Performed

Knowledge, Skills and Abilities

The work activity and patient acuity levels can create a stressful atmosphere, therefore individuals successful in this job are: -- Organized and motivated by a fast-paced environment -- Able to manage multiple tasks/projectssimultaneously -- Proficient in review and assess needs quickly -- Strong with the use of computer software tools and data files -- Comfortable with continuous change and self-initiating -- Able to complete documentation in a quick and efficient manner (will be in legal medical record and other software systems developed for care management and population based program metrics)

Level Characteristics

Additional job expectations include the ability to: -- Maintain strict confidentiality -- Promote programs and services to community -- Build effective and trusting relationships with patient/peers -- Use motivational interviewing and active-listening skills when assessing patient conditions, problems and interests -- Use conflict-resolution skills when reaching consensus about plans of care and treatment decisions -- Demonstrate confidence, compassion, political savvy, as well as attention to detail to apply these skills as decisions dictate -- Use data to analyze trends and to verify data

Minimum Qualifications

Education

Bachelor's degree in business, behavioral/social sciences, public health or related population health field.

Experience

Work requires three years of experience in a business, behavioral/ social sciences, public health or related population health field. Sales and Marketing background, along with professional experience in Social Work, Disease Management, and experience working directly with Physicians and Advanced Practice Providers is strongly preferred.

Degrees, Licensures, Certifications

N/A

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Nearest Major Market: Durham
Nearest Secondary Market: Raleigh