Population Health Partner - Cityblock Health : Job Details

Join to apply for the Population Health Partner role at Cityblock Health

Join to apply for the Population Health Partner role at Cityblock Health

Direct message the job poster from Cityblock Health

Sr Talent Acquisition Partner, Business at Cityblock Health

Job Description:

The Population Health Partner (PHP) supports members with low medical complexity by helping them navigate health and social care resources. They assist in clarifying health-related priorities, connecting members to internal and external services, and triaging higher-level needs, including behavioral health concerns. The role focuses on addressing health-related social needs while also supporting care teams in securing medical, dental, and vision services, optimizing benefits, and ensuring members remain healthy at home.

Responsibilities:

• Member Engagement & Orientation – Receive members from engagement and care teams, explaining program expectations, duration, and goals, including care pathways and social needs.
• Assessments & Intake – Complete assessments and screenings (including for behavioral health disorders) following protocols; collaborate with the RN Care Manager to determine appropriate program placement.
• Care Planning & Goal Setting – Partner with the RN Care Manager to develop, refine, and adjust care plans based on member needs and quality improvement opportunities.
• Care Coordination & Coaching – Support members in achieving and modifying care plan goals, focusing on risk mitigation, provider engagement, and addressing social needs.
• Follow-Up & Member Support – Conduct ongoing check-ins to ensure progress on care plan goals, follow up on care coordination needs, and activate members around preventative care topics.
• Referrals & Escalations – Identify emerging needs through screenings, refer members to appropriate care team resources, and support internal referral loop closure.
• Operations & Documentation – Utilize Cityblock's care facilitation, EHR, and scheduling platforms to document interactions, track tasks, and coordinate communication across teams.

This role is 95% remote. Must live in MD.

Work Experience:

• 2+ years of relevant experience

Education:

We take into account an individual's qualifications, skillset, and experience in determining final salary. This role is eligible for health insurance, life insurance, retirement benefits, participation in the company's equity program, paid time off, including vacation and sick leave. The actual offer will be at the company's sole discretion and determined by relevant business considerations, including the final candidate's qualifications, years of experience, skillset, and geographic location. The expected salary range for this position is:

$28.00 - $32.00/ HR

Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Covid -19 Vaccine - Please Read:

Cityblock requires individuals hired into in-person, member-facing positions to provide proof that they have received the COVID-19 vaccine.

The requirement is based on the safety and effectiveness of the vaccine in protecting against COVID-19, and our shared responsibility for the health and safety of members, colleagues, and community.

Any individuals subject to this requirement may submit for consideration a request to be exempted from the requirement (based on a valid religious or medical reason) on forms to be provided by Cityblock. Such exemption requests are subject to review by Cityblock on a case-by-case basis and approval is not guaranteed.

Medical Clearance (for Member-Facing Roles):

You must complete Cityblock's medical clearance requirements, which include, but may not be limited to, evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases.

Seniority level

• Seniority levelAssociate

Employment type

• Employment typeFull-time

Job function

• Job functionHealth Care Provider
• IndustriesHospitals and Health Care

Referrals increase your chances of interviewing at Cityblock Health by 2x

Sign in to set job alerts for “Health Specialist” roles.

Baltimore, MD $70,000.00-$90,000.00 1 month ago

Osmosis Health Leadership Initiative (Formerly OMEF)Health Education Coordinator, Day Shift, Community Health

Gaithersburg, MD $57,606.24-$83,532.80 5 days ago

Silver Spring, MD $57,200.00-$95,347.20 1 week ago

Public Health Internship Program (PHIP) Fall 2025 CohortQuality Assurance/Field Assurance SpecialistBehavioral Health Associate (Specialist Officer I) - Non-Merit

Easton, MD $70,000.00-$80,000.00 2 weeks ago

Pikesville, MD $70,000.00-$80,000.00 2 months ago

Public Health Nurse - Non-Merit (Specialist Lead)

Hyattsville, MD $75,000.00-$85,000.00 1 week ago

Baltimore, MD $60,000.00-$70,000.00 6 hours ago

Health Program Administration I - Health Department

Baltimore, MD $70,338.00-$112,807.00 1 day ago

Agile SME – Health & Human Services ModernizationOBGYN - Women's Health Practice (Office)Senior Health Information Management Specialist

Silver Spring, MD $40,664.00-$79,476.80 6 days ago

We're unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

#J-18808-Ljbffr