Population Health Partner (PHP)

Employment Type: Full-time

Position Overview

The Population Health Partner (PHP) supports members with low medical complexity by assisting them in navigating health and social care resources. This role involves clarifying health-related priorities, connecting members to internal and external services, and triaging higher-level needs, including behavioral health concerns. The PHP 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.

Location: 95% Remote. Must live in Maryland.

Responsibilities

• Member Engagement & Orientation:
  • Receive members from engagement and care teams.
  • Explain 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.
  • Focus 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.
  • Activate members around preventative care topics.
• Referrals & Escalations:
  • Identify emerging needs through screenings.
  • Refer members to appropriate care team resources.
  • 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.

Requirements

• Work Experience: 2+ years of relevant experience.
• Education: Bachelor's Degree.

Compensation & Benefits

• Salary Range: $28.00 - $32.00 per hour.
• Eligibility: Health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off (vacation and sick leave).
• Note: Final salary is determined by qualifications, skillset, and experience, and is at the company’s sole discretion.

Company Information

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 Policy

Individuals hired into in-person, member-facing positions are required to provide proof of COVID-19 vaccination. Exemptions may be requested for valid religious or medical reasons and are subject to review and approval on a case-by-case basis.

Medical Clearance (for Member-Facing Roles)

Candidates must complete Cityblock’s medical clearance requirements, which may include evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved accommodation.

Note: Cityblock does not accept unsolicited resumes from outside recruiters/placement agencies.