DIRECTOR OF POPULATION HEALTH PROGRAMS

Nevada Health Centers I•Las Vegas, NV

14h

About The Position

The Director of Population Health Programs applies extensive knowledge of population health, program management, data analysis, and improvement methodologies to drive substantial projects across all organization service lines. The DPH is highly driven and self-motivated while able to work collaboratively and communicate across all levels of the organization. The DPH is accountable and plays a critical role in the development, implementation, management, and sustainment of an organization-wide strategy for maximizing quality and risk adjustment in Population Health and Value-Based Care initiatives. Working closely with the preferred health plans, specifically Silver Summit Health plan, leadership, and organizational cross-functional teams, this individual will collaborate to develop the infrastructure and processes needed to sustain a quality care delivery model for high-risk populations. Works daily with an array of complex reports to effectively analyze and interpret trends, potential issues and present plans in actionable forms.

Requirements

Bachelor’s degree in Public Health, Nursing, Healthcare Administration or related experience
8 years of experience in a healthcare setting
5 years of experience in a managerial leadership role

Nice To Haves

Master's degree in a health care-related field (MPH, MSN, MBA)
10+ years of experience in a healthcare setting.
Certified Professional in Healthcare Quality (CPHQ)
Solid understanding of performance improvement standards
In-depth knowledge and experience with population health, health program/policy analysis, and implementing and evaluating population-based health programs
Working knowledge of value-based care model requirements and tools
Working knowledge of upside and downside Risk Agreements
Working knowledge, experience with data collection, validation, analysis, reporting, and use of performance benchmark indicators.
Maintain the highest standards of confidentiality of information and professionalism
Ability to travel 10% within the state of Nevada
Excellent interpersonal and collaborative skills.
Strong oral/written communication, project management, multi-tasking, and decision-making skills.
Up-to-date knowledge of HRSA, PQRS, HEDIS and USD clinical measures.
Familiarity with quality dashboard best practices for physician office practices and FQHC.
Partner with hospitals, large medical groups, and insurance companies to improve clinical quality indicators and patient care.

Responsibilities

Work collaboratively with Silver Summit Health Plan to improve identified and agreed quality scores.
Work directly with the NVHC Medical Director and CNO to develop measures to improve quality outcomes for key roles and positions at NVHC.
Ensure alignment of NVHC and Silver Summit Quality measures
Establish work plans for specific quality measures, include but not limited to: Access to care for adults and children Improving care models for members diagnosed with chronic conditions Improving case management for high-cost members
Work along the NVHC CMO (Medical), Medical Directors and Clinical Operations team to help reduce HBR/MLR by evaluating and improving access and workflows.
Work directly with Silver Summit and other VBH Plans to establish customized reporting packages to be distributed and reviewed with the NVHC Executive Team and health plan, at least quarterly.
Conduct bi-weekly interdisciplinary meetings that include NHVC CNO, Silver Summit Program Manager
Work closely with finance leadership to reconcile quality incentive payments with clinic-based activities.
Conduct bi-monthly Wellness team meetings, keeping the team aware of trends, updates, successes, and challenges.
Responsibility to work with CMO and all other stakeholders to develop, implement, and document quality measures.
Ensures that quality measures are appropriate and documented so that data is easily produced and shared with all.
Provides input to help develop team-based incentives that would support this effort and reward successful participation.
Cooperates and participates in data collection and reporting necessary for regulatory and grant agencies, including UDS, HRSA, PCMH, and FTCA.
Develops programs and methods of workflow within the organization that are conducive to excellent clinical outcomes and patient access.
Collaborates with HR and Provider Relations to ensure licensed staff comply with “Fit for Duty” policy.
Participates in practice activities within Nevada Health Centers, which may extend beyond normal business hours.