Director, Population Health Strategy

Wellstar Health System

About The Position

The Director of Population Health Strategy serves as a key partner with leadership to shape and execute the overall mission and vision of the Wellstar Population Health, Care Coordination and Wellstar Clinical Partners Divisions by taking accountability and responsibility for the following: Develop the business and analytics strategies from planning to execution for supported areas. Mentor and develop the analyst team to support innovation, optimize data-driven decision making and provide key insights into operational and population-based questions. Ensure that the clinical teams have the tools and knowledge to effectively manage the health of the targeted populations by delivering timely, actionable and accurate information. Develop a cohesive reporting strategy to support the data, analytics and scorecards functions for all value based programs to extract critical insights for operational excellence. Mine and analyze data from internal databases and external sources to: o Drive optimization and improvement of product development, marketing techniques and business strategies o Evaluate the effectiveness and profitability of programs and promotions o Forecast future trends and project market potential Serve as the primary partner and liaison with the Data and Analytics Hub and Spokes for Population Health and Care Coordination to align and partner on the following: o Identify opportunities to leverage internal and external data to drive goal achievement o Implement and monitor outcomes o Evaluate the effectiveness and accuracy of new data sources and data gathering techniques o Develop custom data models and algorithms o Use predictive modeling to increase and optimize and target outcomes Work directly with the AVP Population Management to build and manage the budget for Population Health Management The Director will be responsible for directly supporting the analytics and strategic needs of the following programs: WellStar Clinical Partners (e.g. Administration, Board and Committees, Quality Program) Value Based Care Contracts o Wellstar Medicare FFS ACO o Employee Health Plan o Cigna o Humana Commercial o Humana MA Population Health Case Management Preventative Health (e.g. Colorectal Cancer Screening, Lung Cancer Screening, Incidental Lung Nodule) Diabetes Service Line and System Diabetes value stream System Inpatient Care Coordination and Utilization Management Post-Acute Care Network Community Health and Center for Health Equity The Director's expected attributes and behaviors are as follows: Strategic and organized thinker who uses data and analysis to underpin strategies and plans and inspires change through compelling narratives that highlight actionable insights Adept at identifying opportunities for optimization, growth and new ventures within the programs managed by the division through various methods of mining, transforming, modeling and analyzing data Works with a wide range of different stakeholders from various teams including the Data and Analytics Hub to promote innovation and actions that support the goals of the organization Highly customer-focused (internal and external customers) and eager to find data solutions that improve business outcomes Superior critical thinking, analytical and problem-solving skills

Requirements

Masters Business Administration/Management or Masters Computer and Information Science
Experience integrating the Arcadia Platform.
Minimum 8 years experience in healthcare provider setting, preferably with exposure to both the clinical and revenue cycle areas
Minimum 4 years leadership experience in managing multiple, cross-function teams and projects and influencing senior level leadership
Required Extensive experience in adopting and utilizing data and analytics tool and platforms to build program strategies
Experience working with third-party consultants and technology firms to support strategic objectives and operations
Extensive knowledge and understanding of the changing healthcare environment, especially as it relates to population health and value-based care arrangements.
Comprehensive understanding of enterprise information systems and relevant external data sources with the ability to develop reporting packages that promote data driven decision making
Ability to partner with system stakeholders through influence
Ability to manage relationships with third-party vendors to ensure obligations are met and expected value is delivered in the arrangement
Advanced skills in Microsoft Office 365 products, especially Excel, Power Platform and PowerPoint
Advanced SQL, Visual Basic and Tableau experience preferred
Familiar with machine learning, AI, predictive models and other data science concepts

Responsibilities

Data Integration, Systems Management, Analytics, Insights & Visualization a. Lead Population Health and Care Coordination analyst team in design, development and implementation of analytics and visualizations for key organizational information needs by providing guidance to the analytics teams on the proper analytics tool use based on business needs and aligning to strategic priorities
Serve as an organizational Subject Matter Expert (SME) to the organization on best practices for Analytics and Visualization regarding tools and practice and advise direct and indirect analytical teams on best practices regarding population health related data
Continually evaluate the data sources, integration techniques, implementation process, visualization tools and monitoring strategies used to deliver timely, relevant and actionable information to the Population Health, Care Coordination and Wellstar Clinical Partner teams
Design and partner on data aggregation strategies to blend information from multiple disparate systems to deliver curated data models to meet the needs of the supported programs (e.g. Epic health record, claims data from payers, claims data from WCP Community Partners). this includes but is not limited to implementation and ongoing management of any current and future advanced data platforms which includes: -Finalizing platform configuration decisions by aggregating feedback and translating into requirements -Overseeing the implementation of data connectors inclusive of initial and ongoing validation of data pipelines for accuracy, reliability, and quality. -Developing user management workflows and standards -Leading internal strategy for user training programs
Serve as primary partner and liaison between the Data and Analytics Hub and Spokes to ensure that the technological needs of the division are satisfied and the appropriate alignment to system data governance standards and policies
Engage with the Data and Analytics Hub leadership to advance the objectives of data transformation within the organization
Manage the integration of the claims and eligibility files directly from payers for the Wellstar Clinical Partners Value Based Care contracts for use in reporting financial, utilization and quality performance
Manage the security and access policies for third-party data warehousing and analytics tools in partnership with Compliance Data Mangement and Engineering: Directing and actively participating in the automation of data acquisition, transformation, and loading processes, integrating this data into external platforms as well as internal data models and systems for use in advanced data models. Integration of EHR and Quality Data Oversee, validate and support the integration of over 100 EHR and quality data submissions, ensuring compliance with new CMS CQM reporting requirements.
Strategic Leadership & Business Development a. Develop and maintain a comprehensive population health analytics strategic plan that aligns to system plans for data transformation, clinical integration and quality improvement across sites, populations and providers and for WCP's ever growing value-based payer contracts, including meeting the data integration and reporting needs of Wellstar's Health Plan.
Synthesizes information and data to develop a deep understanding of population health and clinically integrated network landscape to advance innovation at Wellstar and beyond
Develop KPIs, strategies and tactics in partnership with subject matter experts and reports progress of Population Health initiatives and programs to executive and board leadership
Provide the strategic leadership, collaborative coordination, creative problem solving and administrative authority necessary to manage and advance new and existing opportunities
Manage relationships for the various vendors partnering with Population Health Management Personnel & Business Unit Management a. Manage and mentor the analytical, strategic and project management resources within Population Health Management
Curate resources for individualized and team development to promote data literacy, strategic integration, process improvement and technological advancement in alignment with division and system goals and objectives
Partner with Population Health Management leadership to build and manage annual budget planning and off-cycle budget requests
Develop key metrics to track efficiency and effectiveness of resources and programs managed through the Population Health and Care Coordination programs
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.