Director, Population Health (Remote in MI - local travel)
About The Position
The Director, Population Health leads and directs the team responsible for developing and delivering health plan population health strategy, including state-specific initiatives and clinical program design. The role drives planning and programs focused on member equity and social determinants of health, including food insecurity, housing, employment, and incarceration repatriation. In partnership with senior leadership, the Director helps establish strategic plans and objectives, supports member progress toward desired outcomes, and contributes to quality, cost-effective member care. This position oversees the strategic design, implementation, and evaluation of state health plan population health initiatives; champions system-wide initiatives; and works with Medicaid and other stakeholders to address market opportunities and challenges. It develops analytics, reporting, scorecards, tools, processes, education programs, policies, and operational infrastructure for population health. The Director leads performance monitoring and data-driven improvement, evaluates regulatory changes, supports business development, and oversees technology and delivery systems used in population health programs. The position offers remote work flexibility in Michigan and requires up to 25% travel.
Requirements
- At least 8 years of health care experience, including at least 5 years of progressive experience in population health, service coordination, ambulatory care, long-term care, community public health, care coordination, or an equivalent combination of relevant education and experience.
- At least 3 years of health care management or leadership experience.
- Clinical licensure and/or certification only when required by state contract, regulation, business operating model, or state board licensing mandates.
- Experience developing and executing evidence-based population health management integration programs.
- Experience creating interpretive guidelines and developing programs.
- Proven ability to set and achieve aggressive program objectives and goals.
- Proven ability to implement effective monitoring programs, provide constructive criticism, and require acceptable corrective action plans.
- Health care information systems experience.
- Excellent verbal and written communication skills.
- Proficiency with Microsoft Office suite and applicable software programs.
Responsibilities
- Oversee strategic design, implementation, and evaluation of state health plan population health initiatives based on population health principles and state-specific needs.
- Sponsor and champion state health plan system-wide initiatives and cultivate support for operational objectives.
- Liaise with the state Medicaid department, Single Pharmacy Benefit Manager (SPBM), and other Medicaid-contracted health plans on population health initiatives.
- Develop and implement operational plans that address market opportunities and challenges in alignment with population health goals.
- Participate in the design of all aspects of population health programs.
- Build analytics and reporting to support population health programs.
- Develop scorecards, tools, and processes to implement and evaluate population health programs.
- Work with clinical and operational stakeholders to synthesize program information, develop and deploy measurement tools, and oversee timelines, budgets, and return-on-investment analysis.
- Lead meetings and committees, direct data analysis and reporting, monitor program performance, and anticipate and mitigate risks.
- Create culture and linguistic program descriptions following NCQA accreditation standards.
- Create health education programs addressing food insecurity, housing, employment, and incarceration repatriation.
- Provide leadership and strategic direction to integrate operational assets supporting state health plan population health infrastructure.
- Partner with clinical quality performance management leadership to develop market-appropriate roadmaps, tools, and playbooks.
- Foster a culture of data-driven improvement.
- Develop policies, procedures, and guidelines for population health operations programs.
- Evaluate regulatory changes and determine implementation steps for programs.
- Identify business development opportunities to support population health program growth.
- Oversee technology and software applications used to deliver population health programs.
- Identify delivery systems used in member care for population health.
Benefits
- Competitive benefits and compensation package
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
