Manager Population Health
About The Position
The Population Health Manager supports value-based care initiatives to improve quality of care while maintaining cost-effective outcomes through targeted patient outreach, care gap closure, chronic care management, care coordination, and data analytics. The role serves as a link among health insurance companies, community partners, clinicians, and key organizations to develop and administer managed care and value-based care programs. It also involves demonstrating ongoing professional growth and modeling Monument Health’s G3 Leadership Competencies to advance the organization’s vision and mission. The manager supervises Population Health staff and collaborates with quality, clinical, operational, and external stakeholders to develop, implement, and monitor population health programs and quality improvement interventions. The role develops outreach strategies, analytical reports, training, chronic care management pathways, programs, and care plans. The position is based at the Health Sciences Building and is scheduled for 40 hours per week. The role requires working assigned schedules and hours as determined by the department.
Requirements
- Bachelor’s degree in Nursing.
- Registered Nurse (RN) certification from the South Dakota Board of Nursing.
- Ability to work assigned schedules and hours as determined by the department.
Nice To Haves
- Three or more years of experience in managed care.
- Five or more years of experience in case management.
- Health Coaching Certification.
Responsibilities
- Supervise Population Health staff, including managing time-off requests, timeliness, and daily issues or concerns.
- Collaborate with the quality team, clinical leadership, and operations to develop centralized outreach activities supporting performance on HEDIS and other value-based care quality, cost, and utilization measures.
- Work with internal and external stakeholders to develop and implement population health programs and quality improvement and health equity interventions.
- Manage the program, identify areas for improvement, and explore best practices related to care gap closure.
- Establish, execute, and maintain quality outreach and patient engagement strategies to improve performance.
- Recommend strategies to improve effectiveness and efficiency, address social indicators of health and health disparities, and improve quality processes.
- Recommend improvements to operational systems to maximize the effectiveness of population health programs.
- Design, implement, and monitor population health programs that improve care or prevent negative outcomes due to disparities, including submitting formal program development documentation to applicable regulators.
- Implement and analyze year-round clinical improvement activities, including planning, implementation, and coordination of timely, recurring interventions and programs.
- Develop and monitor analytical reports for quality improvement and population health surveillance.
- Develop and facilitate training for interdepartmental staff and provider networks on population health programs.
- Develop chronic care management pathways, programs, and care plans for use by population health nurses.
- Adopt and implement new ideas to support the healthcare mission and organizational goals.
- Perform other duties as assigned.
Benefits
- Supportive work culture.
- Medical, vision, and dental coverage.
- Retirement plans.
- Health Savings Account and Flexible Spending Account.
- Instant pay for qualifying positions.
- Paid Time Off Accrual Bank.
- Opportunities for growth and advancement.
- Tuition assistance or reimbursement.
- Excellent pay differentials on qualifying positions.
- Flexible scheduling.
- Competitive wages and benefits on qualifying positions.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
