Manager Population Health
About The Position
The Population Health Manager supports value-based care initiatives to increase quality of care while maintaining cost-effective outcomes through targeted patient outreach and care gap closure, chronic care management, care coordination, and data analytics. The position 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. The manager is also expected to pursue personal growth and model Monument Health’s G3 Leadership Competencies in support of the organization’s vision and mission. The role supervises Population Health staff and collaborates with quality, clinical, and operational teams and internal and external stakeholders. It leads program management, outreach and engagement strategies, quality improvement activities, analytical reporting, staff training, and development of chronic care management pathways. The position also recommends operational improvements and designs, implements, and monitors programs addressing care quality and disparities.
Requirements
- Bachelor’s degree in Nursing.
- Registered Nurse (RN) certification from the South Dakota Board of Nursing.
Nice To Haves
- At least 3 years of experience in managed care.
- At least 5 years of experience in case management.
- Health Coaching Certification.
Responsibilities
- Supervise Population Health staff, including managing time-off requests, timeliness, and resolution of daily issues and concerns.
- Collaborate with the quality team, clinical leadership, and operations to develop centralized outreach activities that support performance on HEDIS and other value-based care quality, cost, and utilization measures.
- Collaborate with internal and external stakeholders to develop and implement population health programs and quality improvement and health equity interventions.
- Lead program management, 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 efficiency and address social indicators of health, health disparities, quality improvement processes, and population health program operations.
- Design, implement, and monitor population health programs to 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, coordinating, and delivering 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 population health nurses.
- Promote adoption and implementation of new ideas in support of the healthcare mission and organizational goals.
- Perform other duties as assigned.
Benefits
- 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.
- Pay differentials for qualifying positions.
- Flexible scheduling.
- Supportive work culture.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
