POPULATION HEALTH MANAGER
About The Position
The Population Health Manager will lead NEMS’ efforts to improve health outcomes across a diverse patient population through value-based care strategies and population health initiatives. This role oversees a team of Population Health Specialists and Outreach Coordinators and is responsible for leveraging data-driven insights to manage patient panels, reduce care gaps, and improve quality performance metrics. The manager will support value-based contracts by driving initiatives that enhance preventive care utilization, reduce avoidable utilization (e.g., ED visits, hospitalizations, and readmissions), and address health disparities. This position plays a key role in advancing the organization's mission of delivering equitable, high-quality, and cost-effective care to underserved communities.
Requirements
- Bachelor’s degree in Public Health, Health Administration, Nursing, or a related field
- 3-5 years of experience in population health, public health, or care coordination, preferably within an FQHC or community health setting
- Experience with data analysis and reporting; proficiency in population health management software and electronic health records (EHR) systems
- Strong leadership skills with experience managing teams and working collaboratively across departments
- Excellent communication and presentation skills with an ability to convey complex information to various stakeholders
- Demonstrated ability to prioritize, organize, and manage multiple projects effectively in a fast-paced environment
- Must be able to fluently speak, read and write English.
Nice To Haves
- Master’s degree preferred
- Bilingual in Chinese or Spanish is a plus.
- Knowledge of federal and state health care regulations, FQHC guidelines, and population health best practices is a plus.
Responsibilities
- Lead and mentor the Population Health team, providing guidance, support, and performance feedback.
- Foster a collaborative and accountable team environment to drive outreach initiatives aligned with value-based care goals and quality performance targets.
- Analyze population health and utilization data to identify trends, care gaps, and high-risk patient cohorts.
- Translate findings into actionable strategies to improve quality metrics and risk stratification.
- Prepare reports and present insights to executive and clinical leadership.
- Collaborate with clinical and administrative teams to develop, implement, and refine population health strategies that improve chronic disease management, preventive screening rates, and patient engagement, while supporting performance in value-based programs (e.g., HEDIS, Medicare Advantage, and Medi-Cal).
- Act as a liaison between departments, ensuring alignment of population health initiatives with clinical operations, care coordination, and quality improvement efforts.
- Facilitate regular meetings and discussions to support goal alignment.
- Track and report on key performance indicators (KPIs) related to population health, such as screening completion rates and access to preventive care.
- Monitor performance against benchmarks and adjust strategies to optimize results.
- Oversee outreach and care gap closure workflows to minimize workflow inefficiencies, ensure timely outreach, enhance patient care experience, improve patient engagement, and achieve optimal outreach outcomes.
- Ensure population health activities comply with FQHC guidelines and align with federal and state regulations.
- Promote best practices in population health management and care coordination.
- Performs other job duties as required by manager/supervisor.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
