Population Health Officer

Palm Medical CentersCoral Gables, FL

About The Position

Palm is a physician-led primary care medical group with a growing presence across Florida and North Texas. Our model is centered on delivering high-quality, value-based care with a strong emphasis on patient outcomes, provider satisfaction, and operational excellence. As a group operating across Medicare Advantage, Medicaid, ACA, and commercial populations under both risk-based and fee-for-service contracts, we are focused on building a scalable, high-performing platform that aligns clinical quality, patient experience, and financial performance. Position Overview The Population Health Officer (the “PHO”) reports to the CEO and serves as the senior executive leader responsible for total cost of care performance, utilization management, and population health strategy across Palm’s markets. This role defines what care should happen at a system level—establishing priorities, care models, and intervention strategies to improve outcomes, reduce avoidable utilization, and optimize value-based performance. Success in this role requires the ability to translate data and financial performance into actionable care strategies executed across clinical and operational teams. Interaction with the provider team is critical and will require frequent local travel between clinics. Unlike the COO (who executes care delivery) and the CMO (who defines clinical standards), the PHO defines population-level care priorities and medical cost strategy.

Requirements

  • MD, DO, RN, or advanced clinical/healthcare degree strongly preferred; Master’s in Public Health, Healthcare Administration, or related field preferred
  • 10+ years of experience in population health, medical management, or value-based care leadership
  • Deep understanding of Medicare Advantage and risk-based care models
  • Experience managing total cost of care and utilization performance in capitated or shared-risk environments
  • Strong analytical and data-driven decision-making skills
  • Proven ability to design and implement population health strategies at scale
  • Demonstrated success working cross-functionally with clinical and operational leaders
  • Strong leadership, communication, and change management capabilities

Responsibilities

  • Own enterprise performance for total cost of care (TCOC) across all markets and payer arrangements
  • Define and execute population health strategies to improve outcomes while reducing avoidable utilization
  • Develop multi-level intervention strategies targeting high-risk, rising-risk, and general populations
  • Monitor in-year performance (PMPM) and implement corrective actions to address cost and utilization trends
  • Establish utilization management standards, escalation thresholds, and decision frameworks
  • Own medical management programs, including prior authorization strategy and referral optimization
  • Identify drivers of avoidable utilization (ED, inpatient, post-acute) and implement targeted interventions
  • Partner with clinical leadership to ensure utilization strategies are clinically appropriate and effective
  • Responsible for care management programs, including case management, disease management, and care coordination
  • Design and implement transitions of care strategies to reduce readmissions and improve post-acute outcomes
  • Ensure appropriate deployment of care managers, social workers, and support resources
  • Drive measurable improvements in patient outcomes through longitudinal care programs
  • Define risk stratification methodologies and cohort prioritization frameworks
  • Identify high-impact patient segments and align resources accordingly
  • Establish proactive outreach and intervention models for high-risk populations
  • Continuously refine targeting strategies using analytics and performance data
  • Drive performance across value-based contracts, including cost, quality, and utilization metrics
  • Partner with Finance and Managed Care to align medical cost strategies with financial performance goals
  • Support payor performance initiatives (excluding contract negotiation and reconciliation ownership)
  • Ensure readiness for delegation and performance accountability in risk-based arrangements
  • Partner with the Chief Medical Officer to ensure care models and utilization strategies are clinically sound
  • Collaborate with the COO to align population health priorities with operational execution in clinics
  • Work closely with analytics, finance, and managed care teams to monitor performance and refine strategies
  • Serve as the central leader connecting clinical strategy, cost management, and operational execution

Benefits

  • Competitive compensation with performance-based incentives
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