Quality and Population Health Manager

Nevada Health Centers I•Las Vegas, NV

5d•$87,000 - $108,000

About The Position

The Quality and Population Health Manager leads quality improvement across patient safety and population health initiatives throughout the organization. The role oversees and participates in developing, implementing, and evaluating programs to improve clinical outcomes, close gaps in care, enhance patient experience, and support regulatory and value-based care requirements. The manager collaborates with operations, clinical, finance, marketing, and outreach teams to drive performance improvement, coordinate care management activities, and achieve organizational quality goals. The position requires managing multiple and shifting priorities, working productively with minimal supervision, attention to detail, and strong communication and presentation skills. The role coordinates services and assesses, monitors, and evaluates the comprehensive health care needs of high-risk patients to support coordinated, quality, cost-effective care in a patient-centered environment. It oversees population health programs, case management activities, and chronic disease initiatives; supports accreditation efforts; and leads quality review, reporting, committee, and improvement activities. The manager also works with organizational leaders and data analysts on quality metrics, performance indicators, risk mitigation, budgeting, human resources, policies, workflows, and staff education.

Requirements

Bachelor’s degree in Healthcare Administration, Public Health, or a related field.
At least five years of experience in healthcare.
At least five years of experience in quality improvement and quality assurance.
Knowledge of FQHC operations, HRSA requirements, NCQA standards, and UDS reporting measures.
Working knowledge of electronic health record systems.

Nice To Haves

Master’s degree in Public Health or Nursing.
Working knowledge of successful project management.
Knowledge of the essential functions, practices, and procedures of a medical clinic and office.
Working knowledge of reporting and measurement of performance activities.

Responsibilities

Coordinate services and assess, monitor, and evaluate the comprehensive health care needs of high-risk patients, supporting coordinated, quality, cost-effective care in a patient-centered environment.
Oversee, monitor, and report on the effectiveness of population health programs, case management activities, and chronic disease initiatives.
Lead efforts and evidence-based validation to maintain national accreditations, including PCMH.
Lead and coordinate random quarterly departmental quality chart reviews and maintain a repository of results.
Participate in health plan quality and population health meetings.
Coordinate and participate in quarterly on-site quality rounds.
Collaborate on executing and maintaining granted support programs and projects.
Facilitate and coordinate monthly Quality Improvement and Quality Assurance Committee meetings.
Collaborate on quality improvement initiatives focused on patient outcomes, patient safety, patient experience, and operational performance.
Work with population health data analysis to capture, prioritize, and share actionable data aligned with organizational quality metrics and value-based goals.
Work with the Director of Population Health to identify key performance indicators.
Participate in risk assessment and mitigation initiatives.
Monitor, analyze, and report quality metric updates.
Collaborate with health plan quality teams and hospital case managers to plan and organize patient care transitions.
Organize and facilitate staff meetings, huddles, and rounding.
Work with the CNO and Director of Population Health to plan and manage the department’s operating budget and human resources.
Collaborate to develop and revise policies, workflows, and staff education forums supporting quality and population health initiatives.