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Population Health Manager

Company: Impresiv Health
Location: Santa Barbara
Posted on: November 27, 2022

Job Description:

Job Description

Title: Manager Population Health

Duration: Direct Placement

Description: At the direction of the Director of Quality, the Population Health Manager is responsible for the daily operations and functions of population health, clinical quality, and health promotion, including personnel oversight and mentorship. In coordination and collaboration with the Director of Quality, support the execution and implementation of a Population Health and Quality Strategy to achieve health equity. The position has direct oversight of the Clinical Quality, Population Health, and Health Promotion teams, and is responsible for organizing, motivating, leading and coordinating team members.

The Population Health team leads the organization identification, prioritization, and implementation of plan wide initiatives to improve clinical quality and reduce inequities for the communities served. The Population Health Manager manages and oversees the daily operations of all functions vital to successfully coordinate, collaborate, and implement operational improvements to systematically and continually improve quality of care. The Population Health Manager assures Quality Program elements are documented and implemented using industry-standard performance improvement methods to identify barriers, including but not limited to social determinants of health, and design and implement sound interventions to improve care delivery systems.

The Clinical Quality team leads provider-facing outreach to initiate and build strategic partnerships focused on changes in clinical practice that will sustainably improve the clinical delivery of service. The team encompasses clinically-licensed staff. The Population Health Manager manages and oversees the daily operations of all functions to strategically intervene throughout the provider network.

The Health Promotion team leads the design, implementation, maintenance, and evaluation of the organizations health education functions essential to maintain regulatory compliance and advance the health status of members. The Population Health Manager assures the companies health promotion program supports the organizations overall quality improvement and population health priorities.

What You Will Do:

  • Provide day-to-day management and oversight of Population Health Management and Quality Program to improve population health, mitigate the negative impacts of social determinants of health, and achieve health equity
  • In collaboration with Director of Quality, coordinates and implement the organizations Population Health and Health Equity Strategy across departments as needed to ensure compliance with NCQA Accreditation standards
  • Implements, maintains, and coordinates the plan wide review, update and continual improvement of Quality Improvement System, to maximize managed care effectiveness and compliance readiness with respect to applicable DHCS, DMHC, CMS, and NCQA requirements
  • Initiates and advances partnerships with contracted providers to increase their adoption and engagement in strategic initiatives, including but not limited to Pay for Performance programs, to improve quality of care and achieve health equity
  • Engages providers in topic-specific Performance Improvement Projects and PDSAs to improve select aspects of care for populations in need of improvement
  • Develops and updates written department policies and procedures to ensure compliance with regulatory requirements (e.g. DHCS Contract, NCQA accreditation)
  • Supports the annual development of a Population Needs Assessment
  • Collaborates with contracted providers and community-based organizations to develop long-term relationships to inspire a shared vision to achieve strategic objectives
  • Collaborate with multiple stakeholders to implement evidenced based guidelines, efficient workflows, and strategic initiatives to advance high quality health care delivery.
  • Leads, mentors and strategically develops staff expertise; monitors the production and quality standards for assigned teams, including all aspects of performance necessary to assure operational success
  • Prepares weekly, monthly, and quarterly reports for internal and external reporting
  • Acts on behalf of the Director of Quality as necessary, and other duties as assigned

    You Will Be Successful If:

    • Excellent leadership skills, including motivating staff to achieve goals and objectives
    • Excellent communication skills, including motivational techniques to invite and elicit feedback, receive feedback with humility, and constantly nurture and build a trusting and high-functioning team
    • Knowledge of DHCS Quality System requirements, regulations, and auditor expectations, contract language, principles of negotiation and ability to collaborate cross-departmentally
    • Specific and detailed knowledge of NCQA accreditation standards, and strategies for auditor interactions
    • Specific and detailed knowledge of population health, social determinants of health, and application of Performance Improvement Project and PDSA improvement methodologies to improve care delivery systems
    • Strong communication, interpersonal and teambuilding skills
    • Ability to multi-task in a fast-paced environment. Strong time management skills
    • Strong analytical and problem solving skills
    • Strong project management skills
    • Strong customer service experience and orientation
    • Proficiency in Excel, Power Point, Word, and web-based functions

      What You Will Bring:

      • Active and unrestricted CA RN License or NP license
      • Bachelor's Degree in a related field required, Masters Preferred
      • 7+ years of experience in a managed care environment
      • 3+ years of supervisory experience in a managed care organization
      • 3+ years of management of regulatory audits
      • Medi-Cal/Medicaid and NCQA standards required

        About Impresiv Health:

        Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.

        Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do - provide tangible results that add immediate About Impresiv Healthvalue, at a rate that cannot be beaten. Your success matters, and we know it.

        That's Impresiv!

Keywords: Impresiv Health, Santa Barbara , Population Health Manager, Executive , Santa Barbara, California

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