What are the responsibilities and job description for the Director of Population Health position at Christian Community Health Center?
Job Description
Job Title
Job Title
Director of Population Health and Care Management
FLSA Status
Exempt
Position Summary
The Director of Population Health is responsible for providing oversight and leadership of all prevention/population health, care management and care coordination programs, including Local Care management plans.
Provides leadership, direction and strategic vision for the Population Health and Integrated Care Management programs
Responsible for the design, development, implementation and ongoing improvement of health outcomes outreach and education.
Ensures compliance with state and federal regulations, contractual obligations and NCQA requirements.
Responsibilities Include but are not limited to:
Exempt
Position Summary
The Director of Population Health is responsible for providing oversight and leadership of all prevention/population health, care management and care coordination programs, including Local Care management plans.
Provides leadership, direction and strategic vision for the Population Health and Integrated Care Management programs
Responsible for the design, development, implementation and ongoing improvement of health outcomes outreach and education.
Ensures compliance with state and federal regulations, contractual obligations and NCQA requirements.
Responsibilities Include but are not limited to:
- Population Management (Identify and manage patient populations)
- Oversees health equity initiatives for CCHC patient population
- Develops and oversees process for risk stratification and identification of high-risk patients
- Oversees the development of tools and training for care teams to identify and resolve preventive and chronic disease care gaps for panels of patients
- Develops program to better identify and assess patients with significant social and environmental barriers that need addressing
- Enhances and standardizes our clinical outreach approach for identified populations using a health equity lens
- Leads clinical and social determinants integration efforts
- Care Management (Plan, manage, and track care)
- Oversees implementation of new care management program as part of new MHN ACO partnership, including honing our model for our most complex patients
- Develops more robust approach for high risk transitions of care (i.e. hospitalizations)
- Ensures that care coordinators, care managers, and other team members have the tools and infrastructure to address social determinants of health when possible and to coach patients on health behaviors when applicable
- Value-Based Care (Research, initiate, and lead)
- Leads interaction with health plans to optimize HEDIS measure payments, quality programs, financial incentives, metrics and reporting.
- Oversees organizational transition into value-based care
- Lead activities related to accountable care organization (ACO) and other future contracts.
- Supports market strategy and growth
- Performance Management (Measure and improve performance)
- Oversees strategy and implementation of dashboard development and distribution to care teams and care coordination teams to drive improvements in relevant clinical outcomes for identified patient populations.
- Works with clinical, quality, and operational leaders to ensure population health efforts are coordinated with daily operations
- Utilizes quality improvement methods (i.e. IHI’s Model for Improvement with PDSA cycles) to improve population health processes
- Leadership (Motivate, enable, and integrate teams toward common aspiration)
- Utilizes leadership and change management skills to ensure success of this major change initiative (transforming towards an outcomes-focused care model)
- Builds trusting relationships with frontline staff, administrators, and external partners
- Leads a team of care manager, care coordinators, and other administrative staff
- Performs other job-related duties as assigned.
Minimal Qualifications/ Experience & Skills:
- Bachelor’s degree required; Master’s degree preferred
- 3 to 5 years management experience within a Case Management Department, preferably within managed care
- Must have more than 5 years of demonstrated care management/population health experience in a healthcare corporation serving Medicaid beneficiaries.
- Excellent organizational, analytical and interpersonal skills required.
- Ability to develop, design and implement programs to address cost efficient and quality medical care.
- Ability to develop and maintain operational budget.
- Excellent written and verbal communication skills.
- Proficient PC skills in a windows based environment
Employee Benefits offered to Fulltime Staff
- Blue Cross Blue Shield Medical Insurance
- Blue Cross Blue Shield Dental and Vision Insurance
- Supplemental Benefits
- Life Insurance (Provided by the company)
