What are the responsibilities and job description for the Director of Population Health position at Essen Health Care?
Company Overview Essen Health Care is a growing community healthcare network provides high quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a ‘population health’ model of care, Essen has five integrated clinical divisions offering services in primary & specialty offices, urgent care centers, and nursing homes, as well as house calls for home bound patients; all clinical services are also offered via telehealth. Our Care Management division supports patient-centered care through care coordination, complex care management and helping address health-related social needs.
Founded in 1999, Essen provides care in all five boroughs of New York City, with a primary focus in the Bronx. Staffed by over 300 primary and specialty care physicians and advanced clinicians, Essen Health Care is one of the largest, most comprehensive private medical groups in New York City. Essen maintains a Clinical Information Services team that maintains our enterprise-wide electronic medical record system, data repository, clinical analytics and population health capabilities. Our Community Services teams creates and sustains relationship with community organizations and agencies and health plans.
Essen is dedicated to ensuring the quality of care for all patients and has been designated ‘Level 3 Patient Centered Medical Home’ by the National Committee for Quality Assurance. Essen has won awards for its patient care innovations and recently launched Intention Health Ventures to develop and commercialize our technology innovations.
The Director of Population Health will provide strategic direction, leadership, and oversight of all population health initiatives within a large Integrated Delivery System (IDS). The incumbent will be responsible for the planning, development, and implementation of comprehensive population health, value-based care, and performance improvement programs. This includes oversight of HEDIS measures, care management, risk stratification, and utilization management to enhance care quality, promote cost savings, and improve patient outcomes.
Lead the design and execution of innovative care delivery and value-based initiatives to support improved health outcomes and cost efficiency.
Collaborate with senior leadership to set short- and long-term goals and performance metrics for population health, ensuring alignment with organizational strategy.
Ensure accurate and timely data collection, reporting, and analysis for HEDIS, CMS Stars, and other quality measures.
Identify performance gaps and drive improvement initiatives to enhance HEDIS performance across the organization.
Implement risk stratification models and evidence-based care pathways to optimize patient outcomes and resource utilization.
Ensure coordinated transitions of care, reduce readmissions, and improve patient engagement through strong interdepartmental collaboration.
Collaborate with providers, payers, and care teams to design and implement strategies to reduce avoidable hospital admissions, readmissions, and Emergency Department (ED) visits.
Drive the utilization review process, establishing benchmarks and key performance indicators to monitor performance and identify improvement opportunities.
Utilize data-driven insights to identify population health trends, develop targeted interventions, and measure program effectiveness.
Champion the use of electronic health records (EHR) to streamline care coordination, clinical documentation, and performance reporting.
Serve as a subject matter expert for population health and value-based care, providing education, training, and guidance to internal stakeholders.
Represent the organization in community forums, professional associations, and conferences to promote best practices in population health.
Ensure the organization’s compliance with regulatory requirements and accreditation standards (e.g., NCQA, CMS) related to population health and quality programs.
Lead audits, accreditation processes, and quality improvement initiatives to meet and exceed compliance obligations.
Monitor financial performance and ROI for population health programs, implementing course corrections as needed.
Identify and secure grants, partnerships, and other funding opportunities to support and expand population health efforts.
Provide leadership, coaching, and professional development opportunities to direct reports and cross-functional team members.
Establish performance expectations and conduct regular performance evaluations, ensuring accountability and alignment with organizational goals.
Clinical background (RN, MD/DO, or similar) preferred but not required.
Certification in Population Health Management, Case Management, or Healthcare Quality (e.g., CPHQ, CCM) is highly desirable.
Demonstrated success in implementing and overseeing HEDIS, CMS Star Ratings, or other quality improvement programs.
Proven track record of leveraging data analytics to drive strategic decisions, reduce costs, and improve clinical outcomes.
Experience in leading interdisciplinary teams and managing complex, system-wide initiatives.
Familiarity with healthcare regulations, accrediting body standards (e.g., NCQA), and best practices in quality management and performance improvement.
Exceptional analytical and problem-solving skills, with the ability to interpret complex data and implement evidence-based strategies.
Strong leadership, communication, and interpersonal skills to inspire teamwork, influence stakeholders, and drive organizational change.
Proficiency in Microsoft Office Suite, EHR systems, and population health management software.
Working Conditions and Physical Requirements
Primarily an office-based role with occasional travel to hospitals, outpatient clinics, and community sites within the IDS.
Must be able to operate standard office equipment (computer, phone, copier, etc.).
Some evening or weekend work may be required to meet program deadlines or address urgent issues.
Application Process
Interested candidates should submit a resume/CV via
Salary $80,000-$90,000
Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.
Founded in 1999, Essen provides care in all five boroughs of New York City, with a primary focus in the Bronx. Staffed by over 300 primary and specialty care physicians and advanced clinicians, Essen Health Care is one of the largest, most comprehensive private medical groups in New York City. Essen maintains a Clinical Information Services team that maintains our enterprise-wide electronic medical record system, data repository, clinical analytics and population health capabilities. Our Community Services teams creates and sustains relationship with community organizations and agencies and health plans.
Essen is dedicated to ensuring the quality of care for all patients and has been designated ‘Level 3 Patient Centered Medical Home’ by the National Committee for Quality Assurance. Essen has won awards for its patient care innovations and recently launched Intention Health Ventures to develop and commercialize our technology innovations.
The Director of Population Health will provide strategic direction, leadership, and oversight of all population health initiatives within a large Integrated Delivery System (IDS). The incumbent will be responsible for the planning, development, and implementation of comprehensive population health, value-based care, and performance improvement programs. This includes oversight of HEDIS measures, care management, risk stratification, and utilization management to enhance care quality, promote cost savings, and improve patient outcomes.
- Population Health Strategy & Program Development
Lead the design and execution of innovative care delivery and value-based initiatives to support improved health outcomes and cost efficiency.
Collaborate with senior leadership to set short- and long-term goals and performance metrics for population health, ensuring alignment with organizational strategy.
- HEDIS Oversight and Quality Reporting
Ensure accurate and timely data collection, reporting, and analysis for HEDIS, CMS Stars, and other quality measures.
Identify performance gaps and drive improvement initiatives to enhance HEDIS performance across the organization.
- Care Management and Coordination
Implement risk stratification models and evidence-based care pathways to optimize patient outcomes and resource utilization.
Ensure coordinated transitions of care, reduce readmissions, and improve patient engagement through strong interdepartmental collaboration.
- Utilization Management
Collaborate with providers, payers, and care teams to design and implement strategies to reduce avoidable hospital admissions, readmissions, and Emergency Department (ED) visits.
Drive the utilization review process, establishing benchmarks and key performance indicators to monitor performance and identify improvement opportunities.
- Data Analytics and Technology Integration
Utilize data-driven insights to identify population health trends, develop targeted interventions, and measure program effectiveness.
Champion the use of electronic health records (EHR) to streamline care coordination, clinical documentation, and performance reporting.
- Collaboration and Stakeholder Engagement
Serve as a subject matter expert for population health and value-based care, providing education, training, and guidance to internal stakeholders.
Represent the organization in community forums, professional associations, and conferences to promote best practices in population health.
- Regulatory Compliance and Accreditation
Ensure the organization’s compliance with regulatory requirements and accreditation standards (e.g., NCQA, CMS) related to population health and quality programs.
Lead audits, accreditation processes, and quality improvement initiatives to meet and exceed compliance obligations.
- Financial and Operational Management
Monitor financial performance and ROI for population health programs, implementing course corrections as needed.
Identify and secure grants, partnerships, and other funding opportunities to support and expand population health efforts.
- Leadership and Team Development
Provide leadership, coaching, and professional development opportunities to direct reports and cross-functional team members.
Establish performance expectations and conduct regular performance evaluations, ensuring accountability and alignment with organizational goals.
- Education and Certification
Clinical background (RN, MD/DO, or similar) preferred but not required.
Certification in Population Health Management, Case Management, or Healthcare Quality (e.g., CPHQ, CCM) is highly desirable.
- Experience
Demonstrated success in implementing and overseeing HEDIS, CMS Star Ratings, or other quality improvement programs.
Proven track record of leveraging data analytics to drive strategic decisions, reduce costs, and improve clinical outcomes.
Experience in leading interdisciplinary teams and managing complex, system-wide initiatives.
- Knowledge and Skills
Familiarity with healthcare regulations, accrediting body standards (e.g., NCQA), and best practices in quality management and performance improvement.
Exceptional analytical and problem-solving skills, with the ability to interpret complex data and implement evidence-based strategies.
Strong leadership, communication, and interpersonal skills to inspire teamwork, influence stakeholders, and drive organizational change.
Proficiency in Microsoft Office Suite, EHR systems, and population health management software.
Working Conditions and Physical Requirements
Primarily an office-based role with occasional travel to hospitals, outpatient clinics, and community sites within the IDS.
Must be able to operate standard office equipment (computer, phone, copier, etc.).
Some evening or weekend work may be required to meet program deadlines or address urgent issues.
Application Process
Interested candidates should submit a resume/CV via
Salary $80,000-$90,000
Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.
Salary : $80,000 - $90,000
