What are the responsibilities and job description for the Vice President, Population Health position at Jobleads-US?
Job Title:
Executive, Enterprise Population Health & Clinical Operations (PHCO) Care Management
About Us:
Centene is transforming the health of our communities one person at a time.
Responsibilities:
- Establish the business unit's clinical strategic vision, objectives, and procedures to deliver cost-effective, clinically appropriate services across all products.
- Determine the organization's focus and direction regarding care models that cater to diverse lines of business, prioritizing quality and operational efficiency throughout the organization.
- Develop, drive execution of medical management and quality improvement programs, processes, and initiatives to enhance quality outcomes and achieve Quality & Affordability targets.
- Promote discipline, consistency, and execution of standardized initiatives and best practices.
- Foster integration for Medicare Duals Strategy.
- Analyze data sources to create and implement PHCO strategies incorporating integrated clinical care models that drive value.
- Oversee development and implementation of care management processes ensuring adherence to NCQA, URAC, and HEDIS measures.
- Design and implement standardization in measuring and monitoring operational and outcome metrics.
- Identify trends between Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Member Engagement; develop programs/pilots to improve engagement with strategic partners.
- Monitor performance results against established metrics and benchmarks; recommend improvement opportunities.
- Ensure affordability across all programs and markets.
- Navigate within a matrixed environment.
- Collaborate with Health Plan Executive Leadership teams.
Requirements:
Bachelor's degree required, with 5 years of relevant experience. Previous experience in a managed care organization preferred. 3 years of leadership experience necessary. Master's Degree desired.
Licensure/Certification:
Current state RN license preferred.
What We Offer:
We provide a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work arrangements. Total compensation may also include additional forms of incentives.
