Population Health Manager

Southwest Care Center employees can answer yes to these 3 questions:

1. Do you want to make a difference?
2. Do you believe everyone is entitled to quality healthcare?
3. Do you desire to serve the underserved in your community?

For over 25 years, Southwest Care Center has been providing exceptional healthcare to the communities of Santa Fe and Albuquerque, NM. We are a non-profit, FQHC-LAL providing medical, behavioral health, case management, community outreach, diabetes education, and pharmacy services. We are proud to offer gender equity medicine, syringe exchange, and HIV/Hep C treatment, testing and other services within our communities.

Southwest Care Center is currently seeking an experienced full-time Population Health Manager. This position supports all SCC locations in Santa Fe and Albuquerque; therefore, candidate must reside in the local market area of Albuquerque or Santa Fe, New Mexico and able to travel between the two cities as needed.

Position Details:

Under the direction of the Director of Quality Assurance & Population Health, the Population Health Manager exercises discretion and independent judgment for all population health and clinical quality improvement activities for Southwest Care Center. This position is key to improving patient outcomes, safety, and experience while ensuring compliance with value‐based care and pay for performance agreements. This position ensures that managers and staff are educated to carry out all initiatives and further monitors and reports on compliance and measurables for each.

Position responsibilities include but not limited to:

• Directs Population Health Initiatives, Data, and associated support staff (CHW).
• Manages and oversees QAPI activities including patient experience surveys and reviews, clinical quality measure satisfaction (UDS measures, HEDIS measures, Annual Wellness Visits), pursuant to HRSA and PCMH requirements, value‐based care agreements, pay for performance and other population health initiatives.
• Serves as the primary quality measure, quality data, value-based care and pay for performance expert for SCC.
• Bridge the gap between clinic operations and quality assurance/population health by representing quality needs in the development of initiatives and workflows.
• Customer Relations Management to include management of patient interactions, track data, preferences, manage social media platforms and cascade information to appropriate areas.
• Analyzes and audits quality data to create action plans to enhance organizational performance in relation to quality measures and value-based/pay-for-performance initiatives.
• Conduct medical record audits as prioritized by the annual CQR work plan, quality related initiatives, or payer requests.
• Conduct risk related patient chart reviews as directed by Director of Clinical and Quality Outcomes Management to evaluate risk and highlight opportunities for improvement.
• Foster and enhance relationships with payers as it relates to quality by meeting with payers on a regular cadence as defined in payer agreements and utilizing payer portals to retrieve and analyze data to improve performance.
• Continually audit and evaluate payer expectations and current clinical workflows to identify additional opportunities to capture revenue as it relates to quality measures, care gap closure, and/or payer expectations
• Assist the department director in the preparation and submission of quality/quality measure related data to compliance, regulatory, and accrediting agencies as needed.
• Assist the department director in preparing for and maintaining a continuous state of readiness for regulatory and accreditation preparedness including HRSA, PCMH, DOH, etc.
• Develops and presents education to staff at all levels including leadership, providers, and frontline staff as it relates to quality measures, care gap closure, and value-based/pay-for-performance initiatives. Reinforces clinic-wide compliance and adherence to quality assurance program including data capture through the EMR.
• Provides group and one-on-one support to leadership, providers, and frontline staff to streamline workflows as they relate to quality measure satisfaction and care gap closure.
• Maintains professional licensure and development of knowledge and skills needed to bring innovation and expertise to the position.
• Manage grievance and complaint process, ensure compliance with regulatory requirements and organizational policies by conducting internal investigations, audits, monitoring activities and reporting.
• Record and investigate patient complaints and grievances, collaborate with department leaders to implement corrective actions, and identify trends for improvement.

Candidate Highlights:

• Minimum three (3) years working as an LPN/RN. Prefer RN with clinical quality roles as part of their primary duties. Highly desirable if that quality experience was in a primary care environment.
• Associate degree in nursing with bachelor’s degree preferred.
• Current unrestricted NM nursing license.

Employment Highlights:

• Monday - Friday typical schedule.
• Competitive salary.
• Great work/life balance with generous time off plans.
• Full benefits package includes medical, dental, vision, 401k with substantial employer contribution, paid time off, professional development programs, and 340B prescription access.

Interested in this Position? Need More Information?

Apply today and we will connect you with a member of our recruitment team. We look forward to speaking with you soon.
If you experience difficulty applying or need assistance please contact HR@southwestcare.org.

• Please note, we are unable to respond to resume inquiries.

Living & Working in New Mexico:

The Land of Enchantment offers residents a way of life that you won’t find anywhere else in the United States. Our clinic locations are in Santa Fe and Albuquerque, NM. Each with its own unique vibe and both offering all the perks you get when you call New Mexico Home.

• Rich cultural and historical diversity.
• 310 days of sunshine, combined with a mild, dry climate and four distinct seasons! You’ll forget what humidity is when you live here.
• Unlimited year-round outdoor opportunities including hiking, rock-climbing, rafting, motorized sports, and even skiing. Yes, we have really big ski mountains in and around the deserts of New Mexico!
• Diverse and inclusive communities with amazingly kind people from all walks of life.
• Gorgeous landscapes that include desert and majestic mountains. New Mexico has to be to be seen to believe.
• Continuous festivals, concerts, and events including the internationally known Balloon Fiesta of Albuquerque.
• International airport providing low-cost, quick access in-country and out.
• Big city amenities found in Albuquerque with easy access from Santa Fe (50 min). Many of our employees commute between these cities. Both cities are connected by the NM rail system for those looking for a relaxing commute with a breath-taking view.
• Great schools and family friendly communities.
• And let’s not forget about New Mexican cuisine—it is some of the best food in the country. Will you have red or green?

Southwest Care Center is an equal opportunity employer. We offer equal employment opportunities to employees and applicants without regard to race, color, religion, sex, age, national origin, disability status, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by federal or state law.

Job Details:

Location:
NM Santa Fe - Admin Galisteo
Worker Type:
Employee
Regular
Scheduled Weekly Hours:
40

Job Type: Full-time

Work Location: In person