What are the responsibilities and job description for the Population Health Specialist - Population Health - FT Days position at UCI Health?
Who We Are
UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.
To learn more about UCI Health, visit www.ucihealth.org.
Your Role on the Team
Position Summary
The incumbent will independently perform and coordinate complex healthcare data analysis and project management that results in the successful operation and management of the UC Irvine Health's value based care programs including , but not limited to commercial and Medicare Accountable Care Organizations, Medicare’s CCMI models, pay for performance programs and delegated capitated plans. The incumbent is responsible for actionable analysis, education and process development that support strategies and activities related to financial, quality and operational performance under population health arrangements. Will adhere to contract and regulatory compliance, oversee reconciliation and reporting, and assess all data needed to recommend solutions. The incumbent will lead communications with internal and external stakeholders in matters related to performance and implementation of UCI Health population health arrangements.
Total Compensation
What It Takes to be Successful
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.
Required Qualifications
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:
Closing Statement
The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.
Consideration for Work Authorization Sponsorship
Must be able to provide proof of work authorization
UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.
To learn more about UCI Health, visit www.ucihealth.org.
Your Role on the Team
Position Summary
The incumbent will independently perform and coordinate complex healthcare data analysis and project management that results in the successful operation and management of the UC Irvine Health's value based care programs including , but not limited to commercial and Medicare Accountable Care Organizations, Medicare’s CCMI models, pay for performance programs and delegated capitated plans. The incumbent is responsible for actionable analysis, education and process development that support strategies and activities related to financial, quality and operational performance under population health arrangements. Will adhere to contract and regulatory compliance, oversee reconciliation and reporting, and assess all data needed to recommend solutions. The incumbent will lead communications with internal and external stakeholders in matters related to performance and implementation of UCI Health population health arrangements.
Total Compensation
What It Takes to be Successful
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.
Required Qualifications
- Strong financial, analytical and planning skills to effectively evaluate projects and new business opportunities
- Strong commitment to the values of the organization: Academic Achievement, Respect, Integrity, Service and Excellence
- Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
- Must demonstrate customer service skills appropriate to the job
- Knowledge of physician and facility billing, reimbursements and third party regulations.
- Knowledge of managed care financial concepts and the healthcare field. Knowledge of relevant state and federal regulations is required
- Knowledge of capitation and capitation management, including risk evaluation methodologies necessary for designing reimbursement methodologies, calculating and evaluating reimbursement rates, and forecasting effect on revenues and expenses
- Excellent written and verbal communication skills in English
- Bachelor's Degree in Business, Healthcare Management or a related field, or an equivalent combination of education and experience
- Ability to maintain a work pace appropriate to the workload
- Ability to establish and maintain effective working relationships across the Health System
- 5-7 years’ experience working with value based contracts in a physician group and/or hospital environment understanding the administrative, finance and operational components of these contracts
- Knowledge of University and medical center organizations, policies, procedures and forms
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:
- Background Check and Live Scan
- Employment Misconduct*
- Legal Right to Work in the United States
- Vaccination Policies
- Smoking and Tobacco Policy
- Drug Free Environment
- Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
- California Child Abuse and Neglect Reporting Act
- E-Verify
- Pre-Placement Health Evaluation
Closing Statement
The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.
Consideration for Work Authorization Sponsorship
Must be able to provide proof of work authorization
