Job Description:

POSITION SUMMARY:

Responsible for improving team-based care through oversight and continuous improvement of Desert Sage Health Center’s (DSHC) population health, care management, care coordination, and related ancillary services. This position will support and enhance collaboration among providers, clinical support staff, administrative staff, and the care coordination/care management/outreach teams. The Population Health Manager works collaboratively with other managers to implement defined workflows within and across departments to implement DSHC's population health strategies and initiatives.

PRIMARY DUTIES AND RESPONSIBILITIES

Program Oversight:

Supervise and provide daily oversight and continuous improvement in workflows of the team members responsible for care coordination, care management, outreach, care gap closures, and other ancillary team functions
Implement relevant PCMH competencies and VBC transformation initiatives within care coordination, care management, and outreach programs
Develop and implement best practices and standard workflows for PCMH and population health objectives
Establish strong relationships with providers, clinical support staff, administrative staff, and leadership
Develop internal and external materials and communication plan to promote the activities of DSHC towards a population health model.
Implement strategies to address social determinants of health and promote individualized care within our communities.
Ensure programs and strategies of the population health team are financially sustainable, and work closely with Patient Accounts team on relevant billing procedures

Project Management:

Design work plans, workflows, and processes by which these programs would be managed
Develop and implement initiatives to improve performance against value-based contract metrics
Document key processes, work plans, and timelines associated with the development of population health interventions.
Engage internal and external partners to monitor population health pilot activities, identify problems with work processes, and ensure strategic goals are met
Provide guidance to team members in developing evidence-based or promising practice clinical programs for specific patient populations

Reporting and Compliance

Work collaboratively with the Quality & Development Director to ensure a timely, accurate, and actionable data strategy for evaluation of PCMH and VBC outcomes and effectiveness
Comply with all payer and regulatory requirements associated with population health.
Track progress of action plans, present outcomes to peers, the leadership team, and outside partners
Responsible for additional population health management tasks and initiatives defined by management
Serve as the superuser of population health software, and coach team members to optimize its use to support population health objectives.

Desert Sage Values

Employee knows DSHC’s 5 core values and demonstrates the specific valued behaviors on a daily basis.

MINIMUM QUALIFICATIONS

Bachelor's degree in a health-related discipline or equivalent combination of education and experience, master's degree preferred
PMP credential or demonstrated project management experience
Demonstrated change management and/or process improvement expertise; lean experience a plus but not required
Basic working knowledge in any of the following areas: Medicare advantage, Medicare Shared Savings Program (MSSP), Medicaid programs, managed care regulations, quality reporting, care management, population management, ACO strategy implementation and operations, and supporting providers in risk-based contracts.
Strategic and entrepreneurial outlook with strong collaboration skills
Demonstrated understanding of healthcare metrics and use of analytical skills
Excellent presentation skills
Experience using Microsoft Excel

Desert Sage Health Centers | Equal Opportunity Employer

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