The Director of Population Health is responsible for all aspects of the Population Health department, including development of strategic vision, working with value-based partners, and managing the daily aspects of the department. Reporting to the Chief Medical Officer, the Director drives and reports on effective execution of all value-based agreements and services throughout the organization. The Director oversees all activities of the department and manages team members, which include data analysts, case managers, and population health analysts.
- Develops and implements payment and reimbursement strategies in alignment with the organization's vision, goals, and strategy.
- Team management, which includes process and workflow development to ensure success in value-based programs; may include development of specific reports to assist with operational implementation of programs in the clinic setting; development of a new case management workflow to capture additional data necessary for payer incentives, or creation of new processes within the clinics or Population Health department to enhance reimbursement from a value-based program.
- Develops reports to analyze and evaluate the effectiveness of all value-based programs, and shares with various department and administrative leadership teams on a routine basis.
- Develops and performs ongoing quality education for physicians, residents, and staff throughout the year.
- Responsible for meeting reporting requirements for all value-based, State, and Federal programs and assures all programs remain compliant with payer, State and Federal regulations.
- Investigates, develops, and implements new value-based programs as appropriate.
Requirements:
- Bachelor’s Degree with 3 to 5 years of mid- to senior-level management experience in healthcare, or an equivalent combination of education and experience, required.
- Clinical healthcare experience preferred, such as Registered Nurse.
- Knowledge of value-based programs, contracts, and population health required.
- Excellent verbal, written and interpersonal communication skills.
- Excellent analytical and organizational skills with strong attention to detail.
- Demonstrates strong leadership skills.
- Ability to function effectively within an ever-changing environment to meet deadlines and reprioritize as necessary.
- Proven ability to solve problems and make sound decisions.
- Project Management skills preferred.
- Ability to work independently and within a team environment.
- Proficiency in MS Office (Excel, Word, and PowerPoint).
- Experience with SQL, Access, or other data analytic tools preferred.
Applicants should apply online at https://etsuhealth.org/employment