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Job Opening details:-
Company Name :- North Carolina Community Health Center Association
Position Name :- Director of Population Health Management (FT)
Company Location :- Raleigh, NC
Job Category : Management jobs
Full Job Description :-
Carolina Medical Home Network seeks a dynamic and experienced clinical leader who will build trust and confidence among participating practices to drive performance across a range of health plan contracts. The Director of Population Health Management is responsible for developing, implementing and overseeing Carolina Medial Home Network’s (CMHN) population health, health education, and prevention programs. The Director provides leadership, strategic direction, and functional oversight for CMHN’s health population education and support to CMHN clinically integrated network practices and members.
The Director is responsible for coordinating and implementing CMHN quality initiatives and oversees clinical committee initiatives in order to continuously improve all aspects of health care delivery for CMHN members. The Director is responsible for developing and implementing various practice improvement and member-centric programs to coordinate health care education and delivery to defined populations. They will maintain knowledge of current and emerging population health strategies, models of care and related trends in value-based care.
The Director will participate in the analysis, planning and strategic formation of CMHN’s population health program services, which may also include disease management, vendor management, clinical analytics reporting and digital health strategy for CMHN. They will become a subject matter expert on CMHN’s data platform and will use it to develop and monitor ongoing metrics for evaluation, improve CMHN performance, and increase member satisfaction.
The Director will work with the Director of Clinical Services to formulate and communicate plans that efficiently utilize health care services in the safest, most cost-effective manner. They will monitor and analyze routine, ad hoc reports, case load, and care coordination management efforts for CMHN. They will support education of other CMHN team members and CMHN participating practice teams on CMHN population health tools and initiatives.
The ideal candidate will have development experience, a vision for growing CMHN services for participating practices, and a commitment to CMHN’s mission of promoting high-value care and health equity through personalized coordinated healthcare services.
BSN, MSW or related health care licensure and ten (10) years of experience working in population health or related field.
Extensive experience working with population health tools and evaluating data.
Knowledge of population health, quality of care concepts and methodologies, as well as concepts of community health and social determinants of health.
Knowledge of clinical guidelines related to PCMH.
Excellent verbal and written communication skills, effective interpersonal and leadership skills, ability to analyze clinical data, ability to prepare written reports, presentations, meeting facilitation and reports.
Works effectively with others and is able to organize workload, as well as assume responsibility and maintain confidentiality.
Must be able to work independently, exercise appropriate decision-making skills, and function effectively on a team.
Proficient in the use of Microsoft Office (Word, Excel, and Outlook).
Experience working with primary care safety net programs preferred.
Knowledge of value-based contracts preferred.
Knowledge, Skills and Abilities:
Strong leadership and relationship-building skills.
Demonstrated experience implementing practice transformation programs across a variety of provider groups and care team models.
Change Management skills.
Detail oriented with the ability to manage multiple projects and priorities.
Working knowledge of relevant operating systems, software and programming including electronic medical records (EMR).
Great customer service and interpersonal skills.
Experience working in a matrixed organization preferred.
Ability to travel up to 5% of the time with occasional overnight travel.
Experience with community health centers/Federally Qualified Health Centers (FQHCs), preferably employment in FQHCs a plus.
Supervisory Responsibilities: No
Leads efforts to integrate evidence-based clinical pathways, protocols, and other metrics in the development of a member experience that promotes improved health outcomes and efficiency in the delivery of healthcare, education, and resources for defined populations.
Aligns population health program development with payer initiatives, expectations and clinical models.
Builds strong relationships with and is accessible to clinical and operations leaders at participating practices.
Acts as the primary liaison between data and clinical staff and is the translator of application functionality to internal and external teams.
Analyzes data, ensure its accuracy, and develops reports to guide network- and practice-level improvement.
Leads complex projects including affordability analysis, medical expense, business requirements, and defining current/future scope of work.
Creates innovative solutions and process enhancements to drive financial and quality success.
Identifies trends between Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Member Engagement.
Creates programs/pilots to improve engagement with strategic partners.
Works collaboratively with NCCHCA and CMHN leadership to participate in strategic planning, program and vendor implementation, and oversight of initiatives in alignment with CMHN objectives.
Creates and measures clinical outcomes with respect to the provision of clinical support for practice transformation.
Leads efforts to develop virtual and digital health solutions for the health plan members.
Continuously evaluate process, identify problems, and propose process improvement strategies to enhance delivery of population health initiatives.
Leads change management efforts as it relates to clinical and care management workflows and documentation to optimize staff productivity and efficiency.
Abides by department guidelines, company policies, and HIPAA regulation
Willingly performs other duties as assigned.
Consistently working at desk in front of computer monitor, significant typing and data entry, majority of the day is spent indoors and sitting.
Typical office environment with occasional travel around the state to visit participating practices or domestically for conferences or speaking engagements.
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