Manager, Population Health

Jobtailor; Deutschland; Remote; EUR 80.000 - 110.000; Vollzeit

Zusammenfassung

Jobtailor seeks a senior leader to drive population health strategies, improve quality of care, access, and outcomes for members, and align with national quality programs. You will lead analytics-driven initiatives and coordinate with health plans and care teams.

This role requires executive leadership, staff development, and travel across communities to implement strategies, manage performance projects, and ensure adherence to accreditation standards.

Qualifikationen

• Bachelor of Science in a health-related field is required.
• Three years in a Managed Care Organization or healthcare-related field required.
• Three years of experience in quality or analytics required.

Aufgaben

• Lead population health strategies to improve quality of care, access, and outcomes for members.
• Implement and manage the population health management strategic plan for the market.
• Manage team care navigation efforts connecting members with resources and supports.
• Support quality improvement initiatives and drive gap closure with Enterprise Quality Improvement teams.
• Review, audit, and monitor quality improvement, performance improvement, and accreditation activities.
• Develop and implement community and provider engagement strategies with Network and Community Marketing teams.
• Travel regularly to homes, offices, and other public settings; travel may exceed 50%.

Kenntnisse

Leadership

Data analysis

Quality improvement

Health policy

Microsoft Office

Communication

Critical thinking

Analytical thinking

Teamwork

Ausbildung

RN licensure

Bachelor's degree in health field

Master's degree in health services/healthcare administration

Tools

Microsoft Office

Jobbeschreibung

• Lead and manage population health strategies to improve quality of care, access, and outcomes for CareSource members
• Implement and manage the population health management strategic plan for the market with the Director of Population Health and Chief Medical Officer
• Manage team care navigation efforts connecting members with resources, services, and supports
• Support quality improvement initiatives and drive gap closure with Enterprise Quality Improvement teams
• Implement quality initiatives and interventions for women, children, pregnant women, infants, adolescents, and teens
• Review, audit, and monitor quality improvement, performance improvement, and accreditation activities
• Develop and implement community and provider engagement strategies with Network and Community Marketing teams
• Support community partnerships addressing health equity and social determinants of health barriers
• Use analytics and data to drive community, provider, and member engagement
• Participate in root cause analyses and ensure data is effectively presented and used to address accreditation, clinical monitoring, and quality issues
• Establish and maintain standards and procedures for accreditation and quality reporting and documentation
• Communicate strengths and improvement opportunities to the Quality Management and Improvement Committee
• Participate in national, state, and local committees, focus groups, and internal workgroups
• Provide leadership, direction, coaching, and development to staff
• Monitor staff performance, scheduling, productivity, and quality
• Perform other job-related duties as requested
• Travel regularly to homes, offices, and other public settings; travel may exceed 50%

Requirements

• Must reside in the State of Georgia and same assigned territory, except possible business-need exceptions
• Bachelor of Science (B.S.) in a health-related field required
• Equivalent years of relevant work experience may be accepted in lieu of required education
• Three (3) years in a Managed Care Organization (MCO) or other healthcare-related field required
• Three (3) years of experience in quality or analytics required
• Proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint
• Experience in data collection, analysis, and trending of processes and outcomes
• Knowledge of performance improvement principles, quality methodology, regulations, and standards for health plan quality and accreditation requirements
• Working knowledge of health plan policies and procedures
• Current, unrestricted Registered Nurse (RN) licensure in state of practice preferred
• Influenza vaccination required during influenza season, with annual proof for designated positions
• Ability to travel more than 50% of the time; over 50% routine mobile travel required
• Ability to work flexible hours, including possible evenings and weekends
• Master's degree in health services, public health, health care administration, or another health care field preferred
• Additional two years in an MCO or healthcare-related field strongly preferred
• Three years of leadership/management experience preferred
• Medicaid experience preferred
• Ability to present data and recommendations clearly and concisely
• Effective problem-solving, critical thinking, listening, communication, interpersonal, teamwork, and organizational skills
• Ability to work independently and in a team environment
• Customer service and member-focused orientation

Core Competencies

Demonstrates expertise in population health management, quality improvement, and data analytics to enhance care quality and member engagement. Proven ability to lead teams, develop strategic initiatives, and ensure compliance with health plan accreditation standards.

Highest-signal resume keywords

• Population Health Management
• Quality Improvement
• Data Analysis
• Leadership Experience
• Managed Care Organization (MCO) Experience

Hard Skills

• Data Collection
• Performance Improvement Principles
• Quality Methodology
• Health Plan Accreditation Standards
• Microsoft Office Suite
• Analytics
• Community Engagement Strategies
• Root Cause Analysis
• Quality Reporting
• Health Plan Policies

Soft Skills

• Problem-Solving
• Critical Thinking
• Communication
• Interpersonal Skills
• Teamwork

Certifications & Qualifications

• Registered Nurse (RN) Licensure

Industry Keywords

• Managed Care
• Health Equity
• Social Determinants of Health
• Quality Management
• Healthcare Administration