Manager Population Health

Capital Health; Lawrence Township, Northern (NJ, KY); Hybrid; USD 92,000 - 121,000; Full time

Job summary

Capital Health is seeking a senior leader for Ambulatory Population Health, overseeing daily operations, care coordination and quality programs across Capital Health Medical Group. The role emphasizes collaboration with primary and specialty practices, and external vendors to ensure compliant, data-driven care management.

The ideal candidate will have RN or Social Work background with 4+ years in population health settings, strong knowledge of value-based care models, and proven leadership in

Qualifications

• Knowledge of ACO models, MIPS compliance, and HEDIS measures.
• Ability to design and translate care coordination workflows.
• Strong data analysis and ability to interpret health reports.

Responsibilities

• Provide day-to-day oversight for the Ambulatory Population Health team and monitor productivity.
• Collaborate on design, implementation and evaluation of ambulatory quality programs.
• Standardize population health workflows including risk stratification and care management.
• Audit EMR and payer health reports to prioritize patients for enrollment.
• Monitor metrics against HEDIS measures and organizational targets.
• Coordinate patient care across primary and specialty practices and social resources.
• Partner with population health vendors to ensure accurate documentation for compliance reporting.
• Lead talent lifecycle including hiring, onboarding, and performance evaluations.
• Develop operational tools and process improvements to elevate team performance.
• Assist in departmental budget planning and strategic resource allocation.

Skills

AC0 models

Education

Bachelor's degree in Nursing, Social Work, Public Health, or healthcare-related field

Master’s degree in Nursing, Social Work, Public Health or healthcare-related field

Tools

EMR systems

Job description

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology.

Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care.

Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization.

As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range: $92,289.60 - $120,577.60

Scheduled Weekly Hours: 40

Position Overview

MINIMUM QUALIFICATIONS

Education

• Bachelor's Degree in Nursing, Social Work, Public Health, or other healthcare-related field

Certifications & Licenses

• Valid New Jersey and Pennsylvania Registered Nurse (RN) or Social Worker (LSW/LCSW) license or in the process of obtaining PA licensure
• AHA BLS - Healthcare Provider

Experience

• Four years of clinical experience in acute care, ambulatory/outpatient, sub-acute rehabilitation, care management, managed care health plan or related setting

Technical Competencies

• Demonstrated knowledge of ACO models, MIPS compliance, HEDIS measures and structured care coordination workflows
• Core understanding of workflow design, with a demonstrated ability to translate program goals into operational workflows
• Working knowledge of value-based care models, quality measures, care management and transitions of care
• Practical data analysis skills, including the ability to interpret and extract health reports
• Strong computer skills, including the ability to navigate multiple electronic medical documentation systems
• Excellent verbal and written communication skills, including the ability to convey complex information clearly to a diverse group of stakeholders

Core Competencies

• Proven ability to direct daily work autonomously while remaining collaborative with peers and leadership
• Demonstrated ability to pivot quickly, manage multiple workflows simultaneously and remain effective in a fast-paced, high-volume environment
• Natural ability to build collaborative relationships across diverse teams while influencing, guiding and motivating staff

PREFERRED QUALIFICATIONS

Education

• Master’s degree in Nursing, Social Work, Public Health or other healthcare-related field

Certifications & Licenses

• Case Management, Ambulatory Care, Care Coordination or other relevant professional certification

Experience

• Two years of supervisory, team lead or program management experience
• Direct experience in a Population Health setting

ESSENTIAL FUNCTIONS

• Provide day-to-day oversight for the Ambulatory Population Health team, including active workload distribution and staff productivity monitoring
• Collaborate on the design, implementation and evaluation of ambulatory quality programs across all Capital Health Medical Group practices
• Standardize population health workflows, including risk stratification, care management, transitions of care and quality measure gap closures
• Audit clinical data and health reports from electronic medical records (EMR) and payer systems to prioritize patients for care management enrollment
• Monitor team performance metrics against external program requirements, HEDIS measures and internal organization targets
• Coordinate patient care delivery across primary care, specialty practices and outside community resources to address social determinants of health (SDOH)
• Partner with population health vendors to streamline care management systems, ensuring thorough, consistent documentation for accurate compliance reporting
• Lead the talent lifecycle for the team, including interviewing, selection, onboarding, training performance evaluations and ongoing professional development
• Develop operational reference tools, training materials and structured process improvement initiatives to elevate team performance
• Contribute to departmental budget management, program planning and strategic resource allocation
• Perform other duties as assigned

Benefits

This position is eligible for the following benefits:

• Medical Plan
• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA) - Healthcare
• FSA - Dependent Care
• FSA
• Retirement Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance - Voluntary Life
• Spouse - Voluntary Life
• Employee - Voluntary Life
• Child Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.

Equal Opportunity Employer Notice

Capital Health Benefits