Population Health and Equity Leader - Remote

EmblemHealth; New York (NY); Remote; USD 92,000 - 179,000; Full time

Job summary

An established industry player is seeking a Population Health and Equity Leader to drive health equity initiatives and enhance community health outcomes. This role involves collaborating with diverse stakeholders, leading innovative programs, and utilizing data to ensure equitable health resource distribution. The ideal candidate will have extensive experience in healthcare, strong analytical skills, and a passion for improving health outcomes for underserved populations. Join a forward-thinking organization committed to making a meaningful impact in the communities they serve, where your expertise will be valued and your contributions recognized.

Qualifications

• 10-12+ years of healthcare experience, preferably in managed care.
• Proficient in data analysis and quality improvement methodologies.

Responsibilities

• Lead programs focused on health equity and improved outcomes.
• Collaborate with various stakeholders to execute innovative health programs.

Skills

Health equity analytics

Data analysis

Quality improvement methodology

Analytical skills

Communication skills

Education

Bachelor’s Degree in health services

Master’s degree

Tools

Microsoft Office (Word, PowerPoint, Excel, Access)

Relational databases

Job description

EmblemHealth is one of the nation’s largest not for profit health insurers, serving members across New York’s diverse communities with a full range of commercial and government-sponsored health plans for employers, individuals, and families. With a commitment to value-based care, EmblemHealth partners with top hospitals and doctors, including its own AdvantageCare Physicians, to deliver quality, affordable, convenient care. At over a dozen EmblemHealth Neighborhood Care locations, members and non-members alike have access to community-based health and wellness guidance and resources. For more information, visit emblemhealth.com.

Population Health and Equity Leader - Remote

Serve as advisor on health equity, SDOH, and population health programming, collaborating with a wide range of internal and external stakeholders, responsible for EmblemHealth’s strategy and mission. Develop and lead programs with focus on improved health outcomes of groups across the community; monitor and identify individual patients within that group based on medical conditions, age, and location. Use data to ensure an equal distribution of health resources among all members of our insured community. Oversee quality improvement to improve care, reduce costs, and deliver evidence-based outcomes.

Responsibilities

1. Participate and lead the development, performance, and maturation of existing programs.
2. Provide subject matter expertise in areas such as health equity analytics, community health, bias reduction, and diversity equity and inclusion.
3. Lead and/or serve on a variety of appropriate internal and external committees to represent Population Health.
4. Review and analyze population and patient data related to clinical care and outcomes to evaluate performance, reveal trends and identify opportunities.
5. Collaborate with internal and external organizations to execute innovative programs and build partnerships.
6. Drive change management to balance community needs with government system changes.
7. Lead the population health strategy and NCQA’s Population Health Management program.
8. Collaborate with clinical, operations, and community teams to enhance the patient experience and reduce per member cost.
9. Identify root causes, analyze data, and develop metrics to reduce health disparities.
10. Prepare reporting to present findings and highlight successes and opportunities for improvement or intervention.
11. Engage with diverse communities to set priorities and drive planning efforts.
12. Monitor performance indicators to ensure exceptional quality outcomes.
13. Prepare and execute operational plans to achieve measurable objectives on an established timetable.
14. Develop programs to address barriers to healthcare as determined by patient need.
15. Assist in applying for and reporting on grant-funded programs.
16. Actively participate in quality improvement committees, subcommittees and workgroups to support process improvement.
17. Review and update operational processes for quality management activities. Define and document newly established processes.
18. Remain current with new trends and best practices and incorporates into Population Health programs.
19. Support preparation, organization and follow-up in acquiring and maintaining NCQA accreditation and compliance with local, state and federal regulatory authorities, includes support of the health plan’s HEDIS, QARR, and Star processes.

Qualifications

1. Bachelor’s Degree in a health services field (Required)
2. Master’s degree (Preferred)
3. 10 – 12+ years of experience in the health care field, preferably in managed care experience (Required)
4. Ability to work with staff in several locations where the company has offices, necessitating site visits
5. Proficient in Microsoft Office - Word, PowerPoint and Excel, Access (Required)
6. Proficient in data analysis. Strong working knowledge of relational database and statistical analyses (Required)
7. Must be familiar with and have a strong knowledge of QI process improvement methodology strategies, including but not limited to PDSA and DMAIC (Required)
8. Must be familiar with the HEDIS, QARR, CAHPS and HOS requirements (Required)
9. Must possess analytical skills to collect, organize and present data in a clear and concise manner (Required)
10. Ability to assess all work and prioritize as necessary to meet reporting timeframes and deadlines (Required)

Additional Information

• Requisition ID: 1000002409
• Hiring Range: $92,880-$178,200

Security Disclosure

If you receive a job offer from EmblemHealth, the email will be from “HRTalentAcquisition” with the subject: “Offer of Employment for (job title) – Please respond online.” We will never ask you to join a Google Hangout, buy your own equipment, or pay to apply. We also do not use third-party email services like Yahoo or Gmail.

Pay Disclosure

At EmblemHealth, we prioritize transparency in our compensation practices. We provide a good faith estimate of the salary range for potential hires, which is based on key factors such as role responsibilities, candidate experience, education and training, internal equity, and market conditions. Please be aware that this estimate doesn’t account for geographic differences related to your work location. Typically, new hires may not start at the top of this range, as compensation is tailored to each individual's circumstances. For union positions, salaries will be determined according to the collective bargaining agreement. Join us at EmblemHealth, where your contributions are valued and supported by fair compensation.

EEOC Statement

We value the diverse backgrounds, perspectives, and experiences of our workforce. As an equal opportunity employer, we consider all qualified applicants for employment regardless of race, color, religion, sex, sexual orientation, gender identity, pregnancy, marital status, national origin, disability, veteran status, or any other protected characteristic protected by law.

Sponsorship Statement

EmblemHealth may provide work visa sponsorship depending on factors such as business unit requirements, position nature, costs, and applicable laws and regulations.