Population Health Manager

Northeast Kingdom Human Services (NKHS); St. Johnsbury (VT); On-site; USD 90,000 - 120,000; Full time

Job summary

Northeast Kingdom Human Services (NKHS) seeks a Population Health Manager to oversee care coordination staff, strengthen community partnerships, and use data-driven insights to enhance care delivery, streamline operations, and elevate quality outcomes.

The role emphasizes quality improvement and collaboration across clinical and behavioral health teams to support transitions of care and ensure patient-centered, accessible services in Vermont.

Qualifications

• Experience in nurse QA, care management, utilization management, or clinical quality improvement.
• Strong understanding of population health principles.

Responsibilities

• Oversee day-to-day operations of the Care Coordination Team and align with population health goals.
• Provide administrative oversight to nursing, LNA, and MA staff involved in care coordination.
• Develop and refine workflows for referral management, care transitions, and follow-up.
• Ensure services are delivered timely, accessible, and person-centered.

Skills

Population health management

Care coordination

Data analysis

Quality improvement

Leadership

Stakeholder engagement

Job description

Population Health Manager

In the role of Population Health Manager you’ll oversee care coordination staff, strengthen community partnerships, and use data-driven insights to enhance care delivery, streamline operations, and elevate quality outcomes.

A strong candidate has demonstrated experience in nurse quality assurance (QA), care management, utilization management, or clinical quality improvement, and a solid understanding of population health principles.

Essential Functions

Program & Operational Oversight

• Oversee day-to-day operations of the Care Coordination Team, ensuring efficientservice delivery and alignment with population health goals
• Provide administrative oversight and operational support to nursing, LNA, and MA staff involved in care coordination and population health activities
• Develop, implement, and refine workflows to support effective referral management, care transitions, and follow-up
• Ensure care coordination services are delivered in a timely, accessible, andperson-centered manner

Quality, Outcomes & Performance Management

• Establish and monitor key performance indicators (KPIs) related to access, timeliness, quality outcomes, and care coordination effectiveness
• Use data and quality metrics to identify trends, gaps, and opportunities for improvement
• Lead continuous quality improvement initiatives focused on patient outcomes and system efficiency

Care Coordination & System Integration

• Facilitate strong internal collaboration across clinical, behavioral health, and support service teams
• Support effective internal and external care coordination, including transitions between levels of care
• Partner with community providers, hospitals, social service agencies, and payers tostrengthen referral networks and service continuity

Community Partnership Development

• Build and maintain relationships with community partners to support coordinated,whole-person care

Leadership & Team Support

• Provide leadership, guidance, and operational support to care coordination and medical support staff