Remote Population Health Transformation Director

Sacbar; Boulder, Northern (CO, KY); Hybrid; USD 135,000 - 231,000; Full time

Job summary

Optum Insight is seeking a Director of Population Health Care Transformation to lead ambulatory clinical programs, care management, and value-based initiatives across the organization. The role oversees care management, pharmacy support, and future ambulatory programs, with emphasis on operational excellence, regulatory compliance, and performance metrics.

You will collaborate with physicians, operations, and payer partners to align priorities, design scalable programs, and drive outcomes in

Qualifications

• Current, active, unrestricted Registered Nurse (RN) License in the U.S.
• 8+ years of progressive healthcare leadership experience
• 5+ years in ambulatory clinical operations and population health or value-based care program leadership
• Demonstrated experience leading multidisciplinary teams, partnering with physicians and payers, and managing performance across quality, utilization, cost, compliance, and patient engagement outcomes
• Able/willing to work Mountain Time Zone business hours regardless of remote base work location
• Must be able/willing to travel approximately 25% of the time as business needs dictate, primarily to the client site in Boulder, CO

Responsibilities

• Direct oversight of ambulatory care management, transitional care management, pharmacy support, and future ambulatory clinical programs
• Supervise department managers and ensure efficient daily operations, staffing, productivity, and performance
• Develop and execute ambulatory population health strategies supporting Medicare Advantage, MSSP, commercial risk contracts, bundled payment models, and other value-based initiatives
• Ensure clinical programs are aligned with contractual performance measures and organizational priorities
• Oversee cross-organization and cross-team collaboration with the client and internal partners to align priorities, coordinate execution, remove barriers, and ensure shared accountability for clinical, operational, and value-based care outcomes
• Design, implement, and optimize ambulatory clinical programs and workflows
• Lead implementation of new clinical initiatives, technology solutions, and evidence-based care models
• Drive continuous improvement across ambulatory services
• Serve as the clinical operational lead for payer-sponsored programs
• Partner with physician leadership, finance, contracting, quality, and ambulatory operations to maximize clinical and financial performance under value-based contracts
• Accountable for performance across: Readmissions, ED utilization, HEDIS and STAR measures, Total cost of care, Medication adherence, Care management outcomes, Patient engagement
• Develop action plans to improve organizational performance
• Provide leadership, mentoring, and accountability for managers and clinical leaders
• Build scalable ambulatory programs while fostering collaboration and professional development
• Ensure compliance with CMS requirements, accreditation standards, payer expectations, and organizational policies
• Establish standardized workflows, documentation practices, and performance metrics across ambulatory services

Skills

Healthcare leadership

Ambulatory operations

Value-based care

Cross-functional collaboration

Job description

Optum Insight is seeking a Director of Population Health Care Transformation to lead ambulatory clinical programs, care management, and value-based initiatives across the organization. The role oversees care management, pharmacy support, and future ambulatory programs, with emphasis on operational excellence, regulatory compliance, and performance metrics.

You will collaborate with physicians, operations, and payer partners to align priorities, design scalable programs, and drive outcomes in